个性化全程护理干预对小儿麻疹合并重症肺炎的影响.docVIP

个性化全程护理干预对小儿麻疹合并重症肺炎的影响 　　[摘要] 目的 探讨个性化全程护理干预对小儿麻疹合并重症肺炎临床疗效的影响。 方法 选取2013年5月～2015年5月在四川省眉山市人民医院住院治疗的麻疹合并重症肺炎患儿124例， 随机分为对照组和观察组，每组各62例。两组患儿均给予抗感染、提高抵抗力、维持水电解质平衡等治疗，其中对照组给予常规护理方案，而观察组则采用个性化全程护理干预。护理干预1周后，比较两组患儿护理效果、退热时间、退疹时间及住院时间。 结果 观察组的总有效率为93.5%，高于对照组的80.6%（P 0.05）。两组患儿均未出现其他严重并发症，无死亡病例。观察组的退热时间、退疹时间及住院时间均明显短于对照组（P 0.05）。 结论 采用个性化全程护理干预可有效提高小儿麻疹合并重症肺炎的疗效，同时缩短症状恢复时间，提升其生活质量，值得临床推广。 　　[关键词] 麻疹；重症肺炎；小儿；个性化全程护理干预 　　[中图分类号] R473.72 [文献标识码] A [文章编号] 1673-7210（2016）01（b）-0150-05 　　[Abstract] Objective To study the influence of whole-course individualized nursing intervention on children with measles complicated by severe pneumonia. Methods 124 cases children with measles complicated by severe pneumonia treated in the Peoples Hospital of Meishan City from May 2013 to May 2015 were selected and randomly divided into control group and observation group， with 62 cases in each group. Both of them were treated with anti-infection， improved the resistance and maintained water and electrolyte balance. The control group was given routine nursing and the whole-course individualized nursing intervention was given to the observation group. The nursing effect， the length of stay and the time of fever relieving， vanishing of the rashes were compared between two groups. Results The total effective rate in observation group （93.5%） was significantly higher than that in control group （80.6%） （P 0.05）. There was no serious complication or death case occurred in the study. Besides， the length of stay and the time of fever relieving， vanishing of the rashes in observation group were shorter than those of control group （P 0.05）. Conclusion The whole-course individualized nursing intervention can improve the therapeutic effect of the disease， shorten the recovery time of symptoms and improve quality of life， which is worthy of clinical promotion. 　　[Key words] Measles； Severe pneumonia； Children； Whole-course individualized nursing intervention 　　随着我国广泛开展接种麻疹疫苗，麻疹的发病率及病死率均大幅下降，