| 杨燕,顾春怡.APACHEⅡ量表应用于妇产科危重症患者监护的评估研究[J].上海护理,2014,14(8): |
| APACHEⅡ量表应用于妇产科危重症患者监护的评估研究 |
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| DOI： |
| 中文关键词: 急性生理学和慢性健康状况评分（APACHEⅡ） 重症监护室 妇产科 护理 |
| 英文关键词: |
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| 中文摘要: |
| 【】 目的 评估APACHEⅡ量表对判断妇产科危重症患者病情严重程度、监护室入住时间及对制定责任制分层监护方案的指导价值。 方法 在上海市某三级甲等妇产科医院重症监护室收集并分析妇产科危重症患者的临床资料,采用APACHEⅡ量表评估患者的病情危重程度及监护室入住时间,并根据量表评分情况制定分层监护方案。 结果 133例妇产科危重症患者的评分为11～28分(平均16.83± 4.06分)。其中,产科组患者APACHEⅡ评分与妇科组相比,无统计学差异(P＞0.05),产科组入住监护室时间大于妇科组患者,差异有统计学意义(P＜0.001)。APACHEⅡ评分≥25分者监护级别为Ⅰ级,15～25分者监护级别为Ⅱ级,≤15者监护级别为Ⅲ级。分数越高,病情越重,对应的治疗监护方案更为细化。结论 APACHEⅡ量表在一定程度上能有效预测妇产科危重症患者的病情程度和监护室入住时间；对危重患者病情级别及监护方案的细化分类具有指导意义；有利于医护协作及护理人力资源的合理配置。 |
| 英文摘要: |
| 【】Objective To evaluate the value and guiding significance of applying APACHEⅡ Scale to assessment of critically ill Ob Gy patients’ disease severity, length of ICU stay and stratified caseload care procedures. Methods Critically ill patients’ clinical data were collected in the Intensive Care Unit (ICU) of Ob Gy Hospital. The APACHEⅡScale was used to evaluate patients’ disease severity and length of ICU stay; and corresponding care procedures were established according to the APACHEⅡscores. Results 133 Ob Gy critically ill patients’ APACHEⅡscores were 11～28 scores (mean 16.83± 4.06 scores). There were no significant differences between the obstetric patients and gynecologic patients in APACHEⅡscores(P＞0.05). The lengths of ICU stay in obstetric patients were longer than those in gynecologic patients, causing statistically differences (P＜0.05). Patients with more than 25 APACHEⅡscores received level Ⅰcare procedure; patients with 15～25 scores received level Ⅱ care procedure; and patients with less than 15 scores received level Ⅲ procedure. The higher the score, the more severe the disease and more detailed the care procedure. Conclusion The APACHEⅡScale can, to some degree, effectively prognose critically ill Ob Gy patients’ disease severity and length of ICU stay. It helps to categorize Ob Gy patients’ disease severity and refine care procedures. Besides, the scale is conducive to the ICU healthcare collaboration and rational allocation of nursing human resources. |
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