基于改良早期预警评分的分级针对性护理干预在重症急性胰腺炎患者中的应用

Application of Graded Targeted Nursing Intervention Based on MEWS in Patients with Severe Acute Pancreatitis

目的:分析对重症急性胰腺炎(SAP)患者实施基于改良早期预警评分(MEWS)的分级针对性护理干预的护理效果。方法:回顾性选取2018年1月—2020年1月河南理工大学第一附属医院收治的60例SAP患者,予以常规护理干预的30例为对照组,予以基于MEWS的分级针对性护理干预的30例为观察组,比较两组干预前后病情变化[MEWS、急性生理与慢性健康评分(APACHEⅡ)评分]、恢复进程(腹痛持续时间、住院时间)、不良事件发生情况、PZB服务质量量表(SERVQUAL)评分。结果:干预后观察组MEWS、APACHEⅡ评分均低于对照组(P<0.05);观察组腹痛持续时间、住院时间短于对照组(P<0.05);两组不良事件发生率比较,差异无统计学意义(P>0.05);观察组SERVQUAL评分高于对照组(P<0.05)。结论:基于MEWS的分级针对性护理干预应用于SAP患者,可减轻患者病情,促进患者恢复,还可提高临床护理服务质量。

Objective: To analyze the nursing effect of graded targeted nursing intervention based on modified early warning score(MEWS) for patients with severe acute pancreatitis(SAP). Methods: 60 SAP patients admitted to the hospital from January2018 to January 2020 were selected, 30 patients who received routine nursing intervention as the control group, and 30 patients who received MEWS-based targeted nursing intervention as the observation group. The condition changes [MEWS, Acute Physiology and Chronic Health Score(APACHEⅡ) Score], recovery process(duration of abdominal pain, length of hospitalization), occurrence of adverse events, and PZB service quality scale(SERVQUAL) scores before and after intervention were compared between the two groups. Results: After intervention, the MEWS and APACHEⅡ scores of the observation group were lower than those of the control group(P<0.05). The duration of abdominal pain and hospital stay in the observation group were shorter than those in the control group(P<0.05). There was no statistically significant difference in the incidence of adverse events between the two groups(P>0.05). The SERVQUAL score of the observation group was higher than that of the control group(P<0.05). Conclusion:The application of MEWS-based targeted nursing intervention to SAP patients can reduce the patients’ condition, promote patient recovery, and improve the quality of clinical care services.