Application of modified early warning score management in perioperative patients with pancreaticoduodenal diseases

doi:10.3760/cma.j.issn.1007-1245.2023.22.032

Abstract

Abstract:

Objective　To analyze the effect of nursing management mode of modified early warning score (MEWS) in perioperative period of laparoscopic pancreaticoduodenal patients. Methods　Eighty laparoscopic pancreaticoduodenal patients treated in Bayannur Hospital from January 2017 to August 2020 were selected for the prospective study. The patients were divided into an observation group and a control group by the random number table method, with 40 cases in each group. There were 26 males and 14 females in the observation group; they were 45-85 (52.26±1.73) years old. There were 24 males and 16 females in the control group; they were 46-85 (52.79±1.97) years old. The control group implemented routine nursing management measures; in addition, the observation group implemented the nursing management measures based on MEWS. The incidences of stress injury and complications were compared between the two groups. χ² test was applied. Results　The incidences of pressure injury and complications in the observation group were lower than those in the control group [7.50% (3/40) vs. 27.50% (11/40) and 5.00% (2/40) vs. 25.00% (10/40)], with statistical differences (χ²=4.155 and 4.705; both P<0.05). Conclusion　Nursing management based on MEWS can reduce the incidences of stress injury and complications in laparoscopic pancreaticoduodenal patients during perioperative period, so it can be clinically popularized.

Key words:

Modified early warning score, Nursing management, Laparoscopy, Pancreatic duodenum, Perioperative period

摘要：

目的　分析改良早期预警评分（MEWS）的护理管理模式在腹腔镜胰十二指肠患者围手术期的应用效果。方法　选取2017年1月至2020年8月期间于巴彦淖尔市医院就诊的80例腹腔镜胰十二指肠患者进行前瞻性研究，采用随机数字表法将患者分为观察组与对照组，各40例。观察组男26例，女14例，年龄45～85（52.26±1.73）岁；对照组男24例，女16例，年龄46～85（52.79±1.97）岁。对照组实施常规护理管理措施，观察组在对照组基础上实施基于MEWS的护理管理措施，比较两组患者压力性损伤与并发症发生率。统计学方法采用χ²检验。结果　观察组压力性损伤总发生率低于对照组［7.50%（3/40）比27.50%（11/40）］，差异有统计学意义（χ²=4.155，P<0.05）。观察组总并发症发生率低于对照组［5.00%（2/40）比25.00%（10/40）］，差异有统计学意义（χ²=4.705，P<0.05）。结论　基于MEWS的护理管理在腹腔镜胰十二指肠患者围手术期中应用，能降低患者压力性损伤的发生率，减少并发症发生情况，可以在临床治疗中推广使用。

关键词:

改良早期预警评分, 护理管理, 腹腔镜, 胰十二指肠, 围手术期

Kong Min, Jin Xin, Wang Zongxia.

Application of modified early warning score management in perioperative patients with pancreaticoduodenal diseases [J]. International Medicine and Health Guidance News, 2023, 29(22): 3284-3287.

孔敏靳欣王宗霞.

改良早期预警评分管理在胰十二指肠患者围手术期的应用效果 [J]. 国际医药卫生导报, 2023, 29(22): 3284-3287.

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