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目的:探讨MEWS方法在急诊留观病人管理中的运用,以降低病人在留观期间的医疗风险。方法:随机将160位病人为预警评分组,应用修订后的“改良早期预警评分(Modified early warning score,MEWS)”方法对病人进行评分,恰当地评估出病人的病情,针对不同的评分结果实施个体化的诊疗方案。传统管理组的病人仍采用常规方法进行管理:将2组病人的数据进行对比和分析(采用T检验),以得出一个科学的结论。结果:显示采用MEWS方法对急诊留观病人进行评分与传统管理相较,病人在留观期间出现病情变化时处理的及时性和病人的满意度有明显提高,医疗护理缺陷和不良事件的发生率有明显的降低,p<0.05,显示2种不同的管理模式在管理效果上有显著的差异。结论:应用MEWS方法对急诊留观病人病情的严重程度进行判断简便、快捷,具有较高的价值。
OBJECTIVE: To explore the use of MEWS in emergency patient management to reduce the medical risk of patients during their stay. METHODS: A total of 160 patients were randomly assigned to an early warning score and patients were scored using the revised “Modified early warning score (MEWS)” method to appropriately assess the patient’s condition. Different scores Results The implementation of individual treatment programs. Patients in the traditional management group are still managed in the usual way: data from two groups of patients are compared and analyzed (T-test) to arrive at a scientific conclusion. Results: Compared with the traditional management, the MEWS method showed that the timeliness and patient satisfaction of the patient during the observation period were significantly improved compared with the traditional management. The incidence of medical care defects and adverse events were Significant reduction, p <0.05, showed two different management models have significant differences in management effectiveness. Conclusion: Using MEWS method to judge the seriousness of patients with emergency observation is simple, quick and of high value.