223例小儿急性高热惊厥的病因分析及其综合护理效果观察.docVIP

223例小儿急性高热惊厥的病因分析及其综合护理效果观察 　　[摘要] 目的 为了寻找小儿急性高热惊厥的主要病因和有效护理方法，使患儿获得及时有效的治疗和护理。 方法 选取223例和150例高热惊厥患儿分别作为观察组和对照组。两组均接受相同的常规护理、降温护理和高热惊厥护理，观察组在此基础上接受心理护理和针对患儿家属的护理指导。观察患儿的原发疾病、惊厥发作次数、退热率、退热时间，采用自制的调查表对患儿家属进行护理满意度调查。 结果 223例患儿的原发疾病为上呼吸道感染最多，共125例，占56.05%，明显高于其他原发疾病导致的患病（P0.05）。观察组对护理的总满意度为93.3%（208/223）；对照组对护理的总满意度为74.7%（112/150）；观察组的护理总满意度高于对照组（χ2=5.271，P0.05）。 结论 上呼吸道感染是小儿急性高热惊厥的最主要原发疾病。综合护理措施可辅助药物治疗，使患儿体温尽快恢复正常，控制高热惊厥，具有较高的护理满意度。 　　[关键词] 小儿急性高热惊厥；原发疾病；降温护理；高热惊厥护理；综合护理措施 　　[中图分类号] R725.9 [文献标识码] B [文章编号] 1673-9701（2015）01-0070-04 　　Observation on cause and comprehensive nursing effect of 223 children with acute infantile febrile convulsion 　　MAO Junfang 　　Department of Pediatrics， the People’s Hospital of Zhuji City in Zhejiang Province， Zhuji 311800， China 　　[Abstract] Objective To find out the main causes and nursing of children with acute infantile febrile convulsion； To make children get timely and effective treatment and care. Methods A total of 223 and 150 children with acute infantile febrile convulsion were respectively set as treatment group and control group. The two groups were cared with the same conventional nursing， hypothermia care and febrile convulsion care， treatment group was also cared with psychological nursing and care for families of children with guidance. The primary disease， seizure frequency， rate of fever and antifebrile time were observed； Nursing satisfaction were investigated with the self-made questionnaire for family members of children. Results The 223 children with the most primary disease of upper respiratory tract infection， 125 cases， accounting for 56.05%，significantly higher than the prevalence of other primary diseases （P0.05）. Total nursing satisfaction of observation group was 93.3%（208/223）； while total nursing satisfaction of control group was 74.7%（112/150）； total nursing satisfaction of observation group was higher than control group（χ2=5.271， P 　　[Key words] Pediatric acute febrile convulsion； Primary diseas