目的 探讨改良早期预警评分系统（MEWS）在急诊抢救室的应用价值。 方法 对2012年4月－5月在急诊抢救室就诊的213例患者进行MEWS评分，分析不同分数段患者的分布特点，追踪患者入院后的去向、病情转归及收住专科病房和重症医学科（ICU/CCU）的时间。 结果 与MEWS得分≥5分的患者相比，MEWS得分＜5分者好转出院、转入专科病房的比例较高，转入ICU/CCU比例低，差异有统计学意义（P＜0.05）；不同MEWS评分段患者转入ICU/CCU的时间最短，其次是出院回家，转入专科病房的时间最长，但MEWS得分＜5分者与≥5分者出院、转入专科病房和ICU/CCU时间之间的差异无统计学意义（P＞0.05）。 结论 MEWS可以预测患者病情变化及严重程度，对医护人员及时采取救护措施、合理安排住院有一定的指导作用，值得推广应用。
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.