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小儿早期预警评分在小儿重症肺炎病情评估中的价值及护理管理对策 被引量:16

Value of Pediatric Early Warning Score and Nursing Strategies for Severe Pediatric Pneumonia
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摘要 目的探讨小儿早期预警评分(PEWS)在小儿重症肺炎病情的评估价值及对护理管理对策的指导意义。方法选取78例患儿为观察对象,采取PEWS系统对患儿进行病情评价,观察不同评分情况的重症肺炎患儿入住重症病房的情况及住院时间,并针对不同评分情况的患儿制定相对应的护理管理对策。结果 PEWS不同得分患儿入住重症病房和住院时间比较差异有统计学意义(P<0.05),PEWS得分较高患儿入住重症病房比例较高,住院时间较长,预后较差。经精心护理后所有患儿无一例死亡,均痊愈出院。结论 PEWS在小儿重症肺炎病情的评估具有很高的临床价值,可帮助评价重症肺炎患儿的病情及预后,对其临床治疗和护理具有一定的指导意义。 Objective To investigate the value of pediatric early warning score(PEWS)in assessment of severe pediatric pneumonia and the guiding significance of nursing strategies.Methods The PEWS system was used to evaluate the condition of 78 children with severe pneumonia.ICU admission and hospital stay were recorded.Furthermore,the corresponding nursing strategies were developed according to the different PEWS scores.Results There were significant differences in ICU admission and hospital stay among children with different PEWS scores(P〈0.05).The high PEWS scores were associated with high ICU admission,long hospital stay and poor prognosis.No children died after careful nursing,and all children were cured and discharged from hospital.Conclusion PEWS has high clinical value in the assessment of severe pediatric pneumonia and important guiding significance in the treatment and nursing care.It can help to evaluate the condition and prognosis of children with severe pneumonia.
出处 《实用临床医学(江西)》 CAS 2017年第1期81-83,97,共4页 Practical Clinical Medicine
关键词 小儿早期预警评分 重症肺炎 价值 护理对策 pediatric early warning score severe pneumonia value nursing strategies
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