摘要
目的研究早期预警评分(PEWS)对重症肺炎患儿住院情况的影响。方法选取2018年10月至2019年5月广东医科大学附属第三医院收治的97例重症肺炎患儿,随机数字表法分为对照组和观察组。对照组男23例,女24例,年龄(3.72±1.81)岁;观察组男26例,女24例,年龄(4.12±1.93)岁。对照组采用常规护理模式,观察组采用PEWS为指导的护理模式,PEWS分值越高护理措施逐渐增加。比较两组的住院时间、儿科重症监护病房(PICU)非计划转入率、患儿及家属满意度。结果对照组住院时间为(21.91±5.14)d,观察组住院时间为(17.46±2.85)d,两组比较差异有统计学意义(t=4.79,P<0.001);对照组患儿的PICU非计划转入率高于观察组[19.1%(9/47)比6.0%(3/50)],两组比较差异有统计学意义(χ^(2)=3.86,P=0.049)。对照组患儿及家属的护理总满意率低于观察组[70.2%(33/47)比96.0%(48/50)],差异有统计学意义(χ^(2)=11.70,P=0.001)。结论将PEWS运用在儿童重症肺炎的护理中,可以缩短患儿的住院时间,降低PICU非计划转入率,同时提高患儿家属满意度,PEWS值得我们在临床上推广使用。
Objective To study the effect of pediatric early warning score(PEWS)on the hospitalization of children with severe pneumonia.Methods Ninety-seven children with severe pneumonia treated at Third Hospital,Guangdong Medical University were selected,and were divided into a control group and an observation group by the random number table method.The control group had 47 cases,including 23 males and 24 females,who were(3.72±1.81)years old.The observation group had 50 cases,including 26 males and 24 females,who were(4.12±1.93)years old.The control group was given routine nursing,while the observation group was given nursing based on PEWS.The higher the PEWS,the more nursing measures for the patients.The hospital stays,unplanned transfer-in rates of PICU,and the patients'satisfaction were compared between the two groups.Results The hospital stay was(21.91±5.14)d in the control group,and was(17.46±2.85)d in the observation group(t=4.79,P<0.001).The unplanned transfer-in rate of PICU in the observation group was lower than that in the control group[19.1%(9/47)vs.6.0%(3/50);χ^(2)=3.86,P=0.049].The nursing satisfaction in the observation group was significantly higher than that in the control group[70.2%(33/47)vs.96.0%(48/50);χ^(2)=11.70,P=0.001].Conclusions The application of PEWS in the nursing of children with severe pneumonia can shorten their hospital stay,reduce the unplanned transfer-in rate of PICU,and improve their family members'satisfaction.PEWS is worth being clinically generalized.
作者
陈宝英
周玲
李豪
梁惠冰
Chen Baoying;Zhou Baoying;Li Hao;Liang Huibing(Third Hospital,Guangdong Medical University(Longjiang Hospital,Shunde,Foshan),Foshann 528318,China)
出处
《国际医药卫生导报》
2021年第17期2683-2686,共4页
International Medicine and Health Guidance News
基金
佛山市医学科技攻关项目(1920001001682)。
关键词
早期预警评分
儿童重症肺炎
儿科护理
Pediatric early warming score
Severe pneumonia in children
Pediatric nursing
