早期预警评分及联合沟通模式应用对泌尿外科住院患者治疗的影响  

Application effect of MEWS and joined communication in patients with urological disease

作　　者：张倩倩[1] 刘力婕[1] 罗丽娜[1] 王智芳[1] 

机构地区：[1]河北北方学院附属第一医院,河北张家口075000

出　　处：《实用临床医药杂志》2017年第10期74-76,83,共4页Journal of Clinical Medicine in Practice

基　　金：河北省科技指导项目(1101119D)

摘　　要：目的探讨早期预警评分(MEWS)及现状-背景-评估-建议(SBAR)沟通模式在泌尿外科患者中的应用效果。方法回顾并分析本院泌尿外科收治的年龄≥16岁且病历资料完整的泌尿疾病患者200例,依据评估方案不同分为观察组102例和对照组98例。对照组患者使用传统方法评估患者生命体征及意识情况;观察组患者应用MEWS评分及SBAR沟通模式对患者进行评估;对比2组患者病情变化预警信号及是否存在病情危险因素,通过对患者的连续评分,判断临床干预措施是否有效。结果观察组患者潜在危险因素发生率显著低于对照组(P<0.05);观察组患者对护士工作满意度显著高于对照组(P<0.05);观察组患者愈后良好率显著高于对照组(P<0.05)。结论 MEWS及SBAR联合应用可准确评估泌尿外科住院患者病情,有助于治疗方案的制订,改善患者预后,提升患者对护士的满意度,降低病情恶化的风险。Objective To explore the application effect of MEWS and status-background-as- sess-recommendation （SBAR） in patients with urological disease. Methods A total of 200 patients with urological disease and complete medical materials admitted in our hospital aged ≥ 16 years were included in the study and were divided into observation group and control group according to different evaluation schemes. In the control group, the traditional methods were used to evaluate the vital signs and consciousness, while in the observation group, MEWS and SBAR were used for evaluation. The early warning signals in the two groups were compared, and the risk factors were evaluated. Continu- ous grading was used to estimate efficacy of the clinical intervention measures. Results The occur- rence rate of potential risk factors in the observation group was significantly lower than that in the con- trol group （P 〈 0.05）. The nursing satisfaction in the observation group was significantly higher than that in the control group （ P 〈 0.05 ）. The preferable healing rate in the observation group was signifi- cantly higher than that in the control group （P 〈 0.05）. Conclusion The combined application of MEWS and SBAR can accurately evaluate the condition in patients with urological disease, contribute to the formulation of therapeutic schemes, improve the prognosis and satisfaction, and reduce the risk of condition deterioration.

关 键 词：MEWS SBAR 泌尿外科 预后 危险因素 

分 类 号：R473.6[医药卫生—护理学]