改良早期预警评分在ICU护理人力资源分配中的应用  

Application of modified early warning score in ICU nursing human resource allocation

作　　者：吕梅叶 彭德清 Lyu Meiye;Peng Deqing(Intensive Care Unit,the People′s Hospital of Xuancheng,Xuancheng 242000,China;Nursing Department,the People′s Hospital of Xuancheng,Xuancheng 242000,China)

机构地区：[1]宣城市人民医院重症医学科,宣城242000 [2]宣城市人民医院护理部,宣城242000

出　　处：《中国实用护理杂志》2022年第3期214-218,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨改良早期预警评分(MEWS)在ICU每班护理人力资源分配中的应用效果。方法选择2019年1—12月入住宣城市人民医院综合ICU的470例危重患者为试验组,每班由护理组长对病区患者进行MEWS评分,根据患者MEWS评分指导分配对应层级护理人员;选择2018年1—12月入住ICU的346例危重患者为对照组,护士长每日根据临床经验分配护理人员,比较2组患者意外事件发生率、护士错误事件发生率及医护满意度。结果试验组ICU患者意外事件发生率及护士错误事件发生率分别为5.96%(28/470)、12.13%(57/470),低于对照组的11.56%(40/346)、17.92%(62/346),差异有统计学意义(χ^(2)=8.19、5.37,均P<0.05);试验组医护人员满意度分别为(98.63±1.06)、(95.96±1.84)分,高于对照组的(92.13±2.17)、(90.43±2.91)分,差异有统计学意义(t=7.62、8.56,均P<0.05)。结论运用MEWS评分指导ICU每班护理人力资源分配,有助于降低ICU患者意外事件发生率及护士错误事件发生率,保障患者安全,提高医护满意度。Objective To explore the application effect of the modified early warning score(MEWS)in the allocation of nursing human resources per shift in ICU.Methods A total of 470 critically ill patients admitted to the ICU of Xuancheng People′s Hospital from January to December 2019 were selected as the experimental group.In each shift,the nursing leader conducted MEWS score for patients in the ward,and assigned nurses at the corresponding level according to the MEWS score.A total of 346 critically ill patients admitted to ICU from January 2018 to December 2018 were selected as the control group.The head nurse assigned nurses daily according to clinical experience.The incidence of accidental events,nurse error events and medical satisfaction were compared between the two groups.Results The incidences of accident and nurse error in ICU patients in the experimental group were 5.96%(28/470)and 12.13%(57/470),respectively,which were lower than those in the control group[11.56%(40/346)and 17.92%(62/346)].The difference between the two groups was statistically significant(χ^(2)=8.19,5.37,both P<0.05).The satisfaction degree of the experimental group was 98.63±1.06 and 95.96±1.84,respectively,which were higher than that of the control group 92.13±2.17 and 90.43±2.91,and the difference between the two groups was statistically significant(t=7.62,8.56,both P<0.05).Conclusions Using MEWS score to guide the allocation of nursing human resources in each shift of ICU is helpful to reduce the incidence of accidental events in ICU patients and the incidence of nurses′errors,ensure patient safety and improve medical satisfaction.

关 键 词：改良早期预警评分 意外事件 护理人力资源 

分 类 号：R47[医药卫生—护理学]