儿童早期预警评分在意外伤害急诊患儿病情评估中的应用  

Application of Pediatric Early Warning Score System in Accident Emergency Nursing Triage Assessment

作　　者：王丽 张富强 何伟锋[2] 张景欣[3] 

机构地区：[1]惠州市120急救指挥中心,广东惠州516003 [2]惠州市第一人民医院,广东惠州516000 [3]惠州市中心人民医院,广东惠州516000

出　　处：《护理学报》2015年第16期56-58,共3页Journal of Nursing（China）

基　　金：惠州市科技计划项目(2013Y124)

摘　　要：目的探讨儿童早期预警评分在意外伤害急诊患儿病情评估中的应用。方法 2013年1月—2015年1月选取120急诊入院患儿400例,在患儿就诊后1 h内由急诊科护士对意外伤害急诊患儿采用儿童早期预警评分评估病情。观察意外伤害急诊患儿的儿童早期预警评分不同得分情况患儿入住ICU情况,包括是否入住ICU、住院时间及病死率。结果儿童早期预警评分不同得分患儿的年龄、交通事故、跌倒/坠落、窒息/溺水、锐/钝器伤等基本资料的比较差异无统计学意义(P>0.05)。儿童早期预警评分不同得分患儿入住ICU、住院时间和病死率的比较,差异均有统计学意义(P<0.05),儿童早期预警评分得分较高患儿,入住ICU比例较高,住院时间较长,病死率较高。结论儿童早期预警评分可较准确评估意外伤害急诊患儿的病情,为意外伤害急诊患儿分诊及疾病治疗提供参考依据。Objective To investigate the effect of Pediatric Early Warning Score （PEWS） System in accident emergency nursing triage assessment. Methods Four hundred children in pediatric emergency department from January, 2013 to January, 2015 were selected and their illness severity were assessed by PEWS scores by nurses. ICU admission rate, length of hospital stay, and mortality of children with different PEWS scores were observed. Results Basic information of children with different PEWS scores such as age, traffic accidents, fall, asphyxia, drowning, sharp/blunt injury had no statistical significant differences （ P〉0.05）. ICU admission rate, length of hospital stay, and mortality of children with different PEWS scores showed statistical significant difference （ P〈0.05）. Children with higher PEWS score had higher ICU admission rate, longer hospital stay time and higher mortality. Conclusion PEWS system is effective for the assessment of illness severity and provides reference for triage and treatment of unintentional children injuries.

关 键 词：意外伤害 急诊 患儿 早期预警评分 

分 类 号：R472.2[医药卫生—急诊医学]