Impact of different risk level nursing mode based on score of modified early warning scoring system on patients with severe pneumonia
Objective To explore and analyze the impact of different risk level nursing mode based on the score of modified early warning scoring system(MEWS)on patients with severe pneumonia.Methods A total of 80 patients with severe pneumonia treated at Lianyungang First People's Hospital from May 2020 to May 2023 were selected by the simple random sampling method.They were divided into a control group and a treatment group by computer random numbering,with 40 cases in each group.There were 25 men and 15 women in the control group;they were 28-59(48.45±6.75)years old;their disease course was 5-13(8.25±2.02)d;they adopted routine clinical nursing intervention.There were 23 men and 17 women in the treatment group;they were 27-60(48.18±6.54)years old;their disease course was 6-15(8.30±2.18)d;they were intervened by the different risk level nursing mode based on the MEWS score.The next day after admission and one day before discharge,the levels of pulmonary function,the effects of symptom improvement,and incidences of complications were analyzed and compared between the two groups by x2 and t tests.Results After the intervention,the forced expiratory volume in the first second(FEV1),forced lung volume(FVC),and FEV1/FVC in the treatment group were significantly higher than those in the control group[(2.12±0.45)L vs.(1.81±0.40)L,(2.55±0.51)L vs.(2.30±0.45)L,and(83.14±6.14)％vs.(78.69±6.65)％],with statistical differences(t=3.26,2.33,and 3.11;P＜0.05).The fever remission time,time for disappearance of rales,cough duration,and running nose duration in the treatment group were shorter than those in the control group[(4.36±1.25)d vs.(5.14±1.45)d,(6.85±1.20)d vs.(8.74±1.15)d,(9.74±1.96)d vs.(12.11±2.38)d,and(7.11±1.30)d vs.(8.45±1.28)d],with statistical differences(t=2.58,7.19,4.86,and 4.65;all P＜0.05).The total incidence of complications in the treatment group were lower than that in the control group[2.50％(1/40)vs.20.00％(8/40)],with a statistical difference(x2=4.51,P＜0.05).Conclusion The application of different risk level nursing mode based on MEWS score in patients with severe pneumonia is effective,and can improve their lung function,reduce the risk of complications,and shorten the duration of clinical symptoms.
Modified early warning scoring systemPneumoniaPulmonary functionRisk level nursingComplications
万方数据
维普
