MEWS评分及SBAR沟通模式建立病情预警系统在基层医院骨科住院患者中的应用

Application of MEWS Score and SBAR Communication Mode to Establish Disease Early Warning System in Orthopedic Inpatients in Grass-roots Hospitals

目的:探讨改良早期预警评分(MEWS)及SBAR沟通模式建立病情预警系统在基层医院骨科住院患者中的应用效果。方法:将2020年5-12月在深圳市宝安区石岩人民医院骨科住院康复的患者87例选入研究。通过信封法将其随机分为研究组(43例)和常规组(44例)。常规组使用传统监护汇报方法进行管理和交接,研究组则采用MEWS监护方案联合SBAR模式进行管理。分析两组不良事件发生情况,病情评估时间、处置反应时间,患者对护士工作满意度等方面差异。结果:研究组不良事件总发生率为6.98%,低于常规组的27.27%(P<0.05)。研究组病情评估时间、处置反应时间均短于常规组(P<0.05)。患者对护士工作总体满意度高于常规组(P<0.05)。结论:MEWS评分及SBAR沟通模式建立病情预警系统在基层医院骨科住院患者中的应用效果较佳,可明显降低不良事件发生风险,提高患者对护士工作的满意度。

Objective:To explore the application effect of modified early warning score (MEWS) and SBAR communication mode to establish disease warning system in orthopaedic inpatients in primary hospitals.Method:A total of 87 inpatients who received treatment in the Department of Orthopedics,Shiyan People’s Hospital of Bao’an District of Shenzhen City from May to December 2020 were included in this study.The patients were divided into study group (n=43) and conventional group (n=44) by computer random number table.The conventional group used the traditional monitoring reporting method for management and handover,while the study group used the MEWS monitoring plan combined with SBAR mode for management.The incidence of adverse reactions,the time of disease assessment,response time to treatment,patients’ satisfaction with nurses’ work were analyzed between the two groups.Result:The total incidence of adverse reactions in the study group was 6.98%,which was lower than 27.27% in the conventional group (P<0.05).The time of disease assessment and response to treatment in the study group were shorter than those in the conventional group (P<0.05).The patients’ overall satisfaction with nurses’ work was higher than that in the conventional group (P<0.05).Conclusion:The application effect of MEWS score and SBAR communication mode to establish disease early warning system in orthopedic inpatients in primary hospitals is better,which can significantly reduce the risk of adverse reactions,improve the satisfaction of patients to nurses’ work.