儿科评估三角对PICU护士预见性思维和抢救协作能力的影响  

Impact of the Pediatric Assessment Triangle on PICU Nurses′Foresight Thinking and Resuscitation Collaboration Skills

作　　者：黄晓波[1] 王丽芳[1] 宋卓华 李艳青[1] 唐凤佳 HUANG Xiaobo;WANG Lifang;SONG Zhuohua;LI Yanqing;TANG Fengjia(The First Affiliated Hospital of Guangxi Medical University,Nanning City,Guangxi Zhuang Autonomous Region,China530021)

机构地区：[1]广西医科大学第一附属医院,广西南宁530021

出　　处：《卫生职业教育》2025年第1期139-142,共4页HEALTH VOCATIONAL EDUCATION

基　　金：2020年广西卫健委自筹经费科研课题“广西三级甲等医院住院患者身体约束现状调查及约束缩减干预应用研究”(Z20200480);2022年广西医科大学本科教育教学改革项目“基于OBE理念的情境模拟教学法在儿童急危重症护理实践教学中的应用及探索”(2022XJGY82)。

摘　　要：目的探讨在危重症患儿抢救护理中,应用儿科评估三角(pediatric assessment triangle,PAT)抢救评估流程对PICU(儿童重症监护室)护士预见性思维和抢救协作能力的影响。方法将PICU 33名临床重症护士纳为研究对象,采用自身对照研究方法,2023年1—6月对照期实施常规医护抢救评估,7—12月干预期实施基于儿科评估三角的救护理念,比较两期临床重症护士抢救评估流程执行时间、批判性思维能力和抢救效果。结果干预期护士病情评估平均耗时为(4.93±1.20)min,明显短于对照期的(7.20±0.82)min,且差异有统计学意义(P<0.05)。干预后,医护人员在危重症患儿早期识别能力、病情变化评估能力、预见性正确分析判断能力、抢救配合能力得分上均有提高,差异有统计学意义(P<0.05)。结论在PICU抢救评估过程中,以儿科评估三角为基础,能有效缩短评估过程实施时间,提高评估效率,有利于培养护士预见性思维和提高其抢救协作能力,值得在临床推广使用。Objective To investigate the impact of applying the pediatric assessment triangle(PAT)on the PICU nurses′foresight thinking and resuscitation collaboration skills in the resuscitation care of critically ill children.Methods 33 clinical nurses in the PICU were enrolled in the study,and the control period from January to June 2023 was used to implement the routine medical rescue assessment,and the intervention period from July to December 2023 was used to implement the rescue concept based on the Pediatric Assessment Triangle(PAT),and the implementation time,critical thinking ability,and rescue effect of the PAT were compared.We compared the implementation time,critical thinking ability and resuscitation effect of the resuscitation assessment process of clinical critical care nurses.Results The average time taken by the intervention nurses to assess the condition was(4.93±1.20)min,which was significantly shorter than that of the control period(7.20±0.82)min,and the difference was statistically significant(P<0.05).After the intervention,the scores of health care personnel in the early identification of critically ill children,the ability to assess the change of condition,the ability to analyze and judge correctly with foresight,and the ability to cooperate with the resuscitation were all improved,and the difference was statistically significant(P<0.05).Conclusion In the process of PICU rescue assessment,based on the pediatric assessment triangle,it can effectively shorten the implementation time of the assessment process,improve the efficiency of the assessment,and is conducive to the training of nurses′foresight thinking and improve their ability to resuscitation collaboration skills,and is worthy of being promoted and used in the clinic.

关 键 词：危重症患儿 PICU护士 病情评估 预见性思维 抢救协作能力 

分 类 号：R192.6[医药卫生—卫生事业管理]