改良早期预警评分指导应用于ICU早期开展护理风险评估效果

Modified Early Warning Score Guidance Applied to ICU Early Evaluation of Nursing Risk

目的探讨分析改良早期预警评分(MEWS)指导在ICU早期开展护理风险评估中的应用效果。方法采用随机分组的方式将2016年5月至2017年5月间我院ICU收治的540例患者分为两组,对照组按照三级检测评估系统进行分级,实验组结合MEWS评分进行分级,按照评分结果制订相应的护理计划,调配护理资源。结果与对照组相比,实验组患者入住ICU时间更短,独立样本t检验提示两组数据差异具有统计显著性(P<0.05);两组住院时间无显著差异(P>0.05)。在改良早期预警评分模式指导下,实验组心肺复苏率、非计划拔管率和ICU死亡率更低,心肺复苏成功率更高,呼吸衰竭、肺部感染以及消化道出血等并发症发生率更低,两组数据差异具有统计显著性(P<0.05)。结论基于改良早期预警评分指导开展ICU护理风险评估效果显著,可有效降低并发症,减少ICU护理意外事件,改善患者预后。

Objective To explore the application effect of improved early warning score(MEWS)guidance in the early stage of nursing risk assessment in ICU.Methods 540 cases of ICU patients in our hospital from May 2016~May 2017 were randomly divided into two groups.The control group was graded according to the three level evaluation system.The experimental group was graded with MEWS score,and the corresponding nursing plan was formulated according to the result of the score,and the nursing resources were allocated.Results Compared with the control group,the time of ICU in the experimental group was shorter,and the independent sample t test suggested that the two groups of data was statistical significance(P<0.05).and there was no statistical significance between the two groups(P>0.05).Under the guidance of improved early warning scoring model,the rate of cardiopulmonary resuscitation,unplanned extubation and ICU mortality of the experimental group were lower than the control group,the success rate of cardiopulmonary resuscitation was higher than the control group,respiratory failure,pulmonary infection and gastrointestinal bleeding were lower than the control group,there were statistical significance(P<0.05).Conclusion the effect of ICU nursing risk assessment based on improved early warning score is significant,it can reduce the complications effectively,reduce the accident of ICU nursing and improve the prognosis of the patients.