中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
27期
149-149,151
,共2页
小儿%危重病护理%临床护理%指导
小兒%危重病護理%臨床護理%指導
소인%위중병호리%림상호리%지도
Children%Critical care%Clinical nursing%Guidance
目的：分析小儿危重病护理评分法对小儿护理干预的指导价值，评价救护质量。方法：回顾性分析收治的152例患儿死亡危险(PRISM)评分分布，以PRISM指导分流转运、协调护患关系、特殊人群救护指导、动态评估患儿病情等护理工作，对比实际死亡率与预测死亡率。结果：各风险等级下患儿预测死亡率与实际死亡率基本相符；未发生一例医患纠纷，通报小儿死亡风险后家属依从性良好。结论：小儿危重病护理评分法是重症监护的基础，可指导小儿护理分诊分流、转出与转入流程，评价病情变化、救治效果，预测死亡风险，满足患儿家属知情权，避免医患纠纷。
目的：分析小兒危重病護理評分法對小兒護理榦預的指導價值，評價救護質量。方法：迴顧性分析收治的152例患兒死亡危險(PRISM)評分分佈，以PRISM指導分流轉運、協調護患關繫、特殊人群救護指導、動態評估患兒病情等護理工作，對比實際死亡率與預測死亡率。結果：各風險等級下患兒預測死亡率與實際死亡率基本相符；未髮生一例醫患糾紛，通報小兒死亡風險後傢屬依從性良好。結論：小兒危重病護理評分法是重癥鑑護的基礎，可指導小兒護理分診分流、轉齣與轉入流程，評價病情變化、救治效果，預測死亡風險，滿足患兒傢屬知情權，避免醫患糾紛。
목적：분석소인위중병호리평분법대소인호리간예적지도개치，평개구호질량。방법：회고성분석수치적152례환인사망위험(PRISM)평분분포，이PRISM지도분류전운、협조호환관계、특수인군구호지도、동태평고환인병정등호리공작，대비실제사망솔여예측사망솔。결과：각풍험등급하환인예측사망솔여실제사망솔기본상부；미발생일례의환규분，통보소인사망풍험후가속의종성량호。결론：소인위중병호리평분법시중증감호적기출，가지도소인호리분진분류、전출여전입류정，평개병정변화、구치효과，예측사망풍험，만족환인가속지정권，피면의환규분。
Objective:To analyze the value of nursing intervention guidance of children with pediatric critical care score method and evaluate the quality of ambulance.Methods:The(pediatric risk of mortality, PRISM)score distribution of 152 cases were retrospectively analyzed.Using PRISM to guide diversion,coordinating nurse-patient relationship,rescue guidance for special populations,dynamic assessment of children with the disease and other care work,we compared actual mortality and forecast mortality.Results:The mortality rate of the children was basically consistent with the actual mortality rate at each risk level.None case of medical dispute occurred,families of children with good compliance after inform the risk of death.Conclusion:The pediatric critical care score is the basis of the intensive care unit.It can guide pediatric care triage,the process of turn out and turn in, evaluate the changes of the disease,treatment effect,predict death risk,meet the families of children with the right to know to avoid medical disputes.
