早期预警安全管理体系化护理对呼吸系统危急重症患儿的价值

The value of early warning safety management systematized nursing for critical children with respiratory system

目的探讨早期预警安全管理体系化护理在呼吸系统危急重症患儿中的临床应用效果。方法将2018年1月至2019年12月解放军总医院第七医学中心收治的60例呼吸系统危急重症患儿分为研究组(30例)和对照组(30例)。对照组行常规护理,研究组行早期预警安全管理体系化护理。比较两组患儿病情早期识别率、病情准确识别率、儿童重症监护室(pediatric intensive care unit,PICU)滞留时间、住院时间、护理工作质量情况及不良事件发生率。统计学方法采用χ^(2)和t检验。结果研究组与对照组患儿病情早期识别率(90.0%与46.7%)、病情准确识别率(96.7%与63.3%),研究组均高于对照组(P<0.001)。研究组与对照组患儿PICU滞留时间[(6.4±1.1)与(9.1±1.2)d]、住院时间[(13.2±2.4)与(17.3±2.5)d],研究组均短于对照组(P<0.001)。研究组患儿护理工作质量各指标评分均高于对照组(P<0.001)。研究组患儿住院期间不良事件发生率低于对照组(6.7%与46.7%,P<0.001)。结论给予呼吸系统危急重症患儿早期预警安全管理体系化护理,可有效提高疾病早期识别率和病情准确识别率,缩短患儿PICU滞留时间与住院时间,提高护理工作质量,减少不良事件的发生。

Objective To analyze the clinical application effect of the early warning safety management systematized nursing for critical children with respiratory system.Methods From January 2018 to December 2019,60 critical children with respiratory system admitted in the Seventh Medical Center of Chinese PLA General Hospital were divided into study group(n=30)and control group(n=30).Children in control group received routine nursing care,and children in study group received early warning safety management systematized nursing.The early disease detection rate,accurate disease identification rate,pediatric intensive care unit(PICU)residence time,length of hospital stay,nursing quality and the rate of adverse events in the two groups were compared.Statistical methods were used by χ^(2) and t test.Results The early disease detection rate(90.0%vs 46.7%)and accurate identification rate(96.7%vs 63.3%)in the study group were higher than those in the control group(P<0.001).While the PICU residence time[(6.4±1.1)vs(9.1±1.2)d]and hospital stay time[(13.2±2.4)vs(17.3±2.5)d]in the study group were shorter than those in the control group(P<0.001).The scores of nursing quality of children in the study group were higher than those in the control group(P<0.001).The rate of adverse events during hospitalization in the study group was lower than that in the control group(6.7%vs 46.7%,P<0.001).Conclusion The application of early warning safety management systematized nursing in critical children with respiratory system can effectively improve the early disease detection rate and accurate disease identification rate,as well as shorten the stay time and hospitalization time of PICU.It can improve the quality of nursing work,and reduce the incidence of adverse events.