改良早期预警评分管理模式在急诊留观患者中的应用研究  

Study on the applications of modified early warning score to the patients in emergency observation ward

作　　者：孟新科[1] 赵中江[1] 周泽强[1] 刘德红[1] 魏刚[1] 赵志刚[1] 苏顺庭[1] 

机构地区：[1]深圳市第二人民医院(深圳大学附属第一医院)急诊科,广东518035

出　　处：《中国急救医学》2009年第10期920-922,共3页Chinese Journal of Critical Care Medicine

摘　　要：目的探讨改良早期预警评分（MEWS）在急诊留观患者风险管理中的应用价值。方法通过动态监测MEWS，决定患者处理策略和去向；比较不同流向患者评分的差异；调查医生、护士对实施MEWS管理模式的满意度。结果评分无动态变化的245例患者MEWS为（2．6±1．2）分；有动态变化的44例中，直接收住院的32例患者评分为（4．6±1．7）分；转抢救室12例患者评分为（6．2±2．4）分。各组患者评分比较差异均有统计学意义（2．6±1．2V8．4．6±1．7，t=3．44，P=0．003；2．6±1．2VS．6．2±2．4，t=5．10，P=0．000；4．6±1．7VS．6．2±2．4，t=2．79，P=0．007）；医生、护士对实施MEWS动态监测前后的留观患者管理满意度分别为75．5％和94．3％，前后比较差异有统计学意义（x^2=7．36，P〈0．01）。结论MEWS可作为急诊留观患者风险管理和合理分流的有效工具，值得临床推广。Objective To explore the application value of modified early warning score （MEWS） in the administration of patients in emergency observation ward. Methods Triage criteria were determined by MEWS and the scores were compared among different admission departments. Approval of＂ MEWS administration model＂ was investigated in doctors and nurses of emergency department. Results There were significant differences in MEWS among different admission departments, （2. 6 ± 1.2 ） for 245 patients who had no changes in MEWS vs. （ 4. 6 ± 1.7 } for 32 hospital admission patients who had the increases in MEWS （ t = 3.44 ,P = 0. 003 ） ; （ 2. 6 ± 1.2 ） vs （ 6. 2 ± 2.4 ） for 12 emergency rescue room admission patients who also had the increases in MEWS（t = 5.10,P = 0.000）;（4.6± 1.7） vs. （6.2 ±2.4）,（t =2.79,P =0.007）. Approval of＂MEWS administration model＂ in doctors and nurses of emergency department was 75.5% for non＂MEWS administration model＂ vs. 94. 3% for ＂MEWS administration model＂ （X^2 = 7.36, P 〈 0. 01 ）. Conclusion MEWS may be popularized in emergency observation ward as a tool of risk administration for the patients.

关 键 词：改良早期预警评分(MEWS) 急诊 观察病房 管理 

分 类 号：R459.7[医药卫生—急诊医学]