分级护理管理模式联合心理干预在肝胆外科护理中的应用

齐玉霞 臧颖

摘要：目的  观察早期预警评分在ICU护理工作中的作用及效果。方法  选择2018年6月～2019年6月在我院ICU治疗的患者144例，采用随机数字表法分为对照组和观察组，各72例。对照组采用常规护理，观察组应用早期预警评分进行护理，比较两组意外事件发生率、并发症发生率、平均ICU留住时间、护理满意度。结果  观察组意外事件发生率为6.94%，低于对照组的18.05%，并发症发生率为8.33%，低于对照组的23.61%，差异均有统计学意义（P<0.05）;观察组ICU留住时间为（7.13±2.16）d，短于对照组的（11.01±2.98）d，差異有统计学意义（P<0.05）;观察组护理满意度为98.61%，高于对照组的81.94%，差异有统计学意义（P<0.05）。结论  早期预警评分在ICU护理中具有重要的作用，可降低意外事件和并发症发生率，缩短ICU入住时间，提高临床护理满意度，具有良好的临床应用效果。

关键词：早期预警评分;ICU护理;意外事件

中图分类号：R473                                   文献标识码：A                                 DOI：10.3969/j.issn.1006-1959.2019.21.059

文章编号：1006-1959（2019）21-0174-02

Abstract：Objective  To observe the role and effect of early warning scores in ICU care work. Methods  A total of 144 patients who were treated in our hospital from June 2018 to June 2019 were enrolled. The patients were divided into the control group and the observation group by random number table， 72 cases each. The control group received routine nursing， and the observation group used early warning scores for nursing. The incidence of accidents， the incidence of complications， the average ICU retention time， and the satisfaction of nursing were compared. Results  The incidence of accidents in the observation group was 6.94%， which was lower than that of the control group 18.05%. The complication rate was 8.33%， which was lower than that of the control group 23.61%，the difference was statistically significant （P<0.05）. The retention time was （7.13±2.16）d， which was shorter than that of the control group （11.01±2.98）d，the difference was statistically significant （P<0.05）. The nursing satisfaction of the observation group was 98.61%， which was higher than 81.94% of the control group，the difference was statistically significant （P<0.05）. Conclusion  Early warning score plays an important role in ICU care， which can reduce the incidence of accidents and complications， shorten the ICU stay time， improve clinical nursing satisfaction， and have good clinical application results.

Key words：Early warning score;ICU care;Accident

ICU患者属于特殊群体，通常伴有严重基础疾病、组织损伤、器官功能障碍、巨大潜在风险等，其病情凶险，病死率和致残率高。由于患者的特殊性，对其护理工作的要求也更高，在护理过程中可能面临各种突发情况，容易出现护理差错，进而影响患者的健康安全。因此，改变传统护理模式，对提高护理质量具有重要的作用。相关研究显示[1]，采用早期预警评分对患者的生理指标进行评定和评价，并给予针对性的护理干预方法，有助于获得最佳的护理效果。本研究结合2018年6月～2019年6月在我院ICU治疗的144例患者临床资料，观察早期预警评分在ICU护理工作中的应用效果，现报告如下。