改良MEWS预警评分在急诊预检分诊中的应用.docVIP

精品论文 参考文献 改良MEWS预警评分在急诊预检分诊中的应用 [摘 要] 目的：探讨改良早期预警评分(MEWS)在急诊预检分诊中的应用价值。方法 ：以2014年 10—12 月我院急诊就诊患者5009例为观察组，采用改良早期预警评分法对其进行病情评估，根据评估分值分诊，采取相对应的护理措施和就诊流程；以 2014年7—9月急诊就诊患者4860例为对照组，采取普通分诊流程与护理方法。两组患者就诊情况作对比。结果： 观察组急诊的抢救成功率、预检准确率、平均急诊就诊时间、急诊绿色通道转运、意外事件等方面与对照组比较，差异有统计学意义( P ＜0.05) 。结论：改良早期预警评分评估病情具有迅速、准确的优势，能提高急救护理的准确性、预见性，提高急诊患者抢救成功率和预检准确率，缩短患者平均急诊就诊时间，减少意外事件发生，对规范及完善急救护理流程有积极意义。 　　[关键词]改良早期预警评分系统 急诊 预检分诊 应用 　　DOI:10.3760/cma.j.issn.1672-7088.2016.33.14 　　作者单位：贾文敏，吴艳秋，272200，山东金乡县，山东省金乡县人民医院护理部； 李岚岚，272011，山东省济宁市，山东省济宁市第一人民医院。 　　作者简介：贾文敏（1971—），女，本科，山东省金乡县人民医院副主任护师，主要研究护理管理。 　　The Application Value of Modified Early Warning Score (MEWS) in Emergency triage 　　Jia Wenmin, Wu Yanqiu, Li Lanlan 　　Abstract: Objective To investigate the application value of modified early warning score (MEWS) in emergency triage. Methods 5009 cases admitted by the emergency department by the authors hospital from October 2014 to December 2014 were selected as the observation group. According to the evaluation score of disease severity and triage, corresponding nursing measures and treatment were taken; 4860 cases admitted from July 2014 - September 2014 were selected as control group, which took ordinary triage process and nursing methods. Two groups of patients were treated for comparison. Results There are statistical difference between the two groups in the aspects of emergency rescue success rate, pre accuracy rate, average time of emergency department visits, emergency green channel transport, accident, etc. (P lt; 0.05). Conclusion Modified early warning score has advantages of rapidness, accuracy in condition assessing, emergency treatment improving, nursing accuracy and predictability It can improve the success rate of rescue and pre accuracy of emergency patients, reduce the occurrence of unexpected events, and has a positive meaning in standardizing and improving the emergency nursing process. 　　Keywords: modified early warning scoring system; emergency; triage; applica