老年术后患者基于校正MEWS评分的信息化病情预警监护  

Utilizing an automated physiological track-and-trigger warning system based on the adjusted Modified Early Warning Score in elderly surgical patients

作　　者：马婷 王艳梅[2] 潘欣欣 冯晴[3] 朱莉娟[3] 陆敏[2] 李萍[1] Ma Ting;Wang Yanmei;Pan Xinxin;Feng Qing;Zhu Lijuan;Lu Min;Li Ping(School of Nursing,Medical College of Shihezi University,Shihezi 832000,China)

机构地区：[1]石河子大学医学院护理系,新疆石河子832000 [2]上海市浦东新区公利医院护理部 [3]上海市浦东新区公利医院普外科

出　　处：《护理学杂志》2021年第2期15-17,共3页Journal of Nursing Science

基　　金：上海市浦东新区卫生和计划生育委员会学科建设重点学科(PWZxk2017-10)。

摘　　要：目的探讨将基于校正MEWS评分的信息化病情预警监护方案应用于普外科老年术后患者中的效果。方法将120例普外科老年术后患者按随机数字表法分为干预组和对照组各60例。对照组采用普外科术后常规监护方式,干预组采用基于校正MEWS评分的信息化病情预警监护方案。结果干预组术后住院时间显著短于对照组(P<0.05);两组生命体征监测次数、转入ICU率及护理不良事件发生率差异无统计学意义(均P>0.05)。结论基于校正MEWS评分的信息化病情预警监护方案,能促进护士快速判断患者病情变化,有效缩短住院时间,且未增加护理人员监测患者生命体征的工作负荷。Objective To investigate the effect of an automated physiological track-and-trigger warning system designed based on the Modified Early Warning Score(MEWS)incorporating oxygen saturation and urine volume to identify elderly patients after general surgery at risk of deterioration.Methods A total of 120 elderly patients after general surgery were randomized into a control group and an intervention group of 60,receiving either routine monitoring after the surgery or monitoring using the automated physiological track-and-trigger warning system designed based on the adjusted MEWS.Results Compared with the control group,the intervention group had shorter length of hospital stay after the surgery(P<0.05).There were no significant differences in the counts of vital signs monitoring,the rates of transfer to ICU and adverse nursing events between the two groups(P>0.05 for all).Conclusion Implementation of an automated physiological track-and-trigger warning system based on the adjusted MEWS can help nurses judge patient′s condition in a short time,shorten length of hospital stay,and would not increase nurses′workload of vital signs monitoring.

关 键 词：老年人 外科手术 MEWS评分 预警监护方案 信息化护理 

分 类 号：R473.6[医药卫生—护理学]