摘要
目的探讨基于儿童早期预警评分(PEWS)的护理干预在急诊留观室危重患儿中的应用效果。方法选择2021年1—6月泉州市妇幼保健院·儿童医院急诊留观室收治的100例患儿,根据随机数表法将其分为A组(n=50)和B组(n=50)。给予A组患儿常规护理,B组采用基于PEWS的护理干预。观察两组儿童重症监护室(PICU)转入情况、不良事件发生情况、急诊抢救时间、PICU监护时间及住院时间,比较两组早期病情识别率、病情观察识别率及患儿照顾者准备情况。结果B组患儿PICU转入率、不良事件发生率低于A组,且急诊抢救时间、PICU监护时间及住院时间均短于A组,差异有统计学意义(P<0.05);B组早期病情识别率、病情观察识别率及照顾者准备度量表(CPS)评分均明显高于A组,差异有统计学意义(P<0.05)。结论基于PEWS的护理干预能够降低急诊留观室危重患儿PICU入住率,促进患儿康复,减少不良事件,同时有助于提高早期病情识别率及观察识别率,改善患儿照顾者准备度。
Objective To explore the effectiveness of applying nursing intervention based on pediatric early warning score(PEWS)in critically ill children in emergency observation rooms.Methods A total of 100 children admitted to the emergency observation rooms of QuanZhou Women’s and Children’s Hospital from January to June 2021 were selected and divided into Group A(n=50)and Group B(n=50)by using the random number table method.Group A received routine nursing,while Group B was given PEWS-based nursing intervention.The hospitalization in pediatric intensive care units(PICUs),the occurrence of adverse events,emergency rescue time,PICU monitoring time,and hospitalization time in PICUs of the two groups were observed,and the early disease recognition rate,disease observation recognition rate,and caregiver preparedness of the two groups were compared.Results The PICU transfer rate and the occurrence rate of adverse events in Group B were lower than those in Group A,and the emergency rescue time,the PICU monitoring time,as well as the hospitalization time were shorter than those in Group A,with statistically significant differences(P<0.05);On the other hand,the early disease recognition rate,the disease observation recognition rate,and the caregiver preparedness scale(CPS)scores of Group B were significantly higher than those of Group A,with statistically significant differences(P<0.05).Conclusion Pediatric Early Warning Score-based nursing can reduce the PICU occupancy rate of critically ill children in the emergency observation rooms,promote patient recovery,reduce adverse events,and help improve early disease recognition and observation recognition rates,as well as improve caregiver preparedness.
作者
王宝虹
王丹妮
王巧白
WANG Baohong;WANG Danni;WANG Qiaobai(Emergency Department,QuanZhou Women’s and Children’s Hospital,Fujian,Quanzhou 362000,China)
出处
《中国医药科学》
2023年第18期108-111,123,共5页
China Medicine And Pharmacy
关键词
儿童早期预警评分
急诊留观室
不良事件
病情观察
Pediatric early warning score
Emergency observation rooms
Adverse events
Disease observation
