Effective Evaluation of Nursing Intervention Based on Pediatric Early Warning Score for Pediatric Patients in the Respiratory Department

OBJECTIVE: This study evaluated the impact of nursing intervention based on the Pediatric Early Warning Score (PEWS) on pediatric patients. METHODS: A retrospective analysis was performed on 120 children admitted to the pediatric respiratory unit of Anhui Children's Hospital, and they were randomly and equally assigned to the observation group (PEWS-based nursing intervention) and the control group (usual care). The following parameters were compared: incidence of unplanned admissions to the pediatric intensive care unit (PICU), disease progression, average hospitalization days, hospital costs, time required for nursing assessment and management, nursing record error rate, and medical satisfaction. RESULTS: The incidence of unplanned admissions to PICU and disease exacerbations, mean hospital days and hospital costs were significantly lower in the observation group than in the control group (P < 0.05). Compared with the control group, the observation group had lower nursing care time, time to assess the disease, and an error rate in writing the entire nursing record. In addition, the accuracy rate of nurse assessment and the satisfaction rate of doctors and nurses in the observation group were significantly higher than those in the control group (P < 0.05). CONCLUSION: The PEWS-based nursing intervention not only reduced the unplanned admission rate, the incidence of disease worsening, and the average number of hospital days and hospital costs in the PICU but also accelerated the recovery process of pediatric patients in the respiratory unit. Meanwhile, PEWS-based nursing interventions can effectively improve nursing efficiency and medical care satisfaction.