Effects of Pediatric Early Warning Score nursing record template on pediatric pneumonia
10.3760/cma.j.issn.1674-2907.2019.17.012
- VernacularTitle:儿童早期预警评分护理记录模板在小儿肺炎中的应用效果
- Author:
Yixia SUN
1
;
Lihua HUANG
;
Yan ZHAO
Author Information
1. 安徽省儿童医院呼吸三科,合肥 230051
- Keywords:
Pneumonia;
Child;
Pediatric Early Warning Score;
Nursing document
- From:
Chinese Journal of Modern Nursing
2019;25(17):2164-2166
- CountryChina
- Language:Chinese
-
Abstract:
Objective? To explore the effects of Pediatric Early Warning Score (PEWS) nursing record template on pediatric pneumonia. Methods? The medical records of totally 40 pediatric pneumonia patients admitted between June and December, 2017 in the Department of Respiratory Medicine of a Class Ⅲ Grade A children's hospital were selected into the observation group, while the medical records of another 40 pediatric pneumonia patients admitted between June and December 2016 were selected into the control group by random sampling. The medical records of the control group were written in accordance with the Medical Record Writing Standards of Anhui Province (Version 2013), whereas the medical records of the observation group were written using the PEWS nursing record template. The nursing document quality scale of the two groups was viewed, and objectivity, expression of the specialty and misuse of medical terms were compared between the nursing records of the two groups; the time used to write the nursing records by nurses with different length of service was compared. Results? Totally 35 errors in objectivity, expression of the specialty and use of medical terms were found in the nursing records of the observation group, while those of the control group was 211, and there was statistically significant difference between the two groups (χ2=12.81, P＜0.05). Conclusions? The use of PEWS nursing record template can reduce the errors in the nursing records of pediatric inpatients, improve the quality of nursing documents, and save the time of writing nursing records for nurses, which is worth promoting in clinical practice.
