Effects of using the assessment of the modified early warning signs (MEWS) in the assessment and monitoring change symptom of patients in cardiac catheterization lab, Trang hospital
Keywords:
Modified Early Warning (MEWS), Monitoring, cardiac catheterization labAbstract
The objective of this quasi experimental research was to study the effect of assessment guideline of The Modified Early Warning Signs (MEWS) in the cardiac catheterization lab, Trang Hospital. The subjects were divided in to two groups: 1) the experiment group using the guideline of MEWS was seven nurses operating in the cardiac catheterization lab, 224 patients who received cardiac catheterization in cardiac catheterization lab, 2) Subject of control group was 222 patients receiving routine nursing care during cardiac catheterization. The research tools consists of 1) Satisfaction questionnaire relating to the assessment and monitoring of change symptom of patients in the cardiac catheterization lab 2) Assessment guideline and monitoring of the change of patients in the cardiac catheterization lab. The data were analyzed using descriptive statistic, t-test and Chi Square.
The results found that the used of the assessment guideline of the Modified Early Warning Signs (MEWS) in experiment group increased in assessing patients and providing nursing in time and safety. The patients in the experimental group were safer than the controlled group significantly (p<.001). Nurses in the cardiac catheterization lab were satisfied in using the assessment form in agreement level at the most of 92%.
This study suggests that nurses in cardiac catheterization lab should use assessment guideline (MEWS) to prevent patients going into a critical condition and could help monitoring , report to physicians and provide treatment in time. This MEWS could effectively reduce complications and mortality rate.
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