修订版的改良预警评分在急诊分诊中的应用  

Tongren HosPital Shanghai Jiao Tong University

作　　者：周丽金[1] 曹莹莹 陈丽萍[1] Zhou li-jin;Cao Ying-ying;Chen li-Ping(School Of Medicine Emergency DePartment,Shanghai 20033)

机构地区：[1]上海交通大学医学院附属同仁医院急诊科,上海200336

出　　处：《实用临床护理学电子杂志》2018年第38期147-148,共2页Electronic Journal of Practical Clinical Nursing Science

摘　　要：目的探讨采用修订版的改良预警评分(MEWS)在急诊分诊中的应用效果。方法随机抽取2016年8月1日-2016年11月30日急诊就诊患者300例为对照组用传统的分诊方法进行急诊分级分诊,随机抽取2016年12月1日-2017年3月31日急诊就诊患者300例为观察组运用修订版的改良预警评分工具结合症状进行急诊分级分诊,排除单纯来急诊配药、化验的患者。对两组急诊患者病情判断符合率(护士与医生病情判断相符人数/总分诊人数),急诊危重患者分诊后入抢救室率,两组急诊危重患者分诊至处置时间比较。结果两组急诊患者病情判断符合率比较,对照组为90.67%,观察组为96.67%;急诊危重患者分诊后入抢救室率,对照组为68.29%,观察组为91.30%;观察组急诊危重患者分诊至处置时间明显缩短,P<0.01。结论修订版的改良预警评分是一种合理、有效的工具,在急诊患者病情评估管理中具有重要的应用价值。Objective To discuss the aPPlication effect of revised early warning score （ MEWS ） in emergency triage. Methods Three hundred Patients from July 1st, 2016 to November 30th, 2016 were randomly selected as the control grouP using the traditional method to Pre-examination and triage, and the same number of Patients from December 1st, 2016 to May 31st, 2017 were randomly selected as observation grouP using the revised version of imProved early warning score instrument, exclusion of Patients who simPly come to emergency disPensing and testing. comPare the coincidence rate of judgment on emergency Patients （the number of Patients who Was diagnosed with the same condition by nurses and doctors / total number of emergency triage Patients） , the ratio of being admitted into the resuscitation room after emergency triage, and the time from triage to treatment, between the two grouPs. Results The coincidence rate of judgment on emergency Patients in control grouP was 90.67% , and in observation grouP was 96.67%. The ratio of being admitted into the resuscitation room after emergency triage in control grouP was 68.29% , and in observation grouP was 91.30% . The time from triage to treatment was signifcantly shortened in observation grouP, P 〈0. 01. Conclusion The method of revised early warning score is a reasonable and effective tool, which has imPortant aPPlication value in the triage management of emergency Patients.

关 键 词：改良预警评分 急诊 分级分诊 

分 类 号：R473.6[医药卫生—护理学]