小儿危重病护理评分法对于小儿护理的干预的 效果观察(1)
[摘要] 目的 分析小儿危重病护理评分法对于小儿护理的干预的效果。方法 随机选取该院儿科在2016年4月—2018年9月期间收治的120患儿作为研究对象，采用计算机进行随机分组，其中一组给予常规的护理措施，为对照组，另一组在此基础上采用小儿危重病护理评分法，为研究组，对比两组患儿的护理效果。结果 研究组患儿的治疗有效率为95.00%(57例)，高于对照组的83.33%(50例)，数据差异有统计学意义(χ2=4.227，P<0.05);研究组患儿未见死亡，对照组患儿的死亡率为6.67%(4例)，数据差异有统计学意义(χ2=4.137，P<0.05);研究组患儿家属的护理满意度为95.00%(57例)，高于对照组的80.00%(48例)，数据差异有统计学意义(χ2=6.171，P<0.05);研究组患儿并发症发生率为10.00%(6例)，低于对照组的35.00%(21例)，数据差异有统计学意义(χ2=10.753，P<0.05)。结论 在危重病患儿的护理中，采用小儿危重病护理可以有效提高患儿的治疗有效，减少并发症和死亡率，并提升家属的护理满意度，建议在临床中积极进行推广普及。
[关键词] 小儿危重病护理评分法;小儿护理;死亡率;并发症;护理效果
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2019)11(b)-0148-03
[Abstract] Objective To analyze the effect of pediatric critical illness nursing score on the intervention of pediatric nursing. Methods A total of 120 children admitted to the hospital from April 2016 to September 2018 were randomLy selected and randomLy divided into two groups. One group was given routine nursing measures as the control group and the other group， on this basis， the pediatric critical illness nursing score method was used as the research group to compare the nursing effects of the two groups of children. Results The effective rate of treatment was 95.00%(57 cases) in the study group， which was higher than that in the control group 83.33% (50 cases). The difference was statistically significant (χ2=4.227，P<0.05); there was no death， and the mortality rate of the control group was 6.67% (4 cases). The difference was statistically significant(χ2=4.137，P<0.05). The nursing satisfaction of the family members of the study group was 95.00%(57 cases)， 80.00% (48 cases) higher than the control group， the difference was statistically significant (χ2=6.171，P<0.05); the incidence of complications in the study group was 10.00% (6 cases)， lower than the control group 35.00% (n=21)， the difference in data was statistically significant(χ2=10.753，P<0.05). Conclusion In the care of critically ill children， the use of pediatric critical care can effectively improve the treatment of children， reduce complications and mortality， and improve the satisfaction of family members. It is recommended to actively promote it in the clinic.
[Key words] Pediatric critical care nursing score; Pediatric nursing; Mortality; Complications; Nursing effect
小兒患者智力尚未发育成熟，躯体耐受力较差，对疾病的抵抗能力也比较若，尤其是在临床护理中，由于患儿无法准确表达自己的意愿和病情，给护理工作带来了困难和挑战[1-3]。而对于危重病患儿而言，其护理难度则更大。近几年，我国医疗水平持续提升，社会对儿科护理也有了更高的要求，加之媒体不断曝光了各类医患纠纷事件，促使各大医院纷纷进行改革，提高临床护理水平已经成为了医院发展的一个必然趋势[4-6]。在危重病患儿的护理中，必须做到及时准确地观察患儿病情改变，并预判病情的发展，确保患儿能够得到及时有效的治疗，降低患儿死亡率，减少医疗纠纷。该文主要针对小儿危重病护理评分法对于小儿护理的干预的效果进行了研究，并随机选取了该院儿科在2016年4月—2018年9月期间收治的120患儿进行对照比较，现报道如下。, 百拇医药(李倩)
[关键词] 小儿危重病护理评分法;小儿护理;死亡率;并发症;护理效果
[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742(2019)11(b)-0148-03
[Abstract] Objective To analyze the effect of pediatric critical illness nursing score on the intervention of pediatric nursing. Methods A total of 120 children admitted to the hospital from April 2016 to September 2018 were randomLy selected and randomLy divided into two groups. One group was given routine nursing measures as the control group and the other group， on this basis， the pediatric critical illness nursing score method was used as the research group to compare the nursing effects of the two groups of children. Results The effective rate of treatment was 95.00%(57 cases) in the study group， which was higher than that in the control group 83.33% (50 cases). The difference was statistically significant (χ2=4.227，P<0.05); there was no death， and the mortality rate of the control group was 6.67% (4 cases). The difference was statistically significant(χ2=4.137，P<0.05). The nursing satisfaction of the family members of the study group was 95.00%(57 cases)， 80.00% (48 cases) higher than the control group， the difference was statistically significant (χ2=6.171，P<0.05); the incidence of complications in the study group was 10.00% (6 cases)， lower than the control group 35.00% (n=21)， the difference in data was statistically significant(χ2=10.753，P<0.05). Conclusion In the care of critically ill children， the use of pediatric critical care can effectively improve the treatment of children， reduce complications and mortality， and improve the satisfaction of family members. It is recommended to actively promote it in the clinic.
[Key words] Pediatric critical care nursing score; Pediatric nursing; Mortality; Complications; Nursing effect
小兒患者智力尚未发育成熟，躯体耐受力较差，对疾病的抵抗能力也比较若，尤其是在临床护理中，由于患儿无法准确表达自己的意愿和病情，给护理工作带来了困难和挑战[1-3]。而对于危重病患儿而言，其护理难度则更大。近几年，我国医疗水平持续提升，社会对儿科护理也有了更高的要求，加之媒体不断曝光了各类医患纠纷事件，促使各大医院纷纷进行改革，提高临床护理水平已经成为了医院发展的一个必然趋势[4-6]。在危重病患儿的护理中，必须做到及时准确地观察患儿病情改变，并预判病情的发展，确保患儿能够得到及时有效的治疗，降低患儿死亡率，减少医疗纠纷。该文主要针对小儿危重病护理评分法对于小儿护理的干预的效果进行了研究，并随机选取了该院儿科在2016年4月—2018年9月期间收治的120患儿进行对照比较，现报道如下。, 百拇医药(李倩)