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Application effect of nursing model based on pediatric early warning score in children with high fall injuries |
MI Xiaoyan WANG Yun WANG Zhaojun YUAN Congcong FANG Qin |
Department of Emergency, Anhui Children’s Hospital, Anhui Province, Hefei 230051, China
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Abstract Objective To explore the application effect of nursing model based on pediatric early warning score (PEWS) in children with high fall injuries. Methods A total of 102 children with high fall injuries and 102 family members admitted to Anhui Children’s Hospital from July 2019 to May 2022 were selected as the research objects. The children were numbered according to the admission order, there was one family member for each case, and they were divided into control group and observation group by random number table method. The control group (51 cases, 51 family members) received routine rescue nursing intervention, and the observation group (51 cases, 51 family members) received nursing model based on PEWS intervention. The stay time in department of emergency, total rescue time, rescue effect, and complications were compared between the children of two groups. The self-rating anxiety scale (SAS) scores of family members of the two groups were compared before intervention (when the child was admitted to hospital) and after intervention (on the day after surgery if there was surgery, on the day after discharge if there was no surgery). Results The accuracy of PEWS was 96.08% for children with high fall injuries. The stay time in department of emergency, total rescue time in children of observation group were shorter than those in the children of control group, and the success rate of rescue in children of observation group was higher than that in the children of control group, the differences were statistically significant (P<0.05). After intervention, the SAS scores of family members in two groups were lower than those before intervention, and the observation group was lower than the control group, the differences were statistically significant (P<0.05). The incidence of complications in the children of observation group was lower than that in the children of control group, and the difference was statistically significant (P<0.05). Conclusion The application of nursing model based on PEWS in the early warning of children with high fall injuries showes a high prediction accuracy, which could effectively improve the efficiency and quality of rescue work, help to reduce the anxiety of family members and reduce the complications of children.
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