临床护理杂志2024,Vol.23Issue(6) :11-14.DOI:10.3969/j.issn.1671-8933.2024.06.003

CCU实施MEWS分级导向护理对老年重症心衰患者康复进程及不良事件的影响

The impact of implementing MEWS grading guidance nursing in CCU on the rehabilitation process and adverse event control of elderly patients with severe heart failure

权慧 李昕娱 郝敬荣 姜明慧 齐艳丽
临床护理杂志2024,Vol.23Issue(6) :11-14.DOI:10.3969/j.issn.1671-8933.2024.06.003

CCU实施MEWS分级导向护理对老年重症心衰患者康复进程及不良事件的影响

The impact of implementing MEWS grading guidance nursing in CCU on the rehabilitation process and adverse event control of elderly patients with severe heart failure

权慧 1李昕娱 1郝敬荣 1姜明慧 1齐艳丽1
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作者信息

  • 1. 221009 江苏省徐州市中心医院CCU 徐州
  • 折叠

摘要

目的 探讨冠心病重症监护病房(CCU)实施改良早期预警评分(MEWS)分级导向护理对老年重症心衰患者的影响.方法 选取2019年2月-2022年2月我院CCU收治的老年重症心衰患者100例,采用随机数字表法分为参考组和试验组,各50例.参考组实施CCU常规护理干预,试验组在参考组的基础上实施MEWS分级导向护理.比较两组焦虑、抑郁、康复进程、并发症、不良事件发生率及护理满意度.结果 两组干预后汉密尔顿焦虑量表(HAMA)及汉密尔顿抑郁量表(HAMD)评分均低于干预前,且试验组低于参考组(P<0.05);试验组机械通气时间、CCU住院时间及总住院时间均短于参考组(P<0.05);试验组并发症、不良事件发生率低于参考组(P<0.05);试验组护理满意度高于参考组(P<0.05).结论 CCU实施MEWS分级导向护理可缓解老年重症心衰患者焦虑、抑郁,缩短康复进程,减少并发症及不良事件发生率,提高护理满意度.

Abstract

Objective To explore the impact of implementing improved MEWS grading guidance nursing in CCU on elderly patients with severe heart failure.Methods A total of 100 elderly patients with severe heart failure admitted to the CCU of our hos-pital from February 2019 to February 2022 were selected.According to the random number table method,a reference group and an experimental group of 50 cases each were set up.Provide routine CCU nursing intervention to the reference group patients,while the experimental group adopts MEWS grading guidance nursing on the basis of the reference group.Observe two groups of negative emo-tions,rehabilitation progress,incidence of complications and adverse events,and evaluate patient satisfaction with nursing care.Re-sults After intervention,the HAMA and HAMD scores of both groups were lower than before intervention,and the experimental group was lower than the reference group(P<0.05);Compared with the reference group,the experimental group had longer me-chanical ventilation time during the rehabilitation process CCU hospitalization time and total hospitalization time are both shorter(P<0.05);The total incidence of complications and adverse events in the experimental group was lower than that in the reference group(P<0.05);The overall nursing satisfaction rate of the experimental group patients was higher than that of the reference group(P<0.05).Conclusion The implementation of MEWS grading guidance in CCU nursing can promote the relief of negative emo-tions in elderly patients with severe heart failure,shorten the rehabilitation process,reduce complications and adverse events,and have a positive effect on improving patient nursing satisfaction.

关键词

心力衰竭/护理/改良早期预警评分/老年人/不良事件

Key words

heart failure/nursing/modified early warning score(MEWS)/elderly people/adverse event

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出版年

2024
临床护理杂志
安徽省医学会,安徽医科大学第一附属医院

临床护理杂志

影响因子:1.684
ISSN:1671-8933
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