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优化后的儿科急诊护理及其对儿童成功复苏和不良反应的影响。

Optimized pediatric emergency nursing and Its effects on successful resuscitation and adverse reactions in children.

作者信息

Zhang Xia, Chen Xiao

机构信息

Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang City, Hubei Province, China.

出版信息

Front Pediatr. 2025 Jun 3;13:1578177. doi: 10.3389/fped.2025.1578177. eCollection 2025.

Abstract

OBJECTIVE

To evaluate impacts of optimized pediatric emergency care on successful resuscitation and adverse events of children in the emergency department.

METHODS

Pediatric patients who visited our hospital's emergency room between January 2022 and December 2023 were chosen as the study participants. These patients were randomly divided into the study group (using optimized emergency care model) and the control group (using conventional emergency care model). The two groups were compared for the rate of successful resuscitation, stabilization time of vital signs, average length of hospital stay, incidence of adverse reactions, parental satisfaction with nursing care, scores of Self-Assessment Scale of Anxiety (SAS) and Self-Assessment Scale of Depression (SDS) before and after nursing care, and assessment of life quality.

RESULTS

A total of 140 children were included in this study. Seventy patients each were assigned to study and control groups. After the intervention, the study group's successful resuscitation rate was considerably greater than the control's ( < 0.05). For the study group, the optimized care intervention significantly reduced the stabilization time of vital signs and the typical duration of hospitalization compared with the control group ( < 0.001). Compared to the control group, the study group had a lower incidence of adverse reactions ( < 0.05), a higher level of parental satisfaction ( < 0.05), significant reduction of the SAS and SDS scores ( < 0.001), and significant elevation of the quality of life scores ( < 0.001).

CONCLUSION

The study demonstrates that the optimized pediatric emergency care intervention is an effective approach for improving the successful resuscitation of children in emergency medicine, and mitigate the incidence of adverse reactions. Concurrently, the optimized nursing intervention was found beneficial for anxiety and depression levels, with a notable improvement in their quality of life as well as parental satisfaction. Optimized nursing interventions therefore are valuable and are recommended for wider pediatric emergency care practice.

摘要

目的

评估优化后的儿科急诊护理对急诊科儿童成功复苏及不良事件的影响。

方法

选取2022年1月至2023年12月期间到我院急诊室就诊的儿科患者作为研究对象。将这些患者随机分为研究组(采用优化急诊护理模式)和对照组(采用传统急诊护理模式)。比较两组的成功复苏率、生命体征稳定时间、平均住院时间、不良反应发生率、家长对护理的满意度、护理前后焦虑自评量表(SAS)和抑郁自评量表(SDS)评分以及生活质量评估。

结果

本研究共纳入140名儿童。研究组和对照组各70例。干预后,研究组的成功复苏率显著高于对照组(<0.05)。对于研究组,优化护理干预与对照组相比,显著缩短了生命体征稳定时间和平均住院时间(<0.001)。与对照组相比,研究组的不良反应发生率较低(<0.05),家长满意度较高(<0.05),SAS和SDS评分显著降低(<0.001),生活质量评分显著提高(<0.001)。

结论

该研究表明,优化后的儿科急诊护理干预是提高急诊医学中儿童成功复苏率、降低不良反应发生率的有效方法。同时,优化护理干预对焦虑和抑郁水平有益,其生活质量以及家长满意度也有显著改善。因此,优化护理干预具有重要价值,建议在更广泛的儿科急诊护理实践中应用。

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本文引用的文献

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Optimizing Pediatric Patient Safety in the Emergency Care Setting.优化急诊环境中的儿科患者安全。
J Emerg Nurs. 2022 Nov;48(6):652-665. doi: 10.1016/j.jen.2022.08.010. Epub 2022 Oct 5.
9
Paediatric emergency medicine.儿科急诊医学
Arch Dis Child. 2022 Mar;107(3):211. doi: 10.1136/archdischild-2021-323388. Epub 2021 Dec 10.

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