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Clinical application of early warning score for children combined with SBAR shift exchange in pediatric ward |
ZENG Shui-ying XIAO Dong-su DONG Xian-yan |
Department of Pediatrics,Ganzhou People′s Hospital in Jiangxi Province,Ganzhou 341000,China |
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Abstract ObjectiveTo explore the application effect of early warning score for children combined with SBAR shift in hospitalized children of pediatric ward.Methods120 pediatric patients in line with standards and hospitalized in pediatric ward of our hospital from June 2016 to May 2017 were selected.According to the order of admission to the hospital,they were divided into the study group (n=60,given regular diagnosis treatment+early warning score for children+SBAR shift exchange)and control group(only regular treatment)in random.The hospital stay,the occurrence of shift exchange problems,and the family satisfaction degree were compared between the two groups.Fifty doctors were randomly investigated during the intervention of the two groups for their job satisfaction degree in pediatric department.ResultsIn the study group,the family satisfaction degree and doctor′s satisfaction degree was 98.3%,96.0%respectively,which was higher than that of the control group (86.7%,80.0%respectively,which were displayed statistical differences(P<0.05).In the study group,the hospital stay was shorter in comparison with that in the control group with a statistical difference (P<0.05).The incidence of shift exchange problems in the study group was lower than that in the control group with a statistical difference(P<0.05).In the study group,the non-planned occupancy rate of PICU,the rate of discharging without medical advice,and mortality were all lower than those in the control group,which were displayed statistical differences (P<0.05).ConclusionIn the management of pediatric wards,application of early warning score for children combined with SBAR shift mode can improve family and doctor satisfaction degree,shorten the hospital stay,reduce the occurrence of shift problems,and control non-planned PICU rate,the rate of discharging without medical advice,and mortality,which is worthy of further study and promotion.
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[1] |
兰红.心理护理在儿科静脉穿刺中的应用[J].中国当代医药,2016,23(23):195-196.
|
[2] |
农彩梅,黄曲云,黄青秀.改良早期预警评分与SBAR沟通模式在神经内科护理中的应用[J].护理实践与研究,2016,13(18):10-12.
|
[3] |
邱金花,林燕平,林宁,等.基于SBAR沟通模式的标准化床边交接班满意度评价[J].护理学杂志,2015,30(2):58-61.
|
[4] |
陶怡,蒋小平,程晓红,等.SBAR沟通模式在儿科急诊患者院内交接中的应用[J].中国护理管理,2015,15(9):1035-1038.
|
[5] |
张君,沈清清,任香娣,等.应用SBAR沟通模式降低患儿交接缺陷率[J].中国卫生质量管理,2016,23(6):29-30.
|
[6] |
王慧.儿科临床护理常见风险因素及应对措施分析[J].中国当代医药,2015,22(25):174-176.
|
[7] |
项昌富.574起护理不良事件原因分析及改进[J].台州学院学报,2015,37(6):62-64.
|
[8] |
田文芳,王能超,张一红,等.病情高危预警评分和医护标准化沟通模式在食管癌术后患者早期预警中的应用[J].河南医学研究,2017,26(3):543-545.
|
[9] |
彭伶丽,李映兰,贺爱兰,等.建立病情早期预警工作流程保障患者安全[J].中国护理管理,2014,14(12):1250-1254.
|
[10] |
刘力婕,张倩倩,刘硕,等.改良早期预警评分联合现状-背景-评估-建议标准化沟通模式在泌尿外科中的应用[J].中国医药导报,2017,14(8):160-163.
|
[11] |
李春容,林少虹,何玉萍,等.MEWS及SBAR在骨科术后病人早期预警中的应用研究[J].护理研究,2016,30(14):1751-1752.
|
[12] |
刘力婕,罗丽娜,侯彩云,等.MEWS联合SBAR在泌尿外科老年术后患者管理中的应用研究[J].河北医学,2017,23(3):466-469.
|
[13] |
刘力婕,罗丽娜,王智芳,等.MEWS及SBAR在泌尿外科安全管理中的应用[J].中国病案,2017,18(3):46-49.
|
[14] |
赵改丽,华宇婕,姚悦,等.SBAR标准化沟通模式在重症监护室转出交接中的应用[J].上海护理,2016,16(1):9-11.
|
[15] |
徐永能,卢少萍,黄巧,等.SBAR标准化床边交接班在老年卧床病人中的应用[J].护理研究,2016,30(18):2225-2228.
|
[16] |
崔丹,李洁,孙鹏,等.PEWS评分结合SBAR标准化沟通对重症肺炎患儿病情判断的有效性研究[J].国际儿科学杂志,2017,44(2):141-142.
|
|
|
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