小儿护理中实施小儿危重病护理评分法的效果研究

范蓓

【摘 要】目的：剖析小儿危重病护理评分法针对小儿护理中的运用价值。方法：于本院2019年1月至2020年1月医院诊治的危重病患者中选择80例，分成两组，在基本救护和对症治疗的基本上，对照组实行基本危重病护理，课题组运用危重病护理评分法开展评分，并按照评估结果执行目的护理干预，对比两组护理实际效果。结果：课题组救护有效率明显超过对照组（P<0.05）。课题组护理满意率高于对照组，差别在统计学上意义明显（P<0.05）。危重病护理得分在70分及以下的患者其不良反应发生率明显高于71分～80分，80分之上的患者（P<0.05），具有统计学的差异。结论：在小儿护理中运用小儿危重病护理评分法，可合理提升临床医学救护实际效果，提高患者及亲属对护理工作的满意率。

【关键词】护理评分；救护实际效果；小儿护理；运用使用价值

Study on the effect of nursing scoring method for critical illness in children

FAN Bei

Women and children hospital in liaocheng，peadiatrics， Liaocheng， Shandong 252000， China

【Abstract】Objective： To analyze the application value of nursing scoring method for critical illness of children in nursing care of children. Methods： From January 2019 to January 2020， 80 critically ill patients diagnosed and treated in our hospital were selected and divided into two groups. On the basis of basic first aid and symptomatic treatment， the control group was given basic critical care， while the research group used the critical care scoring method to score， and implemented targeted nursing intervention according to the evaluation results. The actual nursing effects of the two groups were compared. Results： The rescue effective rate of the research group was significantly higher than that of the control group（P<0.05）. The nursing satisfaction rates of the research group was higher than that of the control group， and the difference was statistically significant（P<0.05）. The incidence of adverse reactions in patients with score of 70 and below was significantly higher than that in patients with score of 71～80 and above 80（P<0.05）， with statistical differences. Conclusion： The application of pediatric critical care scoring method in pediatric nursing can reasonably improve the actual effect of clinical medical rescue and improve the satisfaction rate of patients and their relatives to nursing work.

【Key？Words】Nursing score； Actual effect of rescue； Child care； Use value

小兒危重病护理中运用传统护理方式，无法比较客观精准地评定患者病况，没法对患者执行有目的的护理干预，不利于护理质量的提高。危重病护理评分法是一种专业的评分系统，可以比较好地分辨急危重病患者的病况严重水平，为掌握危重病护理评分针对小儿护理中的使用实际功效，文中对其进行如下报导。

1.1 一般资料

搜集病例80例，均为2019年1月至2020年1月医院诊治的危重病患者，排除肾脏比较严重畸形，血液类疾病患者，分成课题组40例，其中男22例，女18例，年龄4岁～6岁，平均年龄（5.6±1.4）岁，病症种类：急性呼吸窘迫综合征的9例，感染性休克的15例，脑疝的5例，应激性溃疡的9例，多脏器功能衰退2例。……