基于MEWS评分的层级责任制护理方案在急诊心肌梗死患者抢救中的应用效果  

Application effect of MEWS score-based hierarchical responsibility system nursing program in the rescue of patients with emergency myocardial infarction

作　　者：周桃艳 金艳 ZHOU Taoyan;JIN Yan(Department of Cardiac Surgery,the First Affiliated Hospital of Air Force Medical University,Xi'an Shaanxi 710032,China)

机构地区：[1]空军军医大学第一附属医院心脏外科手术室,陕西西安710032

出　　处：《中国急救复苏与灾害医学杂志》2024年第12期1639-1642,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：国家自然科学基金资助项目(编号:82070503)。

摘　　要：目的观察基于改良早期预警评分(MEWS)的层级责任制护理方案在急诊心肌梗死患者抢救中的应用效果。方法选取空军军医大学第一附属医院2022年7月—2024年7月收治的106例急诊心肌梗死患者作为研究对象,我院科室从2023年7月开始实施基于MEWS评分的层级责任制护理方案,将实施前(2022年7月—2023年6月)收治53例急诊心肌梗死患者归为对照组(常规护理方案干预),实施后(2023年7月—2024年7月)收治53例急诊心肌梗死患者归为研究组(基于MEWS评分的层级责任制护理方案干预)。比较两组救治效率、心功能、不良事件、家属满意度。结果研究组抢救室滞留时间、心肌再灌注时间短于对照组(t=2.472、2.801,P<0.05),两组抢救成功率比较无明显差异(P>0.05);入院3 d时,两组左心室射血分数(LVEF)均提升,且研究组更高(t=2.204,P<0.05),两组舒张末期左心室容积(LVEDV)、收缩末期左心室容积(LVESV)无明显差异,且与同组就诊当天比较无明显差异(P>0.05);干预期间两组不良事件总发生率比较无明显差异(P>0.05);患者家属总满意度高于对照组(χ2=6.176,P<0.05)。结论基于MEWS评分的层级责任制护理方案用于急诊心肌梗死患者抢救中可提高救治效率,加强心功能改善效果,患者家属满意度较高。Objective To observe the application effect in the rescue of patients with emergency myocardial infarction after receiving modified early warning score(MEWS)-based hierarchical responsibility system nursing program.Methods Totally 106 patients with emergency myocardial infarction in the hospital were selected from July 2022 to July 2024 as the research subjects.The hierarchical responsibility system nursing program based on MEWS score was implemented in our department since July 2023.53 patients with emergency myocardial infarction before the implementation(from July 2022 to June 2023)were classified as the control group(routine nursing program intervention),and 53 patients after the implementation(from July 2023 to July 2024)were included in the study group(MEWS score-based hierarchical responsibility system nursing program intervention).The treatment efficiency,cardiac function,adverse events and satisfaction of family members were compared between both groups.Results The study group had shorter retention time of emergency room and myocardial reperfusion time than the control group(t=2.472,2.801,P<0.05),but there was no significant difference in the success rate of rescue between groups(P>0.05).At 3 days after admission,left ventricular ejection fraction(LVEF)was enhanced in both groups,and was higher in the study group(t=2.204,P<0.05).Left ventricular end-diastolic volume(LVEDV)and left ventricular end-systolic volume(LVESV)were not obviously different between groups,and there were no obvious differences compared with the same group on the day of admission(P>0.05).The total incidence rate of adverse events revealed no significant difference between both groups during intervention(P>0.05).The total satisfaction of patients'family members was higher than that in the control group(χ2=6.176,P<0.05).Conclusion The hierarchical responsibility system nursing program based on MEWS score can enhance the treatment efficiency,and intensify the improvement effect of cardiac function in the rescue of patients with emergen

关 键 词：改良早期预警评分 层级责任制护理方案 急诊护理 心肌梗死 抢救 

分 类 号：R473.5[医药卫生—护理学]