基于MEWS系统的护理干预在减少急诊抢救室危急症意外事件发生中的应用研究

目的探讨改良早期预警评分(MEWS)系统在减少急诊抢救室危急症意外事件发生中的应用及护理研究。方法选取2016年1月～2018年2月急诊抢救室收治的危急症患者1500例作为对象,根据信封抽签原则分为对照组(n=750)和观察组(n=750)。对照组给予常规方法护理,观察组采用基于MEWS系统的护理干预,护理完毕后对两组患者护理效果进行评估。记录并统计两组护理后心脏骤停、休克、心绞痛、晕厥、意识改变、急性心肌梗死及心律失常发生率;采用医院自拟护理满意度调查问卷对两组护理后满意度进行评估,比较两组护理效果及对意外事件发生率的影响。结果观察组护理后心脏骤停、休克、心绞痛、晕厥、意识改变、急性心肌梗死及心律失常发生率均低于对照组(P0.05);观察组基于NEWS评分护理后满意度为95.87%,高于对照组的87.20%(P0.05)。结论基于MEWS系统的护理干预用于急诊抢救室危急症患者中有助于降低意外事件发生率,能提高护理满意度,值得推广应用。

Study on the application of MEWS-based nursing intervention in reducing emergency accidents in emergency rescue room

Objective To explore the application and nursing research of the improved early warning score(MEWS)system in reducing the occurrence of emergency accidents in emergency rescue room.Methods 1500 cases of critically ill patients who were admitted to the emergency rescue room from January 2016 to February 2018 were selected as the study subjects.According to the principle of envelope drawing,the patients were divided into control group(n=750)and observation group(n=750).The control group was given routine nursing care,and the observation group was given a nursing intervention based on the MEWS system.The effect of patient nursing care was assessed after the nursing care was completed.The incidence rate of cardiac arrest,shock,angina pectoris,syncope,consciousness change,acute myocardial infarction and arrhythmia after nursing care was recorded and statistically analyzed;the hospital self-designed nursing satisfaction questionnaire was used to evaluate the post-nursing care satisfaction of the two groups.The effects of the nursing care and the impact on the incidence rate of accidents were compared between the two groups.Results The incidence rate of cardiac arrest,shock,angina pectoris,syncope,consciousness change,acute myocardial infarction and arrhythmia in the observation group after nursing was lower than that in the control group(P<0.05);the satisfaction after nursing in the observation group based on NEWS score was 95.87%,which was higher than that in the control group(87.20%)(P<0.05).Conclusion The MEWS-based nursing intervention for critically ill patients in emergency rescue room can help reduce the incidence rate of accidents and improve the satisfaction with nursing,which is worthy of promotion and application.