CCU实施MEWS分级导向护理对老年重症心衰患者康复进程及不良事件的影响

The impact of implementing MEWS grading guidance nursing in CCU on the rehabilitation process and adverse event control of elderly patients with severe heart failure

目的探讨冠心病重症监护病房(CCU)实施改良早期预警评分(MEWS)分级导向护理对老年重症心衰患者的影响。方法选取2019年2月-2022年2月我院CCU收治的老年重症心衰患者100例,采用随机数字表法分为参考组和试验组,各50例。参考组实施CCU常规护理干预,试验组在参考组的基础上实施MEWS分级导向护理。比较两组焦虑、抑郁、康复进程、并发症、不良事件发生率及护理满意度。结果两组干预后汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评分均低于干预前,且试验组低于参考组(P<0.05);试验组机械通气时间、CCU住院时间及总住院时间均短于参考组(P<0.05);试验组并发症、不良事件发生率低于参考组(P<0.05);试验组护理满意度高于参考组(P<0.05)。结论CCU实施MEWS分级导向护理可缓解老年重症心衰患者焦虑、抑郁,缩短康复进程,减少并发症及不良事件发生率,提高护理满意度。

Objective To explore the impact of implementing improved MEWS grading guidance nursing in CCU on elderly patients with severe heart failure.Methods A total of 100 elderly patients with severe heart failure admitted to the CCU of our hospital from February 2019 to February 2022 were selected.According to the random number table method,a reference group and an experimental group of 50 cases each were set up.Provide routine CCU nursing intervention to the reference group patients,while the experimental group adopts MEWS grading guidance nursing on the basis of the reference group.Observe two groups of negative emotions,rehabilitation progress,incidence of complications and adverse events,and evaluate patient satisfaction with nursing care.Results After intervention,the HAMA and HAMD scores of both groups were lower than before intervention,and the experimental group was lower than the reference group(P<0.05);Compared with the reference group,the experimental group had longer mechanical ventilation time during the rehabilitation process CCU hospitalization time and total hospitalization time are both shorter(P<0.05);The total incidence of complications and adverse events in the experimental group was lower than that in the reference group(P<0.05);The overall nursing satisfaction rate of the experimental group patients was higher than that of the reference group(P<0.05).Conclusion The implementation of MEWS grading guidance in CCU nursing can promote the relief of negative emotions in elderly patients with severe heart failure,shorten the rehabilitation process,reduce complications and adverse events,and have a positive effect on improving patient nursing satisfaction.