[1]顾梅,王雪梅,曹茜,等.建立介入手术改良预警评分的可行性调查 [J].介入放射学杂志,2020,29(03):319-322.
 GU Mei,WANG Xuemei,CAO Qian,et al.Feasibility investigation on the establishment of modified early warning score for interventional surgery[J].journal interventional radiology,2020,29(03):319-322.
点击复制

建立介入手术改良预警评分的可行性调查

()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年03
页码:
319-322
栏目:
护理论坛
出版日期:
2020-04-20

文章信息/Info

Title:
Feasibility investigation on the establishment of modified early warning score for interventional surgery
作者:
顾梅王雪梅曹茜孙云珍王增龙施海彬
Author(s):
GU Mei WANG Xuemei CAO Qian SUN Yunzhen WANG Zenglong SHI Haibin.
Department of Interventional Radiology, Jiangsu Provincial People’s Hospital, First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province 210029, China
关键词:
【关键词】 介入手术室改良早期预警评分可行性调查
文献标志码:
A
摘要:
【摘要】 目的?探讨建立适合介入手术特点和需要的患者术中病情评分体系, 为准确评估和有效预警患者术中病情,给予针对性护理方案提供参考依据。方法?采用文献分析法、头脑风暴法、专家访谈法,设计调查问卷及量表,面向介入护理人员开展网络调查,利用SSPS统计分析调查结果。
结果?经调查研究分析,81.9%被调查专家认为有必要或非常有必要建立介入手术室改良早期预警评分(MEWS);调查量表信度系数值为0.885,KMO值为0.794,Bartlett球形检验的Approx. Chi-Square值为1096.854(自由度为66),达到显著水平(P<0.001),量表信度效度较高。以得分5分占比在75%以上和平均分在4.5分上为阈值,建立的介入手术MEWS包括心率、意识、收缩压、血氧饱和度、过敏体质等5个观测指标。结论?介入护理人员对建立介入MEWS具有较高的认同度,构建介入手术MEWS具有一定的可行性、客观性和实用性,可为下一步深入开展实际应用探索提供理论基础。

参考文献/References:

[1] 麻春英, 卫婷婷. 早期预警评分在临床护理工作中的应用现状[J]. 护理学报, 2014, 21:23-25.
[2] J Roney JK, Whitley BE, Maples JC, et al. Modified early warning scoring (MEWS): evaluating the evidence for tool inclusion of sepsis screening criteria and impact on mortality and failure to rescue[J]. J Clin Nurs, 2015, 24: 3343-3354.
[3] Tirotta D, Gambacorta, M, La Regina, M, et al. Evaluation of the threshold value for the modified early warning score (MEWS) in medical septic patients: a secondary analysis of an Italian multicentric prospective cohort (SNOOPII study)[J]. QJM, 2017, 110: 369-373.
[4] Blankush JM, Freeman R, McIlvaine J, et al. Implementation of a novel postoperative monitoring system using automated Modified Early Warning Scores (MEWS) incorporating end-tidal capnography[J]. J Clin Monit Comput, 2017, 31: 1081-1092.
[5] 顾?梅, 王雪梅. 基于CNKI的国内改良早期预警评分研究的文献计量分析[J]. 全科护理, 2018, 16:20-22.
[6] 张?磊. MEWS新标准的建立与应用测试及重症患者证候分
析[D]. 广州:广州中医药大学, 2015.
[7] 过庆华. EMS评分在介入手术护理中的应用[J]. 中国保健营养(中旬刊), 2013, 12:196.
[8] 崔银杰, 苟?姗,纪雪梅, 等. 经皮冠状动脉介入治疗改良早期预警评分表的制定与应用效果研究[J]. 中国实用护理杂志, 2017, 34: 2670-2673.
[9] 陈秀梅, 张?容,赖敏华, 等. 三级医院介入放射防护能力及个人防护现状调查[J]. 介入放射学杂志, 2017, 26:176-179.
[10] 丁?荣, 黄?明, 周劲梅, 等. 云南省二级医院开展介入诊疗项目的调查分析[J]. 介入放射学杂志, 2014, 23:79-81.
[11] 莫?伟, 阳秀春, 秦月兰, 等. 介入专科多维度表格式护理评估单的构建[J]. 介入放射学杂志, 2016, 25:731-733.

相似文献/References:

[1]黄景香,许秀芳,郭丽敏,等. 介入手术室的护理安全隐患及对策[J].介入放射学杂志,2013,(06):517.
 HUANG Jing? xiang,XU Xiu? fang,GUO Li? min,et al. The hidden perils of nursing safety in interventional operating room and its countermeasures[J].journal interventional radiology,2013,(03):517.
[2]王 征,侯秀芳,焦力群.介入手术室医护人员肌肉骨骼疾病隐患与防护 [J].介入放射学杂志,2019,28(07):696.
 WANG Zheng,HOU Xiufang,JIAO Liqun..The hidden trouble of musculoskeletal diseases for medical staff working in interventional operating room and its protection[J].journal interventional radiology,2019,28(03):696.
[3]中华医学会放射学分会护理工作组.介入手术室医院感染控制和预防临床实践专家共识[J].介入放射学杂志,2022,31(06):531.
 Nursing Group,Radiology Branch of Chinese Medical Association MAO Yanjun..Expert consensus on the clinical infection control and prevention in interventional operating room[J].journal interventional radiology,2022,31(03):531.

备注/Memo

备注/Memo:
(收稿日期:2019-05-14)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2020-04-16