【摘要】 目的 探讨在危重症患儿抢救护理中，应用儿科评估三角（pediatric assessment triangle,PAT）抢救评估流程对PICU（儿童重症监护室）护士预见性思维和抢救协作能力的影响。方法 将PICU 33名临床重症护士纳为研究对象，采用自身对照研究方法，2023年1—6月对照期实施常规医护抢救评估，7—12月干预期实施基于儿科评估三角的救护理念，比较两期临床重症护士抢救评估流程执行时间、批判性思维能力和抢救效果。结果 干预期护士病情评估平均耗时为（4.93±1.20）min，明显短于对照期的（7.20±0.82）min，且差异有统计学意义（P<0.05）。干预后，医护人员在危重症患儿早期识别能力、病情变化评估能力、预见性正确分析判断能力、抢救配合能力得分上均有提高，差异有统计学意义（P<0.05）。结论 在PICU抢救评估过程中，以儿科评估三角为基础，能有效缩短评估过程实施时间，提高评估效率，有利于培养护士预见性思维和提高其抢救协作能力，值得在临床推广使用。更多还原

【Abstract】 Objective To investigate the impact of applying the pediatric assessment triangle(PAT) on the PICU nurses′ foresight thinking and resuscitation collaboration skills in the resuscitation care of critically ill children.Methods 33 clinical nurses in the PICU were enrolled in the study,and the control period from January to June 2023 was used to implement the routine medical rescue assessment,and the intervention period from July to December 2023 was used to implement the rescue concept based on the Pediatric Assessment Triangle(PAT),and the implementation time,critical thinking ability,and rescue effect of the PAT were compared.We compared the implementation time,critical thinking ability and resuscitation effect of the resuscitation assessment process of clinical critical care nurses.Results The average time taken by the intervention nurses to assess the condition was(4.93±1.20)min,which was significantly shorter than that of the control period(7.20±0.82)min,and the difference was statistically significant(P<0.05).After the intervention,the scores of health care personnel in the early identification of critically ill children,the ability to assess the change of condition,the ability to analyze and judge correctly with foresight,and the ability to cooperate with the resuscitation were all improved,and the difference was statistically significant(P<0.05).Conclusion In the process of PICU rescue assessment,based on the pediatric assessment triangle,it can effectively shorten the implementation time of the assessment process,improve the efficiency of the assessment,and is conducive to the training of nurses′ foresight thinking and improve their ability to resuscitation collaboration skills,and is worthy of being promoted and used in the clinic.更多还原