目的 探討改良早期預警評分系統（MEWS）在急診搶救室的應用價值。 方法 對2012年4月－5月在急診搶救室就診的213例患者進行MEWS評分，分析不同分數段患者的分布特點，追蹤患者入院后的去向、病情轉歸及收住專科病房和重癥醫學科（ICU/CCU）的時間。 結果 與MEWS得分≥5分的患者相比，MEWS得分＜5分者好轉出院、轉入專科病房的比例較高，轉入ICU/CCU比例低，差異有統計學意義（P＜0.05）；不同MEWS評分段患者轉入ICU/CCU的時間最短，其次是出院回家，轉入專科病房的時間最長，但MEWS得分＜5分者與≥5分者出院、轉入專科病房和ICU/CCU時間之間的差異無統計學意義（P＞0.05）。 結論 MEWS可以預測患者病情變化及嚴重程度，對醫護人員及時采取救護措施、合理安排住院有一定的指導作用，值得推廣應用。
Objective To investigate the general situation of self-management behavior of patients with cirrhosis, and analyze its influencing factors. Method From January to June 2015, the in-patients with liver cirrhosis were recruited from Gastroenterology Ward of a comprehensive hospital in Chengdu city by convenience sampling method, and a series of questionnaires were used in the research, including self-management behavior scale, social support scale (SSRS), quality of life questionnaire (WHOQOL-BREF) and sociodemographic characteristics. Results One hundred and sixty-eight patients were enrolled. The self-management behavior of patients with cirrhosis scored an average of 50.4±11.3, which was in the medium level. Self management behavior was positively and significantly correlated with social support (r=0.488, P<0.001) and the overall quality of life (r=0.554, P<0.001). Multiple linear regression indicated that the gender and course of the disease were two influencing factors. Moreover, female experienced better self-management behavior than men (t=27.090, P<0.001); and the longer the course of the disease was, the better the self-management behavior could be found (t=34.057, P<0.001). Conclusion We should strengthen the health education of self-management in patients with cirrhosis, and make full use of the patients’ social support system, so as to improve the patients’ self-management behavior as well as the treatment of diseases and their quality of life.