Design and application of high risk factor evaluation table for the hospitalized children with aspirations
10.3760/cma.j.issn.1674-2907.2017.26.023
- VernacularTitle:住院患儿误吸高风险因素评估表的设计及应用
- Author:
Suxia HU
1
;
Ying CAI
;
Yuan FAN
Author Information
1. 221000,江苏省徐州市儿童医院ICU
- Keywords:
Pediatrics patients;
Aspiration high risk-factors assessment table;
High-risk degree;
Low-risk degree;
Preventive care
- From:
Chinese Journal of Modern Nursing
2017;23(26):3411-3415
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the high risk factors of aspiration in children,and to provide an objective basis for the clinical practice. Methods According to the aspiration high-risk factors and the children characteristics,our hospital designed the evaluation sheet of risk factors for aspiration of children hospitalized in pediatric from the following eight factors including the age,history of vomiting frequency,aspiration history,shortness of breath and choke to cough,postures,vocal cord damaging,nasal gastric tube and the consciousness. The scoring range was 8-30 points,and the evaluation score was < 13 and classified as low risk. The evaluation score was ≥ 13 score as high risk degree. Meantime we made the different-degree prospective intervention measures of nursing intervention in advance. We selected 20265 pediatrics discharged children from June to December 2014 in our hospital as the control group,and selected 19826 pediatrics discharged children from June to December 2015 in our hospital as the observation group. We observed the protective effect of aspiration among children in two groups. Results Comparing clinical application effects before and after using high risk factors aspiration assessment table in pediatrics children,the incidence of aspiration/ asphyxia in the two groups was statistically significant(P<0.01). Conclusions The application of aspiration high-risk factors assessment in pediatrics hospitalized children can improve the nurses' ability to identify and judge the risk of aspiration and reduce the incidence of aspiration/suffocation among high-risk children.
