The Effect of Modified Early Warning Scoring System and Nursing Guide Practices on Postoperative Patient Outcomes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 220
- 试验地点
- 1
- 主要终点
- Effects of MEWSS and NGA use on complications and clinical status
研究概览
简要总结
In this study, it was aimed to determine the effect of HRU and HG on patient outcomes in the care process in surgical patients followed according to MEUSS.
The sample of the study, which was conducted as a randomized-controlled clinical trial, consisted of 252 patients who underwent surgical intervention under general anesthesia in a university hospital between 29 July 2022 and 31 October 2022.
详细描述
Postoperative patients are at risk of clinical worsening and minimizing this is vital. Nurses play a vital role in the early detection and management of clinical deterioration as they are the group of professionals with the highest patient contact. MEUSS is stated as a simple risk management tool based on physiological parameters that can allow early detection of clinical deterioration and initiation of the relevant intervention, improving the quality of care and patient safety provided to surgical patients.
In this study, with a larger sample, patients will be followed up with MEUSS and a nursing guide for 2 hours in the clinic where they are transferred both after and after ASBU. Our study is a research with the highest sample in this field, in which patients are followed for the longest period of time, and it is thought that MEUSS and nursing guide applications can identify risky patients in the postoperative period and reduce postoperative complications with strict follow-up applied to these patients. The aim of this study; To determine the effect of Nursing Guide Practice (HRU) and Nursing Interventions (HG) on patient outcomes in the care process in surgical patients followed according to MEUSS.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Having operated under general anesthesia
- •transferred to the post-anesthesia care unit (ASBU) and then to the service/ICU followed for 2 hours,
- •between 18-65 years old,
- •who have not had an operation with general anesthesia in the last six months,
- •no serious life-threatening complications developed during surgery,
- •patients willing to participate in the study
排除标准
- •data unavailable,
- •complications during surgery,
- •patients who did not undergo general anesthesia
研究组 & 干预措施
Experimental Group
MEWSS and Nursing Guide Application will be used in the study group. MEWSS: The Modified Early Warning Score (MEWS) consists of a simple to use algorithm based on physiological parameters such as heart rate, respiratory rate, systolic blood pressure, temperature and level of consciousness.
Nursing Guide Application (NGA): According to the follow-up carried out in this study: If the patient's MEWSS is 4 or below, a ten-minute follow-up was performed. If the MEWSS is five, then five-minute follow-up is passed, and if the score has not changed as a result of the follow-ups, five-minute follow-ups are continued. If the score decreased to four or less, ten-minute follow-up was started, if the score increased, five-minute follow-ups were continued, and the emergency team was informed and the patient was evaluated (the emergency team was informed about the study).
干预措施: MEWSS and Nursing Guide Application (Other)
Control Group
In the control group, the patients followed according to the Modified Early Warning Scoring System received routine care in the clinic.
结局指标
主要结局
Effects of MEWSS and NGA use on complications and clinical status
时间窗: From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour
Length of stay in ASBU (minutes), complications developed in ASBU, intervention time to complications (minutes), and where it was transferred after ASBU (clinical or intensive care unit)
Effect of MEWSS and NGA use on nursing interventions
时间窗: From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour
Nursing interventions include practices such as oxygen saturation, blood pressure, pulse, respiration, body temperature, alertness, pain monitoring by nurses, positioning and giving medication.
Effect of MEWSS and NGA use on vital signs and MEWS
时间窗: From the first 5 minutes when the patient comes to the post-anesthesia care unit to the end of the second hour
Heart rate (beats per minute), respiratory rate (respiratory rate / min.), systolic blood pressure (mmHg), temperature (centigrade degree -°C), level of consciousness (AVPU) and the score obtained from these measurements show MEWS.
次要结局
未报告次要终点
研究者
SELDA MERT
Assist. Prof. Dr.
Kocaeli University