基于改良早期预警评分的脑卒中病人病情评价及其与传统护理评价的比较

目的 评价基于改良早期预警评分的脑卒中病人病情评价方法，并与传统护理评价方法进行比较。 方法 选取神经内科病房转入ICU的脑卒中病人67例作为观察组，建立基于改良早期预警评分的病情评价方法对病人进行病情观察和护理；将普通病房转入ICU的脑卒中病人53例作为对照组，采用传统生命体征测量方法实施护理。比较2组病人转入ICU前24 h护士测量生命体征次数、转入ICU后24 h的APACHEⅡ评分和住院时间。 结果 观察组病人转入ICU前24 h护士测量生命体征次数明显多于对照组(P < 0.01)，转入ICU后24 h的APACHEⅡ评分明显低于对照组(P < 0.01)，住院时间短于对照组(P < 0.05)。 结论 对普通病房脑卒中病人采用基于改良早期预警评分的病情评价可提高护士观察病人频率，及时预测病人病情严重程度并予以干预，缩短病人住院时间，有利于提升护理质量。

Evaluation of the stroke patients based on modified early warning score and its comparison with traditional nursing evaluation

Objective To evaluate the disease evaluation method of stroke patients based on modified early warning score, and compare it with traditional nursing evaluation method. Methods A total of 67 stroke patients in ICU from the neurology ward were set as the observation group, and the patients were observed and nursed using the disease evaluation method based on improved early warning score.Fifty-three stroke patients in ICU from general ward were set as the control group, and the patients were nursed using traditional vital sign measurement method.The number of vital signs measured by the nurse before 24 hours of admission to ICU, and the APACHE Ⅱ score within 24 hours in ICU and hospitalization time were compared between two groups. Results The number of measuring vital signs in 24 hours before transferring to ICU in observation group was higher than that in control group(P < 0.01).The APACHE Ⅱ score within 24 hours in ICU in observation group was lower than that in control group(P < 0.01).The hospitalization time in observation group was shorter than that in control group(P < 0.01). Conclusions The evaluation of the disease of stroke patients based on the modified early warning score in general wards can improve the frequency of nurses′ observation, timely predict the severity of patients condition and intervene, and shorten the length of stay.The application of this model is conducive to improve the quality of care.