儿童早期预警评分联合现状-背景-评估-建议沟通模式在留观危重患儿病情判断中的应用  

Application of the joint Status-Background-Assessment-Suggestion communication mode of the pediatric early warning system in the determination of the condition of critically ill children kept in hospital

作　　者：王青[1] 常春荣[1] 王伟芳 郑少敏 WANG Qing;CHANG Chunrong;WANG Weifang;ZHENG Shaomin(Department of Emergency,Hebei Provincial Children's Hospital,Hebei Province,Shijiazhang050031,China)

机构地区：[1]河北省儿童医院急诊科,河北石家庄050031

出　　处：《中国医药导报》2022年第35期161-164,共4页China Medical Herald

基　　金：河北省医学科学研究课题项目(20200647)。

摘　　要：目的研究儿童早期预警评分(PEWS)联合现状-背景-评估-建议(SBAR)沟通模式在留观危重患儿病情判断中的应用。方法回顾性分析2019年7月至2020年6月河北省儿童医院急诊留观区的200例患儿的临床资料,根据护理方式的不同将患儿分为对照组、研究组,各100例。对照组开展常规诊治工作,而研究组开展常规诊治+PEWS+SBAR工作,统计并比较两组患儿留观时间、非计划入住PICU率、致残率、病死率及患儿家属的满意度情况。结果两组PEWS评分比较,差异无统计学意义(P>0.05)。研究组留观时间短于对照组,差异有统计学意义(P<0.05)。研究组非计划入住PICU率低于对照组,差异有统计学意义(P<0.05)。两组致残率、病死率比较,差异无统计学意义(P>0.05)。研究组家属总满意率高于对照组,差异有统计学意义(P<0.05)。结论在急诊留观室危重患儿中采用PEWS+SBAR沟通模式,能有效缩短患儿的留观治疗,降低非计划入住PICU率,提升家属满意度。Objective To investigate the application of the combined status-background-assessment-recommendation(SBAR)communication model of the pediatric early warning system(PEWS)in the determination of the condition of critically ill children who were kept on hold.Methods The clinical data of 200 children in the emergency detention area of Hebei Children’s Hospital from July 2019 to June 2020 were retrospectively analyzed,and the children were divided into control group and study group according to the mode of care,with 100 cases in each group.In the control group,routine consultation and treatment were performed,while in the study group,routine consultation and treatment+PEWS+SBAR were performed,and the length of stay,unplanned PICU admission rate,disability rate,morbidity and mortality rate,and satisfaction of the child’s family were counted and compared.Results There was no statistically significant difference in the PEWS scores between the two groups(P>0.05).The retention time in the study group was shorter than that in the control group,and the difference was statistically significant(P<0.05).The rate of unplanned PICU admission in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference between the two groups in terms of disability and morbidity and mortality rates(P>0.05).The overall satisfaction rate of family members in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The use of PEWS+SBAR communication model in critically ill children in the emergency holding room can effectively shorten the stay of children,reduce the unplanned PICU admission rate,and improve family satisfaction.

关 键 词：危重患儿 儿童早期预警评分 现状-背景-评估-建议沟通模式 留观时间 家属满意度 

分 类 号：R47[医药卫生—护理学]