摘要
目的探讨降低院前病情识别风险的护理研究。方法对106例患者进行院前急救护理,53例患者使用简单临床评分(SCS)作为对照组,53例患者采用改良早期预警评分(MEWS)模式作为观察组,并按照院前危重患者救治护理模式实施院前急救护理。比较救治结果。结果观察组患者院前急救总耗时间缩短,转运成活率和满意度提高,转运并发症发生率低于对照组,差异有统计学意义(P<0.05)。MEWS评分评估28 d生存率的AUC为0.861(P<0.001),临界值为6.98分,敏感度87.2%,特异度91.6%,优于SCS。结论早期预警评分模式可以降低院前病情识别风险,提高救治成功率和护理质量,对患者预后有较好的敏感性和准确性。
Objective To explore the nursing in reducing risk of patients＇ pre-hospital condition recognition. Methods 106 patients were treated by emergency care in pre-hospital period. Among all patients a simple clinical scoring condition assessment （SCS） were given to 53 patients, who were in control group, and other 53 cases were treated by modified early warning score model （ MEWS）, who were in observation group. Emergency care was given to all critical patients in pre-hospital period. Then we compared the effects. Results The pre-hospital consumed time was significantly less, transpor- tation survival rate and satisfaction rate of patients were both higher, complication rate was lower in observation group than control group （P 〈0. 05）. The AUC was 0. 861 （P 〈 0. 001 ） of MEWS for evaluating survival rate after 28 days by the ROC curve analysis. The score of cutoff value was 6.98, sensitivity was 87.2%, specificity was 91.6% , which were all bet- ter than SCS. Conclusion Early warning score model may decrease the risk of condition recognition in pre-hospital period, improve rescue success rate and nursing quality, providing a better sensitivity and accuracy for prognosis evaluation.
出处
《广州医药》
2018年第1期47-50,共4页
Guangzhou Medical Journal
关键词
院前急救
改良早期预警评分
护理质量
受试者工作曲线
Pre-hospital first-aid
Modified early warning score
Nursing quality
ROC curve analysis
