摘要
[目的]探讨改良早期预警评分(MEWS)结合视觉模拟评分法(VAS)提高急性疼痛留观病人危重症早期识别率的效果。[方法]选择2015年4月-2015年12月在我院急诊室留观的急性疼痛病人2 820例为观察组,选择2014年6月—2015年3月在我院急诊室留观的急性疼痛病人2 736例为对照组。观察组病人运用MEWS结合VAS评分进行病情评估,对照组病人单独使用MEWS评分,比较两组急性疼痛病人留观时间、去向、危重症病人早期识别率,调查医生、护士对使用MEWS结合VAS评分管理模式的满意度。[结果]应用MEWS+VAS评分后急性疼痛留观病人留观时间由实施前的463.751 min±101.330 min缩短至实施后的155.652min±67.830 min,入重症监护室的比例由13.05%下降至7.69%,入抢救室的比例由9.78%下降至5.38%,早期识别率由59.35%上升至79.75%。实施前后急诊护士病情观察和风险识别能力医护评价表的评判便利性、实践操作性、医护协作性、评判准确性4个维度得分及总分比较差异均有统计学意义(P<0.05)。[结论]MEWS结合VAS评分可以提高急性疼痛留观病人早期识别率,提升急诊护士病情观察和风险识别能力,提高护理质量。
Objective： To probe into the effect of Modified Early Warning Score（MEWS） combined with Visual Analogue Scale（VAS） to improve the early recognition rate of critically ill patients with acute pain. Methods： Choose from April 2015 to December 2015 in our hospital emergency room to observe the acute pain patients 2 820 cases for the observation group？ choose June 2014 to March 2015 in our hospital emergency room to observe the acute pain patients 2 736 cases were treated as control group. The patients in the observation group were evalua-ted by MEWS combined with VAS score. The patients in the control group were divided into two groups accord-ing to the MEWS score. To compare the stay time, whereabouts of patients with acute pain, and early identiti- cation rate of critically ill patients,and to survey doctors and nurse＇ satisfaction to using MEWS combined with VAS score management model. Results： The number of patients treated with MEWS ＋ VAS score decreased from 463. 751 min± 1 01 330 min before implementation to 1 55. 652 min± 67. 830 min after implementation,and the proportion of intensive care unit decreased from 13. 05% to 7. 69%. The ratio decreased from 9. 78% to 5. 38% theearly recognition rate increased from 59. 35% to 79. 75%（P〈0. 05） . There were statistically significant differ-ences between the four dimensions and the total score in the evaluation of health care assessment , the practicati- ty of operation, the coordination of medical care and the accuracy of the evaluation. Conclusions ： MEWS com-bined with VAS score could improve the early recognition rate of patients with acute pain, improve the emergency nurses observation and risk identification, so as to improve the quality of care.
出处
《护理研究（下旬版）》
2017年第7期2597-2600,共4页
Chinese Nursing Researsh
基金
2014年荆州市医疗卫生科技计划项目
编号:2014061
关键词
急性疼痛
早期预警评分
视觉模拟评分
急诊室
危重症
病情观察
风险
满意度
acute pain
early warning score
visual analogue scale
emergency room
critically ill
condition obser-vation
risk
satisfaction
