基于PEWS评分的护理管理措施在重症社区获得性肺炎患儿中的应用  

Application of nursing management measures based on PEWS score in children with severe community acquired pneumonia

作　　者：郝洁[1] 吴湘涛 李树军[1] 杨卫红[1] 席慧芳 田小军[1] HAO Jie;WU Xiangtao;LI Shujun;YANG Weihong;XI Huifang;TIAN Xiaojun(The First Affi liated Hospital of Xinxiang Medical College,Weihui,453100,China)

机构地区：[1]新乡医学院第一附属医院,河南省卫辉市453100

出　　处：《护理实践与研究》2022年第3期315-320,共6页Nursing Practice and Research

基　　金：河南省医学科技攻关计划项目(编号:2018020355)。

摘　　要：目的分析基于小儿早期预警(PEWS)评分的护理管理在重症社区获得性肺炎患儿护理管理工作中应用效果。方法选取2018年9月—2020年12月医院重症儿童病房收治的重症社区获得性肺炎患儿92例,按照组间基本特征具有可比性的原则分为观察组和对照组,每组46例。对照组给予常规护理管理,观察组给予基于PEWS评分的护理管理措施,持续干预至出院。比较两组通气时间、住院时间、住院费用、并发症发生率、家属护理满意度、干预前后血气指标[血氧分压(PaO_(2))、二氧化碳分压(PaCO_(2))、血氧饱和度(SaO_(2))]、危重症评分(PCIS)、生活质量(PQL)评分。结果观察组通气、住院时间短于对照组,住院费用低于对照组。护理期间,观察组并发症发生率低于对照组;出院时观察组PaO_(2)、SaO_(2)高于对照组,PaCO_(2)低于对照组。干预后,观察组PCIS、PQL评分高于对照组;观察组家属护理满意度高于对照组;上述指标组间比较差异均有统计学意义(P<0.05)。结论基于PEWS评分的护理管理措施,改善患儿肺换气功能,降低并发症风险,缩短住院时间,减少医疗费用,并对提升患儿生活质量及家属护理工作满意度具有积极意义。Objective To analyze the application eff ect of nursing management based on children pediatric early warning score(PEWS)in the nursing management of children with severe community-acquired pneumonia.Methods From September 2018 to December 2020,92 children with severe community-acquired pneumonia were selected and divided into observation group and control group according to the principle of comparability of basic characteristics between groups,with 46 cases in each group.The control group was given routine nursing management,the observation group was given nursing management measures based on PEWS score,continuous intervention was given until discharge.To compare the aeration time,complication rates,length of hospital stay,hospital cost,complication the family's satisfaction of nursing,blood gas index before and after the intervention between two groups[bloo d oxygen partial pressure(PaO_(2)),carbon dioxide partial pressure(PaCO_(2)),blood oxygen saturation(SaO_(2))],pediatric critical illness score(PCIS),quality of life(PQL)score.Results The observation group had shorter ventilation and hospitalization time than the control group,hospitalization cost was lower than the control group.During the nursing period,the complication rate of observation group was lower than control group.The PaO_(2) and SaO_(2) in the observation group were higher than the control group when discharge,while PaCO_(2) was lower than those in the control group.After intervention,PCIS and PQL scores in the observation group were higher than the control group.The nursing satisfaction of the observation group was higher than the control group.There were statistically signifi cant diff erences in the above indexes among groups(P<0.05).Conclusion Nursing management measures based on PEWS score could improve the lung ventilation function of children,reduce the risk of complications,shorten the length of hospital stay,reduce medical costs and improve the quality of life of children and the family's satisfaction of nursing.

关 键 词：护理管理 重症社区获得性肺炎 护理质量 患儿 危重症评分 并发症 

分 类 号：R473.72[医药卫生—护理学]