儿科医院环境中的行为急症。
Behavioural emergencies in a paediatric hospital environment.
机构信息
Neurodevelopment & Disability, Nursing Research, Royal Children's Hospital, Melbourne, Victoria, Australia.
Department of Paediatrics, The University of Melbourne, Melbourne, Victoria, Australia.
出版信息
J Paediatr Child Health. 2022 Jun;58(6):1033-1038. doi: 10.1111/jpc.15896. Epub 2022 Feb 11.
AIM
Aggression and high-risk behaviours triggered by children in paediatric hospitals are increasing globally. There is a paucity of research describing behavioural emergencies in paediatric acute care settings.
METHODS
We conducted a 1-year retrospective study of behavioural emergencies that triggered an emergency response team attendance in a quaternary paediatric hospital.
RESULTS
In 2018, 218 children triggered 1050 behavioural emergencies, which utilised 386 h of the emergency response team time. Thirty-three (15%) children triggered more than five activations each (range 6-272) and nearly half (16) were children with autism spectrum disorder or intellectual disability. More than 80% of children who triggered an emergency team response also had at least one psychiatric co-morbidity.
CONCLUSIONS
Behavioural emergencies, by definition, put staff, children or their families at risk. They occur frequently in hospital with some children repeating these behaviours despite allocation of resources and expertise. New approaches to prevention and amelioration are needed.
目的
全球范围内，儿童医院儿童引发的攻击行为和高危行为日益增多。描述儿科急症环境中的行为急症的研究甚少。
方法
我们对一家四级儿科医院应急响应团队出勤触发的行为急症进行了为期 1 年的回顾性研究。
结果
2018 年，218 名儿童触发了 1050 次行为急症，动用了应急响应团队 386 小时的时间。33 名（15%）儿童触发的激活次数超过 5 次（范围 6-272），近一半（16%）为自闭症谱系障碍或智力残疾儿童。触发应急团队响应的儿童中，超过 80%至少伴有一种精神共病。
结论
根据定义，行为急症会使工作人员、儿童或其家属面临风险。尽管投入了资源和专业知识，但这些行为在医院中仍频繁发生，有些儿童还会重复这些行为。需要采取新的预防和改善方法。
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