基于MEWS评分的护理干预在急性胰腺炎患者中的应用  

Application of nursing intervention based on Modified Early Warning Score in patients with acutepancreatitis

作　　者：孙青玲 王喜英 张继伟 Sun Qingling;Wang Xiying;Zhang Jiwei(Emergency Department,Xinxiang Central Hospital,the Fourth Clinical School of Xinxiang Medical University,Xinxiang 453000,China)

机构地区：[1]新乡市中心医院新乡医学院第四临床学院急诊科,453000

出　　处：《中华现代护理杂志》2021年第30期4162-4165,共4页Chinese Journal of Modern Nursing

摘　　要：目的探究改良早期预警评分(MEWS)指导下医护患协同干预对急性胰腺炎患者的影响。方法采用便利抽样法,选取2019年1月—2021年2月在新乡市中心医院消化内科住院的患者152例为研究对象,按照随机数字表法分为观察组与对照组,各76例。对照组行常规临床护理,观察组在对照组基础上给予基于MEWS评分指导下的医护患协同干预,比较两组患者干预前后心理状况及预后情况。结果干预前,两组患者SAS、SDS评分以及MEWS评分比较差异均无统计学意义(P>0.05)。干预后,观察组SAS、SDS评分均低于对照组,差异均有统计学意义(P<0.05)。干预后,观察组患者MEWS为0分、1~3分患者多于对照组,4~5分、≥6分的患者少于对照组,差异具有统计学意义(P<0.05)。结论MEWS评分指导下的护理干预可有效改善急性胰腺炎患者不良心理状况和预后。Objective To explore effects of coordinated intervention between doctors and nurses on patients with acute pancreatitis under the guidance of Modified Early Warning Score(MEWS).Methods Using the convenient sampling method,a total of 152 patients who were hospitalized in Gastroenterology Department of Xinxiang Central Hospital were selected as the research objects from January 2019 to February 2021.They were divided into the observation group and the control group according to random number table method,with 76 cases in each group.Patients in the control group were given routine clinical nursing,while patients in the observation group were given coordinated intervention between doctors and nurses under the guidance of MEWS.The psychological status and prognosis of patients of the two groups were compared before and after intervention.Results Before intervention,there was no statistically significant difference in SAS,SDS and MEWS scores of patients between two groups(P>0.05).After the intervention,SAS and SDS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).After intervention,patients with MEWS of 0 and 1 to 3 points in the observation group were more than those in the control group,and patients with MEWS of 4 to 5 and greater than or equal to 6 points were less than those in the control group,and the differences were statistically significant(P<0.05).Conclusions Nursing intervention guided by MEWS can effectively improve the adverse psychological status and prognosis of patients with acute pancreatitis.

关 键 词：胰腺炎 改良早期预警评分 心理状况 预后 

分 类 号：R473.5[医药卫生—护理学]