基于改良早期预警评分系统的风险预警护理模式在急诊重症监护室患者中的应用效果

Effectiveness of a Risk Warning Nursing Model Based on a Modified Early Warning Scoring System in the Application of Patients in the Emergency Intensive Care Unit

目的:探讨基于改良早期预警评分系统(MEWS)的风险预警护理模式在急诊重症监护室患者中的应用效果。方法:选取2022年1月—2023年6月上海市静安区闸北中心医院急诊重症监护室收治的患者80例为研究对象,随机分为对照组与观察组,每组40例。对照组实施常规护理,观察组实施基于MEWS的风险预警护理模式护理干预。比较两组睡眠质量、负性情绪、并发症发生情况。结果:护理前,两组匹兹堡睡眠指数量表、汉密尔顿焦虑自评量表与汉密尔顿抑郁自评量表评分比较,差异无统计学意义(P>0.05);护理后,两组匹兹堡睡眠指数量表、汉密尔顿焦虑自评量表与汉密尔顿抑郁自评量表评分均低于护理前,观察组低于对照组(P<0.05)。观察组并发症总发生率低于对照组(P=0.013)。结论:基于MEWS的风险预警护理模式能够明显改善急诊重症监护室患者的负性情绪,提高睡眠质量,且并发症发生率低。

Objective:To investigate the application effect of risk warning nursing model based on modified early warning scoring system(MEWS)in patients of emergency intensive care unit.Methods:Eighty patients admitted to the emergency intensive care unit of Shanghai Jing'an District Zhabei Center Hospital from January 2022 to June 2023 were selected for the study,and were randomly divided into the control group and the observation group,with forty cases in each group.The control group implemented conventional nursing care,and the observation group implemented MEWS-based risk warning nursing model nursing intervention.The sleep quality,negative emotions,and the occurrence of complications were compared between the two groups.Results:Before nursing,the differences between the Pittsburgh Sleep Index Scale,Hamilton Self-rating Anxiety Scale and Hamilton Self-rating Depression Scale scores of the two groups were not statistically significant(P>0.05);after nursing,the Pittsburgh Sleep Index Scale,Hamilton Self-rating Anxiety Scale and Hamilton Self-rating Depression Scale scores of the two groups were lower than those before nursing,and the observation group was lower than that of the control group(P<0.05).The total complication rate was lower in the observation group than in the control group(P=0.013).Conclusion:MEWS-based risk early warning nursing model can significantly improve the negative emotions of patients in the emergency intensive care unit,improve the quality of sleep,and have a low complication rate.