小儿重症肺炎患儿的病情评估中PEWS的价值以及护理管理

The vaIue of PEWS(Pediatric EarIy Warning Score)and nursing management in the evaluation of pediatric severe pneumonia

目的分析在评估重症肺炎患儿预后中应用小儿早期预警评分(PEWS)的临床作用,并探讨其护理管理措施.方法将我院72例重症肺炎患儿(于2019年1月~2019年12月间收治)纳入研究,通过运用PEWS评分工具在入院后4h内给予所有患儿进行病情评估,根据72例患儿的PEWS评分结果进行分组,再针对不同风险情况的患儿进行护理管理,实施相应的措施,比较患儿的基本情况?一般情况及预后情况.结果经PEWS系统评分评估,本组72例患儿中,20例(27.78%)患儿为极低风险级别,14例(19.44%)患儿为低风险级别,27例(37.50%)患儿为潜在风险级别,11例(15.28%)患儿为高风险级别.不同风险情况的患儿性别及疾病史比例?平均年龄等一般情况比较,有可比性(P>0.05).不同风险情况的患儿死亡率比较,差异显著(P>0.05);不同风险情况的患儿入住ICU率?总住院时间比较,差异显著(P<0.05).结论在评估重症肺炎患儿预后中应用PEWS可以很好地进行风险级别划分,为采取针对性护理管理措施提供参考价值,减少死亡.

Objective To analyze the clinical role of pediatric early warning score(PEWS)in evaluating the prognosis of children with severe pneumonia,and to explore its nursing management measures.Methods 72 cases of children with severe pneumonia general department(in January 2019 to December 2019)were included in the study,by using the PEWS scoring tool within 4h after admission to give all children condition assessment,according to the result of the PEWS rating of 72 cases of children with grouping,again according to different risk situation of pre-operation nursing management,implement the corresponding measures,compared with the basic situation,general situation and prognosis.Results According to the PEWS system score,of the 72 children in this group,20(27.78%)were of very low risk,14(19.44%)were of low risk,27(37.50%)were of potential risk,and 11(15.28%)were of high risk.The gender,proportion of disease history,average age and other general conditions of children with different risk conditions were compared(P>0.05).The mortality rate of children with different risk conditions was P>0.05.Comparison of ICU admission rate and total length of stay among children with different risk conditions(P<0.05).Conclusion The application of PEWS in the prognosis assessment of children with severe pneumonia can he a good rlassification of risk levels,and can provide reference value for taking targeted nursing management measures to reduce deaths.