儿童急性脊髓炎高压氧辅助治疗时精细化护理的管理效果

Management effect of intensive nursing in hyperbaric oxygen assisted treatment of acute myelitis in children

目的 分析儿童急性脊髓炎高压氧辅助治疗时精细化护理的管理效果。方法选取山东省菏泽市立医院2019年1月至2021年1月收治的60例儿童急性脊髓炎患儿作为研究对象,采用随机数字表法分为研究组、对照组,每组30例。对照组给予高压氧辅助治疗及常规护理管理,研究组给予高压氧辅助治疗及精细化护理管理。比较两组干预前、干预2周后汉密尔顿抑郁自评量表(HAMD)、汉密尔顿焦虑自评量表(HAMA)、肢体运动功能(Fugl-Meyer)评分。干预后评价家属满意度与患儿依从性。结果 干预后,两组HAMD、HAMA评分低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05)。干预后,两组上肢功能、下肢功能评分高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组护理满意度优于对照组,差异有统计学意义(P<0.05)。结论 在儿童急性脊髓炎行高压氧辅助治疗基础上,配合精细化护理管理干预,可明显缓解患者负性情绪,改善肢体功能,提高患儿依从性与家属满意度。

Objective To analyze the management effect of intensive nursing in hyperbaric oxygen assisted treatment of acute myelitis in children. Methods A total of 60 children with acute myelitis treated in Heze Municipal Hospital of Shandong Province from January 2019 to January 2021 were selected as research objects and divided into study group and control group by random number table method, with 30 cases in each group. The control group was given hyperbaric oxygen assisted therapy and routine nursing management, while the study group was given hyperbaric oxygen assisted therapy and refined nursing management. The Hamilton depression scale(HAMD), Hamilton anxiety scale(HAMA), and body motor function(Fugl-Meyer) scores of the two groups were compared before intervention and two weeks after intervention. Family satisfaction and children’s compliance were evaluated after intervention. Results After intervention, HAMD and HAMA scores of the two groups were lower than those before intervention, while those of the study group were lower than those of the control group, and the differences were statistically significant(P <0.05). After intervention, the scores of upper limb function and lower limb function in two groups were higher than before intervention, while those of the study group were higher than those of the control group, and the differences were statistically significant(P<0.05). The nursing satisfaction of the study group was better than that of the control group, and the difference was statistically significant(P <0.05).Conclusion On the basis of hyperbaric oxygen assisted treatment in children with acute myelitis, combined with refined nursing management intervention, can significantly relieve patients’ negative emotions, improve limb function, enhance children’s compliance and family satisfaction.