基于校正改良早期预警评分的信息化病情预警监护老年术后患者中的应用  

Application of Information Disease Warning and Monitoring for Elderly Patients after Operation Based on Corrected Modified Early Warning Score

作　　者：黎燕 林燕凤[1] 冯夏云 陈学洁 Li Yan;Lin Yan-feng;Feng Xia-yun;Chen Xue-jie(Maoming People's Hospital,Maoming 525000,Guangdong Province,China)

机构地区：[1]茂名市人民医院,广东茂名525000

出　　处：《中外医药研究》2022年第14期114-116,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：茂名市科技计划项目(编号:210418144553374)。

摘　　要：目的:探讨基于校正改良早期预警评分(MEWS)的信息化病情预警监护在普外科老年术后患者的应用效果。方法:选取2021年7月-2022年7月茂名市人民医院普外科住院的老年全身麻醉术后患者100例作为研究对象,按照随机数字表法分为对照组和观察组,各50例。对照组施以普外科术后常规监护方案,观察组施以基于校正MEWS评分的信息化病情预警监护方案,比较两组患者术后不良事件发生率、术后住院时间、转入ICU率、医生满意度、护士满意度、患者满意度。结果:观察组患者术后不良事件发生率低于对照组,差异有统计学意义(P<0.05);观察组患者术后住院时间短于对照组,差异有统计学意义(P<0.05);观察组患者转入ICU率低于对照组,差异有统计学意义(P<0.05);观察组医生、护士、患者满意度评分高于对照组,差异有统计学意义(P<0.001)。结论:基于校正MEWS评分的信息化病情预警监护在普外科老年术后患者的应用效果显著,能够预防术后不良事件,缩短住院时间,降低转入ICU率,医生、护士、患者满意度较高。Objective:To explore the application effect of information disease warning and monitoring based on corrected modified early warning score(MEWS)in senile postoperative patients of general surgery.Methods:A total of one hundred elderly patients admitted to the Department of General Surgery of Maoming People's Hospital from July 2021 to July 2022 after general anesthesia were selected as research objects,and were divided into control group and observation group according to random number table method,with fifty cases in each group.The control group received the routine postoperative care program of general surgery,and the observation group received the information disease warning and care program based on the corrected MEWS score.The incidence of postoperative adverse events,postoperative hospital stay,ICU transfer rate,doctors'satisfaction scores,nurses'satisfaction scores and patients'satisfaction scores were compared between the two groups.Results:The incidence of postoperative adverse events in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).The postoperative hospitalization time of observation group was shorter than control group,and the difference was statistically significant(P<0.05).The rate of ICU transfer in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).The satisfaction scores of doctors,nurses and patients in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.001).Conclusion:The application effect of the information condition warning and monitoring based on the corrected MEWS score is significant in the elderly postoperative patients of general surgery,which can prevent postoperative adverse events,shorten the length of stay,reduce the rate of ICU transfer,and the satisfaction of doctors,nurses and patients is high.

关 键 词：校正改良早期预警评分 信息化 病情 预警 监护方案 

分 类 号：R47[医药卫生—护理学]