儿童早期预警评分结合PDCA循环在门诊手足口病患儿分诊、病情评估中的应用

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Abstract Objective To explore the application of early warning scores for children combined with PDCA cycle in triage and condition assessment of children with hand, foot, and mouth disease in outpatient service of infectious department. Methods From January 2020 to July 2021, a total of 1 256 children with hand, foot, and mouth disease who were admitted to the outpatient department of the Department of Infectious Diseases of the Children’s Hospital Affiliated to the Capital Institute of Pediatrics were selected as the research objects. The patients were divided into observation group (628 cases) and control group (628 cases) by random number table method. The control group was given routine disease assessment and triage and PDCA cycle mode intervention, while the observation group was given early warning scores for children combined with PDCA cycle mode intervention. The early warning scores for children in the observation group were analyzed, while the triage and condition evaluation, treatment effect, complication rate, and parent satisfaction were compared between the two groups. Results The reasonable rate of the observation group was higher than that of the control group, and the difference was statistically significant (P ＜ 0.05). The total treatment time, antipyretic time, and rash and herpes subsidence time in the observation group were shorter than those in the control group, and the differences were statistically significant (P ＜ 0.05). The total incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (P ＜ 0.05). The satisfaction of parents in the observation group was higher than that in the control group, and the difference was statistically significant (P ＜ 0.05). Conclusion The application of early warning score for children combined with PDCA cycle model in the outpatient department of infectious diseases for children with hand, foot and mouth disease has a significant effect, which can better complete the disease assessment and triage work, and screen out critically ill children at the first time and treat them symptomatically, thereby significantly reducing treatment time, reduce the incidence of complications, improve parental satisfaction, it is recommended to promote.

Key words： Hand-foot-mouth disease Early warning score for children PDCA cycle Triage Condition assessment Outpatient service of infectious department

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	ZHANG Yujing1 WANG Meilong1 HAO Hongli1 WANG Jiali1 YANG Ying2▲

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ZHANG Yujing1 WANG Meilong1 HAO Hongli1 WANG Jiali1 YANG Ying2▲. Application of early warning scores for childrem combined with PDCA cycle in the triage and condition assessment of children with hand, foot, and mouth disease in outpatient clinics[J]. 中国医药导报, 2022, 19(22): 189-192.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I22/189

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