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PEWS评分结合SBAR标准化沟通对重症肺炎患儿病情判断的有效性研究 被引量:18

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摘要 目的探讨PEWS评分结合SBAR标准化沟通在PICU重症肺炎患儿中的应用效果。方法选取2015年8月至2016年4月PICU收治的80例重症肺炎患儿作为研究对象,采取随机数字表法分为观察组、对照组各40例。对照组实施常规诊治,观察组在常规诊治基础上应用儿童早期预警评分(pediatric early warning score,PEWS),对评分t〉3分的患儿应用SBAR标准沟通方式。比较分析两组患儿病情观察正确识别率和危重患儿早期识别率。结果对照组40例患儿住院过程中,共报告103次,重复报告11次,医疗干预措施68例,抢救2次,病情观察正确识别率为73.91%(68/92),危重患儿早期识别率2.2%(2/92);观察组应用PEWS评分表共报告65次,重复报告3次,抢救6次,医疗干预措施58次,病情观察正确识别率为93.55%(58/62),危重患儿早期识别率9.7%(6/62)。观察组病情观察正确识别率及危重患儿早期识别率均高于对照组,差异有统计学意义(P〈0.05)。结论在PICU重症患儿中应用PEWS评分结合SBAR标准化沟通,可早期发现患儿病情恶化,在识别重症患儿潜在风险和准确报告方面具有一定临床意义。
出处 《国际儿科学杂志》 2017年第2期141-143,共3页 International Journal of Pediatrics
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