新生儿早期预警评分信息化系统的建立及应用

doi:10.3761/j.issn.0254-1769.2021.04.001

摘要/Abstract

摘要：

目的建立并应用新生儿早期预警评分信息化系统,为新生儿科护士提供快速、动态评估患儿病情的方法,提高护士同质化预警评估能力。方法便利选取温州市某三级甲等医院2019年7月—12月新生儿科住院的100例新生儿作为试验组,使用信息化系统进行新生儿早期预警评分;2019年1月—6月住院的100例新生儿作为对照组,由责任护士进行新生儿早期预警评分,比较两组吸氧例数、吸氧时间、有创机械通气例数、转入新生儿重症监护室例数、住院天数和护士预警评分的准确率、评分耗时。结果试验组有创机械通气例数、转入新生儿重症监护室例数少于对照组,差异具有统计学意义（P<0.05）,两组吸氧例数、吸氧时间和住院天数比较,差异无统计学意义（P>0.05）;试验组护士预警评分准确率明显提升,评分耗时下降显著,差异具有统计学意义（均P<0.05）。结论新生儿早期预警评分信息化系统在提高预警评分准确率和节省耗时上有明显优势,可提升不同年资护士对新生儿病情同质化预警评估能力,对临床潜在危重症患儿做到早发现、早干预、早治疗,减少不良事件发生,改善新生儿结局。

关键词: 早期预警评分, 信息化平台, 新生儿护理

Abstract:

Objective To establish and apply an information system of early warning scoring for neonates,so as to provide clinical nurses in neonatal departments with a rapid and dynamic method of assessing the conditions of patients,and to improve their ability to perform homogeneous early warning assessment. Methods 100 neonates hospitalized in a neonatal department from July to December 2019 in a tertiary hospital of Wenzhou City were selected as an observation group,and the early warning scores of neonates were evaluated using an information system. 100 neonates hospitalized from January to June 2019 were selected as a control group. The number of oxygen inhalation cases,oxygen inhalation time,the number of invasive mechanical ventilation cases,the number of cases transferred to NICU,the length of hospitalization,the accuracy of the early warning score,and the time consuming of the scoring were compared as the comparison indicators by artificial early warning scoring. Results The number of invasive mechanical ventilation cases and the number of cases transferred to NICU in the observation group were lower than those in the control group（P<0.05）. There was no significant difference in the number of oxygen inhalation cases,the time of oxygen inhalation and the length of hospital stay;the differences were statistically significant（P<0.05）. The accuracy rates of early warning scoring for nurses were significantly improved,and the time consuming for scoring decreased significantly with statistical differences（all P<0.05）. Conclusion The neonatal early warning scoring information system has obvious advantages in improving the accuracy of scores and saving time,improving the ability of nurses of different ages to make early warning assessments of neonatal conditions,and early detection of potentially critically ill children. Early intervention and early treatment can reduce the incidence of adverse events and improve clinical outcomes.

Key words: Early Warning Score, Informatization Platform, Neonatal Nursing

冯小芳,黄小夏,钱笑蓉,陈艳,张丽萍,孙彩霞. 新生儿早期预警评分信息化系统的建立及应用[J]. 中华护理杂志, 2021, 56(4): 485-489.

FENG Xiaofang,HUANG Xiaoxia,QIAN Xiaorong,CHEN Yan,ZHANG Liping,SUN Caixia. Establishment and application of an early warning scoring information system for neonates[J]. Chinese Journal of Nursing, 2021, 56(4): 485-489.

图/表 3

表1 改良版新生儿早期预警评分量表

Table 1 Modified Newborn Early Warning Score

表2 两组一般资料比较（$\bar{x}$±s）

Table 2 Comparison of two groups of general information（$\bar{x}$±s）

表3 两组疾病相关指标比较

Table 3 Comparison of disease related indexes between the two groups

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