Effect observation on MEWS combined with VAS score on early recognition rate of critically ill patients with acute pain

doi:10.3969/j.issn.1009-6493.2017.21.011

Abstract：Objective:To probe into the effect of Modified Early Warning Score(MEWS) combined with Visual Analogue Scale(VAS) to improve the early recognition rate of critically ill patients with acute pain.Methods:Choose from April 2015 to December 2015 in our hospital emergency room to observe the acute pain patients 2 820 cases for the observation group,choose June 2014 to March 2015 in our hospital emergency room to observe the acute pain patients 2 736 cases were treated as control group.The patients in the observation group were evaluated by MEWS combined with VAS score.The patients in the control group were divided into two groups according to the MEWS score.To compare the stay time, whereabouts of patients with acute pain, and early identification rate of critically ill patients, and to survey doctors and nurses'' satisfaction to using MEWS combined with VAS score management model.Results:The number of patients treated with MEWS+VAS score decreased from 463.751 min±101.330 min before implementation to 155.652 min±67.830 min after implementation,and the proportion of intensive care unit decreased from 13.05% to 7.69%.The ratio decreased from 9.78% to 5.38%,the early recognition rate increased from 59.35% to 79.75%(P<0.05).There were statistically significant differences between the four dimensions and the total score in the evaluation of health care assessment,the practicality of operation,the coordination of medical care and the accuracy of the evaluation.Conclusions:MEWS combined with VAS score could improve the early recognition rate of patients with acute pain,improve the ability of emergency nurses observation and risk identification,so as to improve the quality of care.