快速反应团队协同预警评分系统治疗产科重症患者的效果研究

Effect of rapid response team combined with early warning scoring system in treatment of obstetric patients with severe diseases

目的探究快速反应团队协同预警评分系统治疗产科重症患者的效果。方法选取2019年11月至2021年11月郑州市妇幼保健院收治的产科重症患者102例进行随机对照试验,随机数字表法将其分为联合组和对照组,各51例。联合组年龄21~40(32.36±5.25)岁,对照组年龄22~42(33.58±5.35)岁。对照组进行常规护理,联合组在对照组基础上采用快速反应团队协同预警评分系统。比较两组患者重症监护室(ICU)入住率;记录两组患者病情意外预警情况处理时间及有效处理率;比较两组患者家属护理满意度。采用t检验和χ^(2)检验。结果联合组患者术后ICU入住率低于对照组[11.76%(6/51)比29.41%(15/51),t=4.857,P=0.028]。联合组病情意外预警情况处理时间、有效处理率优于对照组(t=11.692,P<0.001,χ^(2)=5.718,P=0.017)。联合组满意度高于对照组[94.12%(48/51)比76.47%(39/51),χ^(2)=6.331,P=0.012]。结论快速反应团队协同预警评分系统应用于产科重症患者可有效降低ICU入住率,缩短病情意外预警情况处理时间,提高有效处理率,提升患者家属满意度,值得进一步推广。

Objective To explore the effect of rapid response team combined with early warning scoring system in the treatment of obstetric patients with severe diseases.Methods One hundred and two obstetric patients with severe diseases admitted to Zhengzhou Maternal and Child Health Hospital from November 2019 to November 2021 were selected for the randomized control led trial,and were divided into a combined group and a control group by the random number table method,with 51 cases in each group.The combined group were 21-40(32.36±5.25)years old,and the control group 22-42(33.58±5.35).The control group were given routine nursing care;in addition,the combined group adopted rapid response team combined with early warning scoring system.The occupancy rates of intensive care unit(ICU)were compared between the two groups.The treatment times and effective treatment rates in the two groups were recorded.The nursing satisfactions of the patients'family members in the two groups were compared.t andχ^(2) tests were applied.Results The ICU occupancy rate after surgery in the combined group was lower than that in the control group[11.76%(6/51)vs.29.41%(15/51);t=4.857,P=0.028].The treatment time and effective treatment rate in the combined group were better than those in the control group(t=11.692,P<0.001;χ^(2)=5.718,P=0.017).The satisfaction of the combined group was higher than that of the control group[94.12%(48/51)vs.76.47%(39/51);χ^(2)=6.331,P=0.012].Conclusion Rapid response team combined with early warning scoring system in the treatment of obstetric patients with severe diseases can effectively reduce the occupancy rate of ICU,shorten the treatment time of emergency early warning,and improve the effective treatment rate and their family members'satisfaction,so it is worthy of further promotion.