早期预警评分和触发建议必须在老年家庭护理患者中谨慎使用：一项观察性研究的结果。
Early warning scores and trigger recommendations must be used with care in older home nursing care patients: Results from an observational study.
机构信息
Department of Public Health Science, University of Oslo Faculty of Medicine, Oslo, Norway.
Department of Service and Rehabilitation, Tvedestrand Municipality, Tvedestrand, Norway.
出版信息
Nurs Open. 2023 Jul;10(7):4737-4746. doi: 10.1002/nop2.1724. Epub 2023 Mar 14.
AIMS
To explore modified early warning scores (MEWSs) and deviating vital signs among older home nursing care patients to determine whether the MEWS trigger recommendations were adhered to in cases of where registered nurses (RNs) suspected acute functional decline.
DESIGN
Prospective observational study with a descriptive, explorative design.
METHODS
Participants were included from April 2018 to February 2019. Demographic, health-related and clinical data were collected over a 3-month period.
RESULTS
In all, 135 older patients participated. Median MEWS (n = 444) was 1 (interquartile range (IQR) 1-2). Frequently deviating vital signs were respiratory (88.8%) and heart rate (15.3%). Median habitual MEWS (n = 51) was 1 (IQR 0-1). Deviating vital signs were respiratory (72.5%) and heart rate (19.6%). A significant difference between habitual MEWS and MEWS recorded in cases of suspected functional decline was found (p = 0.002). MEWS' trigger recommendations were adhered to in 68.9% of all MEWS measurements.
目的
探讨改良早期预警评分（MEWS）和生命体征偏差在老年家庭护理患者中的应用，以确定注册护士（RN）怀疑急性功能下降时是否遵循 MEWS 触发建议。
设计
前瞻性观察研究，具有描述性、探索性设计。
方法
参与者于 2018 年 4 月至 2019 年 2 月入选。收集了 3 个月期间的人口统计学、与健康相关和临床数据。
结果
共有 135 名老年患者参与。中位 MEWS（n=444）为 1（四分位距 1-2）。经常出现偏差的生命体征是呼吸（88.8%）和心率（15.3%）。中位习惯性 MEWS（n=51）为 1（四分位距 0-1）。偏差的生命体征是呼吸（72.5%）和心率（19.6%）。在怀疑功能下降的情况下，习惯性 MEWS 和记录的 MEWS 之间存在显著差异（p=0.002）。在所有 MEWS 测量中，遵循 MEWS 触发建议的比例为 68.9%。
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