摘要
目的研究改良早期预警评分在急诊外科患者病情以及预后评估中的价值。方法选择我院2015年6月~2017年2月收治的90例急诊外科患者作为研究对象,按照随机数字法分为两组各45例,研究组采取改良早期预警评分管理,对照组采取常规诊疗评分管理,比较两种评分方式对患者病情以及预后的影响。结果研究组转良率64.44%较对照组42.22%高(P<0.05),且转ICU率、死亡率均较对照组降低(P<0.05);治疗前两组知识技能、生活质量评分无明显差异(P>0.05),治疗后研究组生活质量高于对照组(P<0.05),医务人员知识技能掌握评分较对照组高(P<0.05);且研究组满意度评分高于对照组(P<0.05)。结论急诊外科患者采取改良早期预警评分效果较好,能够有效评估其病情及预后状况,不仅提高医务人员自身知识以及技能水平,同时保证患者身心健康,安全性较高。
Objective To study the value of improved early warning score in the assessment of the condition and prognosis of emergency surgical patients. Methods A total of 90 emergency surgical patients admitted to our hospital from June 2015 to February 2017 were selected as study subjects. According to the random number method, 45 patients were divided into two groups. The study group adopted improved early warning scoring management, and the control group adopted routine medical score management, compared the impact of the two scoring methods on the patients＇ conditions and prognosis. Results The conversion rate of the study group was 64.44%, which was higher than that of the control group（42.22%）（P〈0.05）, but the rate of transfer of ICU and mortality was lower than that of the control group（P〈0.05）. There was no significant difference in knowledge skills and quality of life scores between the two groups before treatment（P〈0.05）, after treatment, the quality of life of the study group was higher than that of the control group（P〈0.05）, and the knowledge and skills mastering score of the medical staff was higher than that of the control group（P〈0.05）; and the satisfaction rating of the study group was higher than that of the control group（P〈0.05）. Conclusion The use of improved early warning scores for emergency surgical patients is effective, and can effectively assess their condition and prognosis. It not only improves the medical staffs＇ own knowledge and skill level, but also ensures the physical and mental health of the patients and shows high safety.
作者
陈骏
CHEN Jun(Department of Emergency,the Second People＇s Hospital Affiliated to Fujian University of Traditional ChineseMedicine,Fuzhou 350001,China)
出处
《中国现代医生》
2018年第13期82-84,共3页
China Modern Doctor
关键词
评估
改良早期预警评分
急诊外科
预后
Evaluation
Improved early warning score
Emergency surgery
Prognosis
