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福古林评分在呼吸科住院部患儿中的应用:经验报告

Fugulin scale for classifying pediatric patients in a respiratory inpatient unit: experience report.

机构信息

Universidade Federal do Paraná, Programa de Pós-Graduação em Enfermagem, Curitiba, PR, Brazil.

Hospital Infantil Doutor Waldemar Monastier, Campo Largo, PR, Brazil.

出版信息

Rev Esc Enferm USP. 2023 Sep 15;57:e20220454. doi: 10.1590/1980-220X-REEUSP-2022-0454en. eCollection 2023.

Abstract

OBJECTIVE

To describe the use of the Fugulin scale to classify pediatric patients hospitalized in a respiratory unit as a subsidy for the allocation of human resources given the increase in cases of Severe Acute Respiratory Syndrome.

METHOD

Experience report conducted in a children's hospital in the Metropolitan Region of Curitiba with data collection from medical records and approved by the Institution and by the Research Ethics Committee.

RESULTS

Between February and May 2022, the percentage of patients categorized in minimal and intermediate care decreased by 53 and 11.4%, respectively, while those in high dependency and semi-intensive care expanded by 31.2 and 84.2%. In addition, in just four months, there was a considerable increase in the positivity of virologies compared to the twelve months of 2021. The susceptibility of children to the development of severe respiratory infection was proven through the decrease in virologies with undetectable results.

CONCLUSION

The results obtained allowed us to conclude there was a significant increase in the complexity of patients admitted to the respiratory unit, showing it is essential to provide a nursing team compatible with the care needs.

摘要

目的

描述使用福古林量表对呼吸科住院儿科患者进行分类,为严重急性呼吸系统综合征病例增加情况下的人力资源配置提供补贴。

方法

在库里蒂巴大都市区的一家儿童医院进行经验报告,从病历中收集数据,并获得机构和研究伦理委员会的批准。

结果

2022 年 2 月至 5 月,分类为低度和中度护理的患者比例分别下降了 53%和 11.4%,而高度依赖和半强化护理的患者比例分别增加了 31.2%和 84.2%。此外,仅四个月内,病毒学检测阳性率就比 2021 年 12 个月显著增加。儿童对严重呼吸道感染的易感性通过病毒学检测结果不可检测证明。

结论

研究结果表明,呼吸科收治患者的复杂性显著增加,因此提供与护理需求相匹配的护理团队至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d277/10516481/c10ff199757e/1980-220X-reeusp-57-e20220454-gf01.jpg

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