基于MEWS分级护理配合身心综合护理在CCU冠心病重症心力衰竭中的应用

摘要/Abstract

摘要： 目的探究基于早期预警评分系统（MEWS）的分级护理配合身心综合护理在CCU冠心病重症心力衰竭中的效果。方法选取该院2020年1月至2022年1月收治的80例CCU冠心病重症心力衰竭患者,使用摸球法随机分为对照组40例和观察组40例,对照组予以常规护理+身心综合护理,观察组予以基于MEWS的分级护理配合身心综合护理。对比两组患者心功能指标、生活质量、心理状态、转归情况、不良事件发生率。结果观察组转归情况Ⅰ-Ⅱ级占比95.00%高于对照组72.50%,对比具有统计学意义（P<0.05）。护理后,观察组心功能指标、生活质量、心理状态均优于对照组,对比具有统计学意义（P<0.05）。观察组不良事件发生率2.50%低于对照组22.50%,对比具有统计学意义（P<0.05）。结论予以CCU冠心病重症心力衰竭患者基于MEWS的分级护理配合身心综合护理,有利于改善患者心功能与预后,提升患者生活质量水平,值得的临床推广。

关键词: 基于MEWS的分级护理, 冠心病监护病房, 冠心病重症心力衰竭, 身心综合护理

Abstract: Objective To investigate the effect of graded nursing based on Modified Early Warning Score (MEWS) combined with comprehensive physical and mental nursing in severe heart failure due to coronary heart disease in the coronary care unit (CCU). Methods A total of 80 patients with severe heart failure due to coronary heart disease who were admitted to the CCU of our hospital from January 2020 to January 2022 were enrolled and divided into control group and observation group by drawing lots with balls, with 40 patients in each group. The patients in the control group received routine nursing andcomprehensive physical and mental nursing, while those in the observation group received graded nursing based on MEWS combined with comprehensive physical and mental nursing. The two groups were compared in terms of cardiac function parameters, quality of life, psychological state, prognosis, and the incidence rate of adverse events. Results Compared with the control group, the observation group had a significantly higher proportion of patients with grade I-II prognosis (95.00% vs 72.50%,P<0.05). After nursing, compared with the control group, the observation group had significantly better cardiac function parameters, quality of life, and psychological state (P<0.05). The observation group had a significantly lower incidence rate of adverse events than the control group (2.50% vs 22.50%,P<0.05). Conclusion For patients with severe heart failure due to coronary heart disease in the CCU, graded nursing based on MEWS combined with comprehensive physical and mental nursing can help to improve cardiac function, prognosis, and quality of life and thus holds promise for clinical application.

Key words: Graded nursing based on Modified Early Warning Score, Coronary care unit, Severe heart failure due to coronary heart disease, Comprehensive physical and mental nursing

高胜男. 基于MEWS分级护理配合身心综合护理在CCU冠心病重症心力衰竭中的应用[J]. 心血管病防治知识, 2024, 14(3): 119-123.

GAO Sheng-nan. Application of graded nursing based on Modified Early Warning Score combined with comprehensive physical and mental nursing in severe heart failure due to coronary heart disease in the coronary care unit[J]. Prevention and Treatment of Cardiovascular Disease, 2024, 14(3): 119-123.

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