儿童早期预警评分系统在急诊患儿预检分诊及转运中的应用效果  

Application effect of early warning score system in pre-detection triage and transport of emergency children

作　　者：王莉 郑少敏 WANG Li;ZHENG Shaomin(Department of Emergency,Hebei Children's Hospital,Hengshui Hebei 050031,China)

机构地区：[1]河北省儿童医院急诊科,河北衡水050031

出　　处：《中国急救复苏与灾害医学杂志》2025年第2期248-251,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：河北省医学科学研究课题计划(编号:20190787)。

摘　　要：目的分析儿童早期预警评分系统在急诊患儿预检分诊及转运中的应用效果。方法采用随机数字表法将2020年1月—2023年3月河北省儿童医院急诊科收治的212例急诊患儿分为对照组与试验组,各106例。试验组开展常规干预联合基于儿童早期预警评分系统的干预,对照组开展常规诊治工作,两组均干预至出院。比较两组急救、预检分诊、转运情况、治疗配合度、医疗恐惧情况、干预质量、干预满意度、干预期间不良事件发生情况。结果相较对照组,试验组预检分诊准确率、急救成功率更高,转运期间意外的发生率、转运中与接收科室交接不完整率更低(χ^(2)=6.385、6.558、4.698、7.738,P=0.012、0.010、0.030、0.005);儿童医疗恐惧量表(CMPS)(医疗环境恐惧、医疗操作恐惧、自我恐惧)评分更低(t=18.966、20.249、20.776,均P<0.001);Frankl、Houpt、文书书写、人员管理、仪器与药物管理、风险防范、危急重症管理、分诊与绿色通道管理、隔离消毒灭菌的评分更高(t=11.912、36.705、39.965、43.550、9.013、20.792、18.711、29.918、7.840,均P<0.001),对预检分诊、健康教育、基础干预、照护指导的满意率更高(χ^(2)=6.071、10.821、10.808、4.327,P=0.014、0.001、0.001、0.038)。干预期间,试验组不良事件(休克、急性心律失常、意识改变、急性呼吸困难)发生率在较对照组更低(χ^(2)=6.717、7.648、5.653、7.738,P=0.010、0.006、0.017、0.005)。结论儿童早期预警评分系统应用在急诊患儿中,可改善急救、预检分诊、转运情况,提高治疗配合度,降低医疗恐惧情况,改善干预质量,降低干预期间不良事件发生情况,获得患儿家属认可。Objective To analyze the application effect of early warning score system in pre-detection triage and transport of emergency children.Methods A total of 212 emergency children admitted to the emergency department of Hebei Children's Hospital from January 2020 to March 2023 were divided into the control group and the experimental group,with 106 cases in each group.The experimental group carried out routine intervention combined with the intervention based on the early warning score system for children,and the control group carried out routine diagnosis and treatment.First aid,pre-detection triage,transport,treatment cooperation,medical fear,intervention quality,intervention satisfaction and adverse events during intervention were compared between the two groups.Results Compared with the control group,the accuracy of pre-examination triage and the success rate of first aid in the experimental group were higher,and the incidence of accidents during transit and incomplete handover rate with receiving department were lower in the experimental group(χ^(2)=6.385,6.558,4.698,7.738,P=0.012,0.010,0.030,0.005);the scores of CMFS(fear of medical environment,fear of medical operation and fear of self)in the experimental group were lower(t=18.966,20.249,20.776,all P<0.001);the experimental group had a higher satisfaction rate in Frankl,Houpt,document writing,personnel management,instrument and drug management,risk prevention,critical and critical care management,triage and green channel management,isolation disinfection and sterilization were higher(t=11.912,36.705,39.965,43.550,9.013,20.792,18.711,29.918,7.840,all P<0.001),and pre-examination triage,health education,basic intervention and care guidance(χ^(2)=6.071,10.821,10.808,4.327,P=0.014,0.001,0.001,0.038).The incidence of adverse events(shock,acute arrhythmia,altered consciousness,acute dyspnea)was lower than those of the control groups during the intervention period(χ^(2)=6.717,7.648,5.653,7.738,P=0.010,0.006,0.017,0.005).Conclusion The application of early warning s

关 键 词：急诊 儿童 儿童早期预警评分系统 预检分诊 转运 治疗配合度 医疗恐惧 

分 类 号：R720.597[医药卫生—急诊医学]