校正改良式早期预警系统在心胸专科急诊分诊中的应用

发布时间：2018-07-31 11:33

【摘要】：目的将改良式早期预警(modified early warning score,MEWS)与胸科专科预检标准相结合,构建适用于心胸专科急诊分诊的校正MEWS系统,探讨其对于心胸专科急诊预检分诊工作的影响。方法便利抽样法选取上海交通大学附属胸科医院2015年9-12月急诊就诊患者8994例为对照组,2016年1-3月急诊就诊患者9138例为观察组。对照组患者按常规的急诊分诊流程处理,观察组患者实施校正MEWS系统的评分结果进行预检及分区分级处置,比较两组患者急诊分诊时间及分诊正确率、高危胸痛患者识别率、应急处理率,医生、护士及患者满意率。结果两组患者的分诊时间、分诊正确率、有效识别高危胸痛患者、应急处理率、患者满意率经比较,观察组患者均优于对照组,差异均有统计学意义(均P0.05)。结论校正MEWS评分系统便于急诊护士快速准确地分诊,同时可有效识别胸痛高危患者,提高心胸专科急诊预检分诊工作的可操作性及准确率,有助于急诊患者在最短时间内得到规范、科学、适当、合理、及时的救治。
[Abstract]:Objective to study the effect of modified early warning (modified early warning scoremews (early warning system) and chest specialist pre-test standard on the early diagnosis of cardiothoracic emergency diagnosis by setting up a modified MEWS system suitable for cardiac and thoracic emergency fractionation. Methods the convenience sampling method was used to select 8994 emergency patients from September to December 2015 as the control group and 9138 emergency patients from January to December 2016 as the observation group in the chest Hospital affiliated to Shanghai Jiaotong University. The patients in the control group were treated according to the routine procedure of emergency fractionation, and the patients in the observation group were treated with the results of calibrated MEWS system. The time and accuracy of the diagnosis were compared between the two groups, and the identification rate of the patients with high risk chest pain was compared between the two groups. Emergency response rate, satisfaction rate of doctors, nurses and patients. Results compared with the control group, the patients in the observation group were better than those in the control group, and the difference was statistically significant (P0.05). Conclusion the calibrated MEWS scoring system is convenient for emergency nurses to divide diagnosis quickly and accurately, and can effectively identify patients with high risk of chest pain. Help emergency patients in the shortest time to be standardized, scientific, appropriate, reasonable, timely treatment.
【作者单位】：上海交通大学附属胸科医院急诊科;上海交通大学附属胸科医院门急诊;上海交通大学附属胸科医院护理部;
【基金】：上海交通大学医学院科技基金项目(JYH1502)
【分类号】：R473.6

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