循证护理在小儿热性惊厥护理中实践.docVIP

循证护理在小儿热性惊厥护理中实践 　　[摘要] 目的 探讨循证护理在小儿热性惊厥护理中的效果。 方法 收集2010年1月―2014年12月于该院就诊的小儿热性惊厥患者180例，随机分为两组各90例，对照组采用常规护理模式，实验组在常规护理基础上采用循证护理方式，通过确定护理诊断，查阅相关文献，选择最佳护理证据，制定个体化干预措施。 结果 对照组再次发生惊厥频率为8.9%，实验组无再次惊厥的发生，两组差异有统计学意义（P=0.012）；实验组护理满意度显著优于对照组（98%VS87%，P=0.003）。结论 循证护理在小儿热性惊厥护理中可协助护理人员制定高效准确的护理措施，减少再次出现惊厥的频率，提高护理满意度。 　　[关键词] 循证护理；小儿热性惊厥；护理 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2015）05（c）-0136-03 　　[Abstract] Objective To investigate the effect of evidence-based nursing on children with febrile seizures. Methods 180 children with febrile seizures admitted in our hospital from January 2010 to December 2014 were selected and randomly divided into two groups， the control group and the experimental group， with 90 children in each. The control group were given the conventional nursing， and the experimental group were given the evidence-based nursing based on the conventional nursing. By determining the nursing diagnosis and consulting pertinent literature， the best nursing evidence was selected and individualized interventions were developed. Results The recurrence rate of febrile seizures in the control group was 8.9%， while no recurrence of febrile seizures occurred in the experimental group， the difference between the two groups was statistically significant （P=0.012）； the nursing satisfaction in the experimental group was significantly better than that in the control group （98% vs 87%，P=0.003）. Conclusion For children with febrile seizures， evidence-based nursing can help the nursing staff formulate efficient and appropriate nursing measures， reduce the frequency of recurrence of febrile seizures and improve the nursing satisfaction. 　　[Key words] Evidence-based nursing； Children with febrile seizures； Nursing 　　20世纪80年代Nelson和Ellenberg提出热性惊厥是指婴幼儿时期起病，伴有发热，但非颅内感染所致，一般多见于3个月到5岁患儿[1]。小儿热性惊厥可对患儿大脑造成不同程度的损伤，尤其是反复惊厥可影响患儿智力发育，甚至危及生命[2]。随着循证医学的产生与发展，循证护理（evidence-based nursing，EBN）概念应运而生，它是指护理人员在计划护理活动中，审慎地、明确地、明智地将科研结论与临床经验、患者愿望相结合，获取证据，作为临床决策依据的过程[3]。该院自2010年1月―2014年12月通过循