基于改良早期预警评分结合思维导图式对提高心血管疾病急诊分诊效率的影响  

The effect of modified early warning score combined with mind mapping on improving the efficiency of emergency triage of cardiovascular diseases

作　　者：赵卫燕[1] 宋晓莉[1] 韦妍妍 ZHAO Wei-yan;SONG Xiao-li;WEI Yan-yan(Department of Emergency,The First Medical Center,Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心急诊医学科,北京100853

出　　处：《实用医院临床杂志》2024年第6期74-77,共4页Practical Journal of Clinical Medicine

基　　金：解放军总医院青年自主创新科学基金资助项目(编号:22QNCZ003)。

摘　　要：目的分析基于改良早期预警评分(MEWS)结合思维导图式对提高心血管疾病急诊分诊效率的影响。方法2022年9月至2023年11月我院急诊收治心血管疾病患者106例,按照随机数字表法分为对照组与研究组各53例,分别采用常规急诊分诊与MEWS结合思维导图式急诊分诊,比较不同分诊模式下两组急诊分诊效率、处理效果、患者及家属满意率,同时护理前后采用广泛性焦虑量表(Generalizedanxietyscale,GAD-7)评估患者心理焦虑状态。结果研究组急诊分诊时间、开始治疗时间均短于对照组(P<0.05),两组接诊时间、急诊停留时间差异无统计学意义(P>0.05);研究组病情处理合格率及急诊一次分诊准确率均高于对照组(χ^(2)=4.867,3.975,P<0.05);研究组患者及家属对急诊分诊护理满意率高于对照组(χ^(2)=5.950,P<0.05);护理后研究组GDA-7评分低于对照组(P<0.05)。结论基于MEWS结合思维导图式护理能有效提高心血管疾病急诊分诊救治效率,提升急诊预检分诊准确率、病情处理合格率及患者满意度,且改善心血管疾病患者心理焦虑程度,护理综合性应用价值高。Objective To analyze the impact of modified early warning score(MEWS)combined with mind map nursing management on improving the efficiency of emergency triage of cardiovascular diseases.Methods A total of 106 patients with cardiovascular diseases admitted to the emergency department of our hospital from September 2022 to November 2023 were selected.The patients were divided into a control group and a study group by drawing lots according to random number,53 in each group.Conventional emergency triage and MEWS combined with mind map emergency triage were used in the two groups,respectively.The efficiency and effectiveness of emergency triage as well as the satisfaction rates of patients and their families were compared between different triage modes.At the same time,the Generalized Anxiety Scale(GAD-7)was used to evaluate the psychological anxiety status of patients before and after nursing.Results The emergency triage time and start of treatment time in the study group were shorter than those in the control group(P<0.05).There was no statistically significant difference in the reception time and emergency stay time between the two group(P>0.05).Both pass rate of disease treatment and accuracy rate of emergency triage in the study group were higher than those in the control group(χ^(2)=4.867 and 3.975,P<0.05).The satisfaction rate of patients and their families with emergency triage nursing in the study group was higher than that in the control group(χ^(2)=5.950,P<0.05).There was no statistically significant difference in GDA-7 scores between the two groups before nursing(P>0.05).The GDA-7 scores in the study group after nursing were lower than those in the control group(P<0.05).Conclusions The nursing management based on the MEWS combined with mind mapping can effectively improve the efficiency of emergency triage and treatment of cardiovascular diseases.It improves the accuracy of emergency triage,pass rate of disease treatment,and patients'satisfaction.It also improves the psychological anxiety level of cardi

关 键 词：改良早期预警评分 思维导图式 心血管疾病 急诊分诊 

分 类 号：R459.7[医药卫生—急诊医学] R714.252[医药卫生—治疗学]