MEWS评分护理模式在急性胰腺炎患者中的应用

Application of MEWS scoring nursing model in patients with acute pancreatitis

目的:分析在急性胰腺炎患者的护理过程中采用以MEWS评分为基础的护理干预模式的临床应用效果。方法:选取聊城市第三人民医院2018年1月至2021年12月收治的86例急性胰腺炎患者作为研究对象,采用随机数表法将其分为观察组与对照组,每组43例,对照组给予常规护理,观察组在对照组基础上采用以MEWS评分为基础的护理干预模式。于患者入院当天和干预14 d后,采用改良早期预警评分(MEWS)量表、生活质量SF-36(SF-36)量表分别评价潜在风险与生活质量水平,并详细记录两组患者的并发症发生率。结果:护理前,两组患者的MEWS评分与SF-36评分差异无统计学意义(P值均>0.05);护理后,观察组患者的各项MEWS评分指标水平均低于对照组,差异存在统计学意义(P值均<0.05);护理后,观察组患者的各项SF-36指标评分高于对照组,差异存在统计学意义(P值均<0.05);护理后,观察组患者的并发症发生率低于对照组,差异存在统计学意义(P<0.05)。结论:以MEWS评分为基础的护理干预模式能够明显减少急性胰腺炎患者的潜在风险,大幅度提高其生存质量,同时显著降低并发症发生概率,效果显著。

Objective To analyze the clinical application effect of the MEWS nursing intervention model in the care process of acute pancreatitis patients.Methods A total of 86 patients with acute pancreatitis admitted to this Hospital from January 2018 to December 2021 were selected as study subjects,random number table method was used to divide the observation group and control group,each group 43 cases.The control group was given routine care,and the observation group used a nursing intervention model based on MEWS scores based on the control group.On the day of patients′admission and 14 d after the intervention,the Modified Early Warning Score(MEWS)scale and Quality of Life SF-36(SF-36)scale were used to evaluate the level of potential risk and quality of life,respectively,and the complication rates of patients in the two groups were recorded in detail.Results Before the nursing care,there was no statistically significant difference between the MEWS scores and SF-36 scores of the two groups of patients(P value>0.05);after the nursing care,the level of MEWS scores of the observation group was lower than that of the control group,and the difference was statistically significant(P values were all<0.05);after nursing,the level of each SF-36 index score of the patients in the observation group was higher than that of the control group,and the difference was statistically significant(P values<0.05);after nursing,the complication rate of patients in the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusions The nursing intervention model based on MEWS score can significantly reduce the potential risk of acute pancreatitis patients,greatly improve their quality of life,and significantly reduce the probability of complications.