重症手足口病患儿急救护理干预研究.docVIP

重症手足口病患儿急救护理干预研究 　　[摘要] 目的 研究重?Y手足口病患儿的急救护理干预效果。方法 随机抽取2012年1月―2016年12月该院收治的80例重症手足口病患儿作为研究对象，根据双盲法将80例患儿分成两组，其中40例患儿应用常规护理为对照组，另外40例患者应用急救护理干预为观察组，对比两组护理有效率、治疗依从性、住院时间、症状消失时间及护理满意度等结果。结果 观察组治疗总有效率97.5%，对照组治疗总有效率80%，观察组治疗有效率明显比对照组高；观察组治疗依从性100.0%，对照组治疗依从性85.0%，观察组治疗依从性明显比对照组高，观察组发热消失时间（2.6±0.2）d，头痛消失时间（3.3±0.5）d，恶心、肢体抖动消失时间（4.5±0.4）d；对照组发热消失时间（3.4±0.6）d，头痛消失时间（4.1±0.6）d，恶心、肢体抖动消失时间（5.3±0.9）d；观察组发热、头痛、恶心及肢本抖动消失时间均短于对照组，观察组住院时间（8.6±1.2）d，对照组住院时间（12.0±1.6）d，观察组住院时间明显短于对照组；观察组口腔溃疡愈合时间（3.5±0.1）d，对照组口腔溃疡愈合时间（5.6±1.8）d；观察组口腔溃疡愈合时间明显短于对照组；观察组满意度97.5%；对照组满意度85.0%；观察组护理满意度明显高于对照组；观察组并发症发生率2.5%，对照组并发症发生率17.5%，观察组继发皮肤感染率明显低于对照组，两组并发症对比差异有统计学意义（P0.05）。结论 重症手足口病患儿实施急救护理干预可以改善临床症状体征，提高护理满意度和治疗效果，缩短患儿住院时间，降低并发症发生率，促进患儿及早康复出院，值得推广应用。 　　[关键词] 重症；手足口病；患儿；急救；护理干预 　　[中图分类号] R473 [文献标识码] A [文章编号] 1674-0742（2017）05（b）-0168-04 　　[Abstract] Objective To research the emergency nursing intervention effect of children with severe hand-foot-mouth disease. Methods 80 cases of children with severe hand-foot-mouth disease admitted and treated in our hospital from January 2012 to December 2016 were selected and divided into two groups with 40 cases in each， eh control group adopted the routine nursing， while the observation group adopted the emergency nursing intervention， and the effective rate， treatment compliance， length of stay， symptom disappearance time and nursing satisfactory degree were compared between the two groups. Results The total effective rate in the observation group was obviously higher than that in the control group（97.5% vs 80.0%）， and the treatment compliance in the observation group was obviously higher than that in the control group（100.0% vs 85.0%）， and the fever disappearance time， headache disappearance time and nausea and limb shaking disappearance time in the observation group were shorter than those in the control group[（2.6±0.2）d， （3.3±0.5）d， （4.5±0.4）d vs （3.4±0.6）d， （4.1±0.6）d， （5.3±0.9）d]， and the length of stay in the observation group was obviously shorter