护理干预在小儿高热惊厥中的应用研究
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摘要
目的探讨护理干预在小儿高热惊厥中的应用方法及效果。方法选择2017年1月～2018年3月期间本院收治的88例高热惊厥患儿,随机分为对照组(42例)和观察组(46例)。对照组常规行小儿高热惊厥急救处理及护理,观察组给予患儿综合性护理措施,对比分析两组患儿临床疗效、临床症状改善时间及住院时间,并比较两组护理满意度。结果观察组治疗总有效率为95.65%(44/46),对照组为80.95%(34/42),组间差异有统计学意义(P <0.05)。观察组患儿平均惊厥持续时间(4.73±2.13) min、退热时间(3.14±0.98)d、原发疾病控制时间(5.28±1.36)d、住院时间(6.13±1.78)d均显著低于对照组[(6.92±2.65)min、(4.57±1.38)d、(6.92±2.67)d、(8.67±2.19)d)],组间差异有统计学意义(P <0.05)。观察组护理满意度(97.83%,45/46)显著高于对照组(80.95%,34/42),组间差异有统计学意义(P <0.05)。结论综合性护理干预措施可有效保证小儿高热惊厥临床护理效果,有利于临床症状改善及临床疗效提升,患儿预后良好,值得推广借鉴。
Objective To explore the application methods and effects of nursing intervention in children with febrile convulsion. Methods Eighty-eight children with febrile convulsion who were admitted and treated in our hospital from January 2017 to March 2018 were selected and they were randomly divided into control group(42 cases)and observation group(46 cases).The control group was routinely given emergency treatment and nursing for children with febrile convulsion while the observation group was given comprehensive nursing measures.The clinical curative effects,improvement time of clinical symptoms and hospital stay of children and nursing satisfaction were compared between the two groups. Results The total effective rate was 95.65%(44/46)in the observation group and80.95%(34/42)in the control group.The difference between the two groups was statistically significant(P < 0.05).The average duration of convulsions(4.73±2.13)min,the defervescence time(3.14±0.98)d,the control time of primary disease(5.28±1.36)d,and hospital stay(6.13±1.78)d in the observation group were all significantly lower than those of the control group[(6.92±2.65)min,(4.57±1.38)d,(6.92±2.67)d,(8.67±2.19 d)].There were statistically significant differences between two groups(P < 0.05).The nursing satisfaction degree of the observation group was97.83%(45/46),significantly higher than that of the control group 80.95%(34/42).The difference between the groups was statistically significant(P < 0.05). Conclusion Comprehensive nursing intervention measures can effectively guarantee the clinical nursing effect of children with febrile convulsion,which is beneficial to the improvement of clinical symptoms and clinical curative effect.The prognosis of children is good and it is worthy of promotion and application.
Objective To explore the application methods and effects of nursing intervention in children with febrile convulsion. Methods Eighty-eight children with febrile convulsion who were admitted and treated in our hospital from January 2017 to March 2018 were selected and they were randomly divided into control group(42 cases)and observation group(46 cases).The control group was routinely given emergency treatment and nursing for children with febrile convulsion while the observation group was given comprehensive nursing measures.The clinical curative effects,improvement time of clinical symptoms and hospital stay of children and nursing satisfaction were compared between the two groups. Results The total effective rate was 95.65%(44/46)in the observation group and80.95%(34/42)in the control group.The difference between the two groups was statistically significant(P < 0.05).The average duration of convulsions(4.73±2.13)min,the defervescence time(3.14±0.98)d,the control time of primary disease(5.28±1.36)d,and hospital stay(6.13±1.78)d in the observation group were all significantly lower than those of the control group[(6.92±2.65)min,(4.57±1.38)d,(6.92±2.67)d,(8.67±2.19 d)].There were statistically significant differences between two groups(P < 0.05).The nursing satisfaction degree of the observation group was97.83%(45/46),significantly higher than that of the control group 80.95%(34/42).The difference between the groups was statistically significant(P < 0.05). Conclusion Comprehensive nursing intervention measures can effectively guarantee the clinical nursing effect of children with febrile convulsion,which is beneficial to the improvement of clinical symptoms and clinical curative effect.The prognosis of children is good and it is worthy of promotion and application.
引文
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[2]刘桂梅.65例高热惊厥患儿院前急救干预措施的应用效果及预后[J].中国妇幼保健,2017,32(14):3208-3210.
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[6]韩颖,姜玉武,秦炯.2010年全国小儿神经高级研讨会暨北大国际小儿神经论坛会议纪要[J].实用儿科临床杂志,2011,26(13):1064.
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[8]王庆.高热患儿发生热性惊厥的影响因素及针对性护理对策[J].山西医药杂志,2017,46(23):2960-2961.
[9]冯婕.高热患儿发生热性惊厥的影响因素及针对性护理的效果观察[J].安徽医药,2017,21(4):772-774.
[10]文启芹,明怀志,廖洪彬,等.热性惊厥174例临床分析[J].山西医药杂志,2016,45(2):163-166.
[11]林宝卿.综合护理干预对小儿高热惊厥急诊处理的临床效果[J].中外医学研究,2017,15(8):92-93.
[12]樊灵艳,程成,李彦卿.护士对儿童发热认知现状及影响因素分析[J].中国药物与临床,2016,16(2):300-302.
[13]顾静.全程绿色通道护理路径用于急诊小儿高热惊厥的效果评价[J].检验医学与临床,2016,13(24):3552-3554.
[14]董敏,李丹,李乃侠,等.综合护理干预对小儿高热惊厥家属心理状态及患儿临床效果的影响[J].国际精神病学杂志,2016,43(4):714-715.
[15]许男,陈莹,刘蕊,等.我国小儿高热惊厥急救护理临床现状[J].中国急救复苏与灾害医学杂志,2017,12(5):480-483.
[16]李水莉,赵丽丽,张培培,等.急诊与病房一体化健康教育对减少高热惊厥复发的效果观察[J].蚌埠医学院学报,2017,42(9):1278-1280.
[2]刘桂梅.65例高热惊厥患儿院前急救干预措施的应用效果及预后[J].中国妇幼保健,2017,32(14):3208-3210.
[3]王颖,邵亚望,王亚超,等.小儿高热惊厥的急救与护理分析[J].湖南中医药大学学报,2016,38(A1):14-15.
[4]刘桂清.20例小儿高热惊厥的急救与护理分析[J].检验医学与临床,2016,13(A2):408-409.
[5]朱元芳,闵丽,舒小玲.重症肺炎高热惊厥小儿110例的个性化护理效果分析[J].中国临床研究,2017,30(3):429-431.
[6]韩颖,姜玉武,秦炯.2010年全国小儿神经高级研讨会暨北大国际小儿神经论坛会议纪要[J].实用儿科临床杂志,2011,26(13):1064.
[7]张薇,李兵,冯静.个性化护理在小儿重症肺炎高热惊厥的效果观察[J].中国医药导刊,2016,18(4):405-406.
[8]王庆.高热患儿发生热性惊厥的影响因素及针对性护理对策[J].山西医药杂志,2017,46(23):2960-2961.
[9]冯婕.高热患儿发生热性惊厥的影响因素及针对性护理的效果观察[J].安徽医药,2017,21(4):772-774.
[10]文启芹,明怀志,廖洪彬,等.热性惊厥174例临床分析[J].山西医药杂志,2016,45(2):163-166.
[11]林宝卿.综合护理干预对小儿高热惊厥急诊处理的临床效果[J].中外医学研究,2017,15(8):92-93.
[12]樊灵艳,程成,李彦卿.护士对儿童发热认知现状及影响因素分析[J].中国药物与临床,2016,16(2):300-302.
[13]顾静.全程绿色通道护理路径用于急诊小儿高热惊厥的效果评价[J].检验医学与临床,2016,13(24):3552-3554.
[14]董敏,李丹,李乃侠,等.综合护理干预对小儿高热惊厥家属心理状态及患儿临床效果的影响[J].国际精神病学杂志,2016,43(4):714-715.
[15]许男,陈莹,刘蕊,等.我国小儿高热惊厥急救护理临床现状[J].中国急救复苏与灾害医学杂志,2017,12(5):480-483.
[16]李水莉,赵丽丽,张培培,等.急诊与病房一体化健康教育对减少高热惊厥复发的效果观察[J].蚌埠医学院学报,2017,42(9):1278-1280.