基于改良预警评分的急性心力衰竭患者预见性护理策略的构建与应用效果  

Construction and application effect of predictive nursing strategy for patients with acute heart failure based on Modified Early Warning Score

作　　者：刘阿敏 徐华 陈颖 訾海雪 LIU Amin;XU Hua;CHEN Ying;ZI Haixue(The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)

机构地区：[1]徐州医科大学附属医院,江苏徐州221000

出　　处：《中西医结合护理(中英文)》2025年第2期21-24,共4页Journal of Clinical Nursing in Practice

摘　　要：目的构建基于改良预警评分(MEWS)的急性心力衰竭(简称“心衰”)患者预见性护理策略,并观察其应用效果。方法选取徐州医科大学附属医院于2022年3月至2023年3月收治的106例急性心衰患者,使用简单随机化法分成均含53例患者的观察组和对照组。2组均接受常规护理,观察组构建基于MEWS的预见性护理策略并予以实施。对比2组的救治效果、救治时间,以及干预前后心功能、出院后生活质量的变化。结果观察组的救治45 min好转率和救治60 min显效率均较对照组更高,抢救时间及总住院时间均较对照组更短,抢救费用较对照组更少(P均<0.05)。观察组在干预24 h后的收缩压(SBP)和舒张压(DBP)均较对照组更低,心率(HR)较对照组更慢,左室射血分数(LVEF)和左室缩短分数(LVFS)均较对照组更高(P均<0.05);2组在干预24 h后的心功能各指标均较干预前更优(P均<0.05)。观察组在出院1个月后的生活质量综合评定问卷(GQOLI-74)各维度评分及总分均明显较对照组更高(P均<0.05)。结论基于MEWS建立的急性心衰预见性护理策略能够实现救治效果和救治效率的提升,且对于患者心功能和生活质量的早期改善均有益。Objective To construct a predictive nursing strategy for patients with acute heart failure based on the Modified Early Warning Score(MEWS),and to observe its application effect.Methods A total of 106 patients with acute heart failure admitted to the Affiliated Hospital of Xuzhou Medical University from March 2022 to March 2023 were included in the study.These patients were assigned into an observation group and a control group using the simple randomization method,each with 53 patients.Both groups received routine nursing,and the observation group constructed and implemented a predictive nursing strategy based on the MEWS.The treatment effect,treatment time,and changes in cardiac function before and after intervention and quality of life after discharge were compared between the two groups.Results The improvement rate in 45 min of treatment and the significant efficacy rate in 60 min of treatment in the observation group were higher than those in the control group(P<0.05).The first aid time and total hospitalization time were shorter than those in the control group,and the first aid cost was lower than that in the control group(P<0.05).The observation group had lower systolic blood pressure(SBP)and diastolic blood pressure(DBP),slower heart rate(HR),and higher left ventricular ejection fraction(LVEF)and left ventricular fractional shortening(LVFS)in comparison with the control group after 24 h of intervention(P<0.05).Both groups showed better cardiac function indicators after 24 h of intervention in comparison with their respective values prior to the intervention(P<0.05).The observation group had significantly higher dimension scores and total score of the Generic Quality of Life Inventory-74(GQOLI-74)at 1 month after discharge compared with the control group(P<0.05).Conclusion The predictive nursing strategy for acute heart failure based on the MEWS can improve the treatment effect and efficiency, and is beneficial for the early improvement of patients cardiac function and quality of life.

关 键 词：急性心力衰竭 改良预警评分 预见性护理策略 心功能 

分 类 号：R472.2[医药卫生—急诊医学]