基于儿童早期预警评分的护理模式在高空坠落伤患儿中的应用效果  

Application effect of nursing model based on pediatric early warning score in children with high fall injuries

作　　者：芈晓艳 王云 王昭军 苑聪聪 方琴 MI Xiaoyan;WANG Yun;WANG Zhaojun;YUAN Congcong;FANG Qin(Department of Emergency,Anhui Children’s Hospital,Anhui Province,Hefei230051,China)

机构地区：[1]安徽省儿童医院急诊科,安徽合肥230051

出　　处：《中国医药导报》2023年第15期176-179,196,共5页China Medical Herald

摘　　要：目的探讨基于儿童早期预警评分(PEWS)的护理模式在高空坠落伤患儿中的应用效果。方法选取2019年7月至2022年5月安徽省儿童医院收治的102例高空坠落伤患儿及102名家属作为研究对象,根据患儿入院顺序进行编号,每例患儿对应1名家属,然后采用随机数字表法将其分为对照组和观察组。对照组(51例患儿,51名家属)给予患儿常规抢救护理干预,观察组(51例患儿,51名家属)给予患儿基于PEWS护理模式干预。比较两组患儿急诊科停留时间、总抢救时间、抢救效果、并发症。比较两组患儿家属干预前(患儿入院时)、干预后(如有手术则为术后当日,无手术为出院时)的焦虑自评量表(SAS)评分。结果PEWS用于高空坠落伤患儿预警准确率为96.08%。观察组患儿急诊科停留、总抢救时间短于对照组,抢救成功率高于对照组,差异有统计学意义(P<0.05)。干预后,两组患儿家属SAS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组患儿并发症总发生率低于对照组,差异有统计学意义(P<0.05)。结论基于PEWS的护理模式用于高空坠落伤患儿预警表现出较高的预测准确率,可有效提高抢救工作效率和质量,有助于减轻家属焦虑情绪和减少患儿并发症。Objective To explore the application effect of nursing model based on pediatric early warning score(PEWS)in children with high fall injuries.Methods A total of 102 children with high fall injuries and 102 family members admitted to Anhui Children’s Hospital from July 2019 to May 2022 were selected as the research objects.The children were numbered according to the admission order,there was one family member for each case,and they were divided into control group and observation group by random number table method.The control group(51 cases,51 family members)received routine rescue nursing intervention,and the observation group(51 cases,51 family members)received nursing model based on PEWS intervention.The stay time in department of emergency,total rescue time,rescue effect,and complications were compared between the children of two groups.The self-rating anxiety scale(SAS)scores of family members of the two groups were compared before intervention(when the child was admitted to hospital)and after intervention(on the day after surgery if there was surgery,on the day after discharge if there was no surgery).Results The accuracy of PEWS was 96.08%for children with high fall injuries.The stay time in department of emergency,total rescue time in children of observation group were shorter than those in the children of control group,and the success rate of rescue in children of observation group was higher than that in the children of control group,the differences were statistically significant(P<0.05).After intervention,the SAS scores of family members in two groups were lower than those before intervention,and the observation group was lower than the control group,the differences were statistically significant(P<0.05).The incidence of complications in the children of observation group was lower than that in the children of control group,and the difference was statistically significant(P<0.05).Conclusion The application of nursing model based on PEWS in the early warning of children with high fall injuries showes a h

关 键 词：高空坠落伤 儿童 护理 儿童早期预警评分 

分 类 号：R473[医药卫生—护理学]