综合护理干预在危重症手足口病患儿中的应用有效性评价

The Effectiveness Evaluation of Comprehensive Nursing Intervention Measures in the Critically Ill Children with Hand Foot and Mouth Disease

目的:探讨综合护理干预在危重症手足口病患儿中的应用有效性评价。方法:选取2012年6月-2013年1月在笔者所在医院治疗的292例危重症手足口病患儿作为研究对象,按照随机数字表法将其分为观察组和对照组各146例,在两组给予同样治疗的同时,观察组给予综合护理干预措施,对照组给予常规护理,观察比较两组患儿的护理效果及干预前后的生命系数评分情况。结果:观察组的总有效率93.2%(136/146)明显高于对照组的67.1%(98/146),差异有统计学意义(P<0.05)。两组干预后的精力、疼痛及情绪反应评分均明显低于干预前,而观察组的各生命系数评分及总指数均明显低于对照组,差异均有统计学意义(P<0.05)。结论:对危重症手足口病患儿实施综合护理干预能有效提高治疗总有效率和护理效果和护理满意度,减少患儿痛苦,提高耐受性,值得在临床护理中推广。

Objective：To investigate the effectiveness evaluation of comprehensive nursing intervention measures in the critically ill children with hand foot and mouth disease.Method：292 critically ill children with hand foot and mouth disease in our hospital from June 2012 to January 2013 were selected as research objects,they were divided into the observation group and the control group according to the random number table method,146 cases in each group.The two groups were given the same treatment at the same time,the observation group was given comprehensive nursing intervention measures and the control group was only given usual care.The nursing efficacy and life coefficient score before and after intervention between the two groups were observed and compared.Result：After treatment and nursing,the total effective rate of observation group was 93.2%（136/146）,it was significantly higher than 67.1%（98/146） of control group,the difference was statistically significant（P〈0.05）.The energy,pain and emotional response scores after intervention of the two groups were significantly lower than those before intervention,and the coefficient of life score and total index of observation group were significantly lower than those of control group,the differences were statistically significant（P〈0.05）.Conclusion：The implementation of comprehensive nursing intervention on children with critical disease hand foot and mouth disease can effectively improve the efficiency and ursing efficacy,reduce the pain of patients,improve the tolerance,is worthy of promotion in clinical nursing.