儿童早期病情预警评分尺在神经内科危重患儿护理中的应用  

Application of pediatric early warning score ruler of children in the nursing of critically ill children in neurology department

作　　者：李艳[1] 刘美丽 梁檬[1] 陈阅薇 刘微[1] Li Yan;Liu Meili;Liang Meng;Chen Yuewei;Liu Wei(Department of Neurology,Hunan Children′s Hospital,Changsha 410007,China)

机构地区：[1]湖南省儿童医院神经内科,长沙410007

出　　处：《中国实用护理杂志》2022年第4期284-289,共6页Chinese Journal of Practical Nursing

基　　金：湖南省卫生健康委2020年度科研立项课题(20200352)。

摘　　要：目的设计儿童早期病情预警评分尺,并观察其在神经内科住院危重患儿护理中的应用效果。方法选择湖南省儿童医院神经内科2018—2019年收治的200例危重患儿,按住院时间将2018年1—9月住院的危重患儿102例设为对照组进行常规护理,将2019年1—9月住院的危重患儿98例设为观察组,在常规护理基础上运用儿童早期病情预警评分尺进行护理干预。比较2组危重患儿的住院天数、ICU转入率、医疗干预频次等。结果对照组住院天数为(18.17±6.33)d,观察组为(13.33±6.38)d,2组比较差异有统计学意义(t=5.38,P<0.01);对照组ICU转入率为17.6%(18/102),观察组为8.2%(8/98),2组比较差异有统计学意义(χ^(2)=3.98,P<0.05);对照组患者脱水降颅压、降温、镇静、吸氧占比分别为6.86%(7/102)、13.73%(14/102)、6.86%(7/102)、7.84%(8/102),观察组分别为17.35%(17/98)、27.55%(27/98)、24.49%(24/98)、28.57%(28/98),2组比较差异有统计学意义(χ^(2)值为5.20~14.55,均P<0.05)。结论应用儿童早期病情预警评分尺有利于护士早期识别患儿的病情变化及早干预,缩短危重患儿住院天数、降低ICU转入率,提高危重患儿护理质量。Objective To design a pediatric early warning score(PEWS)ruler and observe the effect of its application in the nursing of critically ill children hospitalized in neurology department.Methods A total of 200 critically ill children admitted to Department of Neurology of Hunan Children′s Hospital from 2018 to 2019.98 cases who were hospitalized from January to September 2019 were selected as the observation group,and 102 cases who were hospitalized from January to September 2018 were set as the control group.The control group received conventional care,while the observation group conducted PEWS ruler for nursing intervention on the basis of conventional care.The differences in hospital days,ICU transfer rate,and frequency of medical intervention between the two groups were compared.Results The hospital days of the control group and observation group were 18.17±6.33 and 13.33±6.38 respectively,and the difference between the two groups was significant(t=5.38,P<0.01).The ICU transfer rate was significantly different between the control group 17.6%(18/102)and observation group 8.2%(8/98)(χ^(2)=3.98,P<0.05).The reduction of increased intracranial pressure,cooling,calm,sedation and oxygen breathing in the control group were 6.86%(7/102),13.73%(14/102),6.86%(7/102),7.84%(8/102),while the observation group were 17.35%(17/98),27.55%(27/98),24.49%(24/98),28.57%(28/98),and the differences between the two groups were significant(χ^(2) values were 5.20-14.55,all P<0.05).Conclusions The application of PEWS ruler is helpful for nurses to recognize the progress of diseases of the critically ill children.Also,it can shorten the hospitalization days of these children,reduce the ICU transfer rate,as well as improve the nursing quality for them.

关 键 词：儿童早期预警评分 危重患儿 病情观察 医疗干预 风险评估 

分 类 号：R473.72[医药卫生—护理学]