基于早期预警评分建立的骨科术后患者程序化监护方案的应用价值研究.doc

基于早期预警评分建立的骨科术后患者程序化监护方案的应用价值研究 ? 335? 护理工作研究? 基于早期预警评分建立的骨科术后患者程序化护方案的 应用价值研究臻 彭伶丽,杨佳琪,金惠 【摘要】目的探讨基于早期预警评分(MEWS)的骨科术后患者程序化监护方案的应用价值.方法将骨科 术后患者随机分为对照组(1l0例)和实验组(109例).对照组采用传统的监测方案即根据医生医嘱进行监测,实验 组采用根据MEWS评分设计的程序化监护方案.对比分析两组意外事件发生率,30d内病死率,ICU转入率,平均住 院日及患者的满意度.结果实验组在意外事件发生率,30d内病死率,ICU转入率,平均住院日均明显低于对照组, 差异有统计学意义(Plt;0.05);实验组患者满意度明显高于对照组,差异有统计学意义(Plt;0.05).结论基于 MEWS评分建立的骨科术后患者程序化监护方案具有较好的应用价值,能降低骨科手术后患者风险的发生,有利于医 护之间的合作,提高了患者的满意度,增强了护士的主动服务意识. 【关键词】早期预警评分;骨科;整体护理;程序化监护 【中图分类号】R47【文献标识码】A【文章编号】1007—9572【2012)O1—0335—03 TheApplicationValueofProgrammedMethodsinCaringPostoperativePatientsinOrthopedicsDepartmentBasedon ModifiedEarlyWarningScorePENGLing—li,YANGJia—qi,JINHui.WardFive,XiangyaHospitalofCentralSouthU- niversity,Changsha410008,China 【Abstract]ObjectiveToexploretheapplicationvalueofprogrammedmethodsincaringthepostoperativepatientsin OrthopedicsDepartmentbasedonModifiedEarlyWarningScore(MEWS).MethodsThepostoperativepatientsinOrthopedics Departmentwererandomlydividedintocontrolgroup(n=110)andexperimentgroup(n=109).Thecontrolgroupreceivedtra— ditionalmonitoringmethodsaccordingtomedicalorders,whiletheexperimentgroupreceivedprogrammedmonitoringmethods whichweredesignedbasedonMEWS.Thedifferencesofaccidenteventrate,mortalitywithin30days,rateoftransferringto ICU,averagestayingtimeandpatientsatisfactionwerecomparedbetweenthetwogroups.ResultsTheaccidenteventrate, mortalitywithin30days,rateoftransferringtoICUoftheexperimentgroupweresignificantlylowerthanthoseofthecontrol group(Plt;0.05).Theaveragestayingtimeintheexperimentgroupwassignificantlylessthanthatinthecontrolgroup(Plt; 0.05).Thepatientsatisfactionintheexperimentgroupwassignificantlyhigherthanthatinthecontrolgroup(Plt;0.05). ConclusionTheprogrammedmethodsbasedonMEWShavegoodapplicationvalueincaringthepostoperativepatientsandre— ducingtherisksofthepatients.Itisalsobeneficialtothecooperationbetweendoctorsandnurses.Itcanimprovepatientsatisfac— tionandenhancenursessenseofactiveservice. 【Keywords】Modifiedearlywarningscore