Altern Ther Health Med. 2024 Aug;30(8):233-239.
The objective of this study is to investigate the effects of emergency nursing interventions, specifically those based on the Pediatric Early Warning Score (PEWS), on children diagnosed with acute asthma, to promote the recovery of children with asthma and improve the quality of care for children with asthma.
A total of 80 children, Acute asthma attacks under the age of 12, diagnosed with acute asthma and admitted to the Emergency Department of Hebei Children's Hospital between June 2018 and June 2019 were selected as participants for this study. They were randomly assigned to either the control group or the PEWS group. There was no significant statistical difference in age, gender, course of disease, and disease severity between the two groups of children. In the control group, children received standard emergency nursing interventions, while in the PEWS group, children received emergency nursing interventions based on the Pediatric Early Warning Score (PEWS). To evaluate the effectiveness of these interventions, several outcome measures were compared between the two groups. This included assessing the duration for symptoms to disappear, analyzing pulmonary function indicators and respiratory dynamics indicators, measuring scores from the Pediatric Asthma Quality of Life Questionnaire (PAQLQ), and evaluating nursing satisfaction.
Following the implementation of the nursing interventions, 1. The average cough disappearance time of children in the PEWS group was 1.97 days shorter than that in the control group, the average wheezing disappearance time was 0.97 days shorter, the average dyspnea disappearance time was 0.64 days shorter, and the average lung wheezing disappearance time was 1.19 days shorter, which indicated that emergency care based on PEWS shortened the duration of symptoms in children with asthma. 2. The average FEV1 of children in the PEWS group was 9.87% higher than the control group, the average FVC was 0.62L higher, the average PEF was 9.84% higher, the average V70 was 0.91% higher, the average V50 was 0.43% higher , and the average V25 was 0.37% higher, when compared with control group. These results indicates that emergency care based on PEWS enhances the lung function of children with asthma. 3. The average respiratory rate of children in the PEWS group was 8.05 times/min lower, and the average dynamic respiratory system compliance was 6.91 mL/cmH2O higher, than that in the control group, which indicated that emergency care based on PEWS improved respiratory dynamics indicators in children with asthma. 4. The average PAQLQ symptom dimension score of children in the PEWS group was 0.84 points higher, the average activity dimension score was 0.34 points higher, and the average emotional dimension score was 0.47 points higher when compared with the control group. This indicated that emergency care based on PEWS improves the quality of life of children with asthma. 5. The nursing satisfaction of children in the PEWS group was 95%, higher than 72.5% in the control group, indicating that emergency care based on PEWS improved the satisfaction of asthma children with the nursing process.
The implementation of PEWS based emergency care in pediatric asthma patients has important clinical significance in promoting recovery and improving the quality of care for asthma patients. The implementation of emergency nursing interventions based on the Pediatric Early Warning Score (PEWS) for children with acute asthma has been found to be effective in promoting the recovery of their condition, enhancing their quality of life, and improving nursing satisfaction.
本研究旨在探讨急救护理干预措施的效果，特别是基于儿科预警评分（PEWS）的干预措施，对急性哮喘患儿的影响，促进哮喘患儿的康复，提高哮喘患儿的护理质量。
选取 2018 年 6 月至 2019 年 6 月期间在河北省儿童医院急诊科就诊的年龄在 12 岁以下的急性哮喘发作的 80 名患儿为研究对象。将他们随机分为对照组和 PEWS 组。两组患儿在年龄、性别、病程、疾病严重程度等方面均无统计学差异。对照组患儿接受常规急救护理干预，PEWS 组患儿接受基于儿科预警评分（PEWS）的急救护理干预。为了评估这些干预措施的效果，我们比较了两组患儿的几个结局指标。这包括评估症状消失的时间、分析肺功能指标和呼吸动力学指标、测量儿科哮喘生活质量问卷（PAQLQ）的评分以及评估护理满意度。
实施护理干预后：1. PEWS 组患儿的平均咳嗽消失时间比对照组缩短了 1.97 天，平均喘息消失时间缩短了 0.97 天，平均呼吸困难消失时间缩短了 0.64 天，平均肺部哮鸣音消失时间缩短了 1.19 天，表明基于 PEWS 的急救护理缩短了哮喘患儿的症状持续时间。2. PEWS 组患儿的平均 FEV1 比对照组高 9.87%，平均 FVC 高 0.62L，平均 PEF 高 9.84%，平均 V70 高 0.91%，平均 V50 高 0.43%，平均 V25 高 0.37%，表明基于 PEWS 的急救护理增强了哮喘患儿的肺功能。3. PEWS 组患儿的平均呼吸频率比对照组低 8.05 次/分钟，平均动态呼吸系统顺应性高 6.91mL/cmH2O，表明基于 PEWS 的急救护理改善了哮喘患儿的呼吸动力学指标。4. PEWS 组患儿的平均 PAQLQ 症状维度评分比对照组高 0.84 分，平均活动维度评分高 0.34 分，平均情绪维度评分高 0.47 分，表明基于 PEWS 的急救护理提高了哮喘患儿的生活质量。5. PEWS 组患儿的护理满意度为 95%，高于对照组的 72.5%，表明基于 PEWS 的急救护理提高了哮喘患儿对护理过程的满意度。
在儿科哮喘患者中实施基于 PEWS 的急救护理对促进康复和提高哮喘患者的护理质量具有重要的临床意义。对急性哮喘患儿实施基于儿科早期预警评分（PEWS）的急救护理干预措施，在促进患儿病情恢复、提高生活质量和改善护理满意度方面具有显著效果。
