小儿危重特发性血小板减少性紫癜优质护理的效果

Effect of Quality Nursing care on Idiopathic Thrombocytopenic Purpura in Children

目的探讨小儿危重特发性血小板减少性紫癜(ITP)的干预要点。方法以我院60例ITP患儿为研究对象,按照住院先后顺序分为对照组与观察组,每组30例,对照组予以常规ITP护理干预,观察组予以优质护理服务,两组干预一个月。自拟症状评分量表评估患儿临床症状改善情况,并比较两组住院情况,包括护理满意度、住院时间及不良反应,随访2年,统计两组患儿再入院次数。结果干预后两组各症状及总评分均显著低于干预前,且干预后对照组总评分(7.5±1.1)分,显著高于观察组(6.2±0.9)分(P <0.05);干预后两组疾病严重程度较干预前显著好转;对照组住院时间、再入院次数依次为(28.7±4.3) d、(3.2±0.5)次,均显著高于观察组(23.5±3.4) d、(2.7±0.4)次(P <0.05),护理满意度(85.7±5.4)分显著低于观察组(92.3±3.6)分(P <0.05),但对照组不良反应率23.3%与观察组16.7%无显著差异(P> 0.05)。结论通过对小儿危重ITP患儿治疗期间加以优质护理,可加强治疗疗效,有效改善患儿预后。

Objective To investigate the key points of intervention for critical idiopathic thrombocytopenic purpura(ITP)in children.Methods 60children with ITP in our hospital were selected as the subjects,and they were divided into the control group and the observation group according to the order of admission,30 cases in each group.The control group was given routine ITP nursing intervention,while the observation group was given high-quality nursing,and the two group were intervened for one month.The relief of clinical symptoms in children was evaluated with self-designed symptoms rating scale.The status of hospitalization,including nursing satisfaction,hospitalization time and adverse reactions,were compared between the two groups.After 2 years of follow-up,times of readmission was statistically analyzed.Results After intervention,symptom scores and the total score of the two groups were significantly lower than those before the intervention.The total score of the control group (7.5±1.1 )was significantly higher than that of the observation group (6.2±0.9 )(P <0.05 ).After intervention,the condition of the two groups was significantly better than that before intervention.The hospitalization time and times of readmission of control group [(28.7 ±4.3 )d,(3.2 ±0.5 )times ]were significantly longer /more than those of the observation group [(23.5 ± 3.4 )d,(2.7±0.4)times ](P <0.05 ),and the nursing satisfaction score (85.7 ±5.4 )was significantly lower than that of the observation group (92.3±3.6 )(P <0.05 ).There was no significant difference in the incidence of adverse reactions between the two groups (23.3 % vs 16.7 %)(P >0.05 ).Conclusion The application of high-quality nursing in children with critical ITP during treatment can strengthen the effects and effectively improve the prognosis.