评估先天性心脏病的早期发展,使用一种新的护理人员评分方法
H Gerry Taylor1,2, Jessica Quach3, Adrien M Winning3,4
1Department of Pediatrics, The Ohio State University, Columbus, OH, USA. hudson.taylor@nationwidechildrens.org.
Pediatric cardiology
|July 15, 2025
概括
在患有严重先天性心脏病 (CCHD) 的婴儿中,早期发现发育迟缓至关重要. 该PediaTracTM工具显示承诺作为一个有效的护理人员查方法,用于早期发展的CCHD婴儿.
科学领域:
- 儿科 儿科 儿科
- 发展心理学 发展心理学
- 医疗技术 医疗技术 医学技术
背景情况:
- 早期识别患有严重先天性心脏病 (CCHD) 的婴儿发育迟缓对于及时干预至关重要.
- 基于网络的护理人员评估提供了一种补充临床测试发展里程碑的临床测试方法.
- PediaTracTM是一款用于早期发育的新护理人员评级工具.
研究的目的:
- 评估PediaTracTM的有效性,作为CCHD婴幼儿传统里程碑评级的替代方案.
- 将PediaTracTM分数与已建立的发展里程碑评估进行比较,并确定与延迟相关的因素.
主要方法:
- 45名患有心血管疾病的婴儿/幼儿 (2-18个月) 的照顾者完成了PediaTracTM和年龄和阶段问卷,第3版 (ASQ-3) 评级.
- 通过对运动和社会沟通认知领域的项目响应理论,分析了PediaTracTM分数.
- 通过将PediaTracTM得分与参考组和ASQ-3里程碑延迟,医疗和社会人口统计因素进行比较来评估有效性.
主要成果:
- 患有CCHD的婴儿的运动分数明显低于预产期婴儿的参考组,显示出31%的运动缺陷率.
- 在CCHD婴儿和参考组之间,在社会沟通认知领域没有发现显著差异.
- 在任何一个领域的较低分数与ASQ-3里程碑延迟,更长的住院时间和单心室生理学相关.
结论:
- 这项研究证实,在被诊断患有心脏病的婴儿和幼儿中,运动发育迟缓.
- 在这个人群中,PediaTracTM 证明了其作为基于护理人员的早期发育查工具的有效性.
- PediaTracTM可以促进早期识别和干预患有慢性心脏病的婴儿的发育迟缓.
相关概念视频
Assessment of apical pulse
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
Assessment of apical radial pulse
Apical-Radial (A-R) Pulse Assessment
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
The A-R pulse assessment involves simultaneous evaluation of the apical and radial pulses. When the apical and radial pulse rates vary, this assessment helps identify a pulse deficit.
Pre-Procedural Preparation
Special considerations while measuring pulse
Assessing a patient's pulse is a fundamental skill in healthcare, but certain situations require special attention:
Assessment of Respiration
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
Nursing Evaluation
The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...
Section...
Assessment of the Cardiovascular System I: Subjective Data
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...


