一项将国家早期预警评分（NEWS）引入养老院的研究：对决策和转诊流程的影响。
A study to introduce National Early Warning Scores (NEWS) in care homes: Influence on decision-making and referral processes.
机构信息
Northumbria University Faculty of Health and Life Sciences, Newcastle upon Tyne, UK.
Gateshead Health NHS Foundation Trust, Gateshead, UK.
出版信息
Nurs Open. 2022 Jan;9(1):519-526. doi: 10.1002/nop2.1091. Epub 2021 Nov 15.
AIM
Early warning scores are commonly used in hospital settings, but little is known about their use in care homes. This study aimed to evaluate the impacts of National Early Warning Scores alongside other measures in this setting.
DESIGN
Convergent parallel design.
METHODS
Quantitative data from 276 care home residents from four care homes were used to analyse the relationship between National Early Warning Scores score, resident outcome and functional daily living (Barthel ADL (Barthel Index for Activities of Daily Living)) and Rockwood (frailty). Interviews with care home staff (N = 13) and care practitioners (N = 4) were used to provide qualitative data.
RESULTS
A statistically significant link between National Early Warning Scores (p = .000) and Barthel ADL (p = .013) score and hospital admissions was found, while links with Rockwood were insignificant (p = .551). Care home staff reported many benefits of National Early Warning Scores, including improved communication, improved decision-making and role empowerment. Although useful, due to the complexity of the resident population's existing health conditions, National Early Warning Scores alone could not act as a diagnostic tool.
目的
预警评分常用于医院环境，但在养老院中的使用情况知之甚少。本研究旨在评估国家早期预警评分与其他措施在这一环境中的影响。
设计
汇聚平行设计。
方法
来自四个养老院的 276 名养老院居民的定量数据用于分析国家早期预警评分与居民结局以及功能性日常生活（巴氏 ADL（日常生活活动巴氏指数））和 Rockwood（虚弱）之间的关系。对养老院工作人员（N=13）和护理人员（N=4）进行访谈以提供定性数据。
结果
国家早期预警评分与巴氏 ADL（p=0.013）评分与住院之间存在统计学显著关联，而与 Rockwood 的关联不显著（p=0.551）。养老院工作人员报告了国家早期预警评分的许多好处，包括改善沟通、改善决策和增强角色。尽管有用，但由于居民群体现有健康状况的复杂性，国家早期预警评分本身不能作为诊断工具。
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