改良早期预警评分指导ICU早期开展护理风险评估的效果评价  

The value of Modified Early Warning Score in early nursing risk assessment of patients in intensive care unit

作　　者：吴文娟[1] 张银英[1] 

机构地区：[1]广东省中山市人民医院外科监护室,广东中山528403

出　　处：《吉林医学》2016年第2期458-460,共3页Jilin Medical Journal

摘　　要：目的:探讨改良早期预警评分(MEWS)对ICU收治危重患者早期(24 h内)病情变化的预测价值,为临床重症护理工作提供科学、客观的依据。方法:将826例患者随机分为M组(MEWS组)和C组(对照组),M组根据MEWS评分分级,C组根据三级监测评估系统分级。根据评分制定护理计划及分配护理资源。结果:M组的24 h非计划拔管率、24 h ICU内病死率、24 h ICU内心肺复苏率、ICU住院时间均低于C组,差异有统计学意义(P<0.05),M组24 h心肺复苏成功率高于C组,差异有统计学意义(P<0.05)。结论:改良早期预警评分有助于指导早期开展护理风险评估,减少意外事件及并发症的发生。Objective To investigate the predictive effect of Modified Early Warning Score to the nursing evaluation of critical ill patients after intensive care unit（ ICU） admission. Method 826 patients who were included were randomly divided into M group（ Modified Early Warning Score group,MEWS group） and C group（ Control group）,M group graded according MEWS score,C group graded according to three levels of Monitoring and evaluation system. Nursing care plans were made,nursing resources were allocated,according rating. Results 24 hours unplanned extubation,24 hours fatality rate,24 hours cardiopulmonary resuscitation,ICU length of stay were significantly reduced in Modified Early Warning Score group,the difference was statistically significant（ P〈0. 05）. Success rate of cardiopulmonary resuscitation in Modified Early Warning Score group were significantly higher than Control group,the difference was statistically significant（ P〈0. 05）. Conclusion These data show the effectiveness of Modified Early Warning Score in identifying critically ill patients in an early phase making early nursing interventions possible and hopefully reduces mortality.

关 键 词：改良早期预警评分 重症监护病房 护理 风险 预报器 

分 类 号：R473[医药卫生—护理学]