摘要
目的探讨在手足口病合并病毒性心肌炎患儿护理中运用临床护理路径的价值。方法选取我院2015年8月至2017年7月收治的手足口病合并病毒性心肌炎患儿60例为研究对象。采用随机数表法将其随机等分为观察组和对照组。对照组给予常规护理,观察组给予临床护理路径护理。比较两组患儿住院时间、住院期间感染发生率和住院总费用,并在出院时进行护理满意度调查。结果观察组患儿住院时间短于对照组(P<0.05),感染发生率、住院费用均明显低于对照组,差异有统计学意义(P<0.05),患儿家长对护理满意度明显高于对照组,比较差异有统计学意义(P<0.05)。结论为手足口病合并病毒性心肌炎患儿提供临床护理路径,取得更好的临床效果,值得推广运用。
Objective To explore the value of clinical nursing pathway in the nursing care of children with hand-foot-mouth disease( HFMD) and viral myocarditis.Methods To select sixty cases of patients with HFMD and viral myocarditis as object of study from our hospital from August 2015 to July 2017,randomly divide them into observation group and control group by random number table method.The control group was given routine care and the observation group was given clinical nursing pathway.The hospitalization time,the incidence of infection and total hospitalization expenses were compared between the two groups,then the nursing satisfaction survey was conducted when the patients were discharged from hospital.Results To compare the hospitalization time,the observation group was shorter than the control group( P < 0.05),the incidence of infection,hospitalization expenses were significantly lower than the control group,and the difference was statistically significant( P < 0.05),nursing satisfaction thought by patient's family members is significantly higher than the control group,the difference was statistically significant( P < 0.05).Conclusion The clinical nursing pathway for children with HFMD and viral myocarditis can achieve better clinical effects and to be popularized and applied.
引文
[1]李桂链.基层医院小儿手足口病的预防与控制措施的探讨[J].中国医药科学,2017,7(14):45-48.
[2]陈喜平.黄芪注射液联合炎琥宁注射液治疗小儿手足口病合并心肌炎的临床研究[J].中药药理与临床,2017,33(1):209-211.
[3]宗渝敏.系统护理干预在小儿手足口病患儿治疗中的应用[J].医疗装备,2016,29(23):164-165.
[4]霍晓.对小儿手足口病流行情况的调查分析[J].中国卫生产业,2017,14(33):156-157.
[5]汪受传,王雷,尚莉丽.中医儿科临床诊疗指南·手足口病(修订)[J].世界中医药,2016,11(4):734-740.
[6]樊荣,穆亚宁,康淑红,任晓红.益气复脉、滋心养阴方联合卡托普利片治疗小儿手足口病并发病毒性心肌炎临床研究[J].中国中医药信息杂志,2017,24(11):17-21.
[7]耿楠.品管圈应用于手足口病患儿临床护理的效果分析[J].医学理论与实践,2016,29(8):1095-1097.
[8]陈娟娟,王丽娟.家庭协同式护理干预模式对小儿病毒性心肌炎患儿心理行为的影响[J].中西医结合心血管病电子杂志,2016,4(4):102-103.
[9]范华青.小儿手足口病并暴发性心肌炎4例临床治疗研究[J].中外医学研究,2015,13(4):116-118.
[10]陈莉.临床护理路径在手足口病患儿中的应用效果研究[J].临床医学工程,2017,24(5):723-724.