手足口病患者护理干预的文献回顾与分析

Literature review and analysis of nursing intervention among patients with hand-foot-month disease

目的：探讨10年来手足口病患者护理措施的发展变化、特点、发展方向及影响因素等。方法总结2004年1月—2013年12月10年来收录的公开发表的期刊文献，将文献数量、护理干预种类、护理干预方式的频次进行分类统计，以频数表表示。结果共纳入符合要求的参考文献544篇，涉及护理干预方式共51种，所有护理干预出现的频次共计3225次，其中排在前10位的护理干预分别是口腔护理（12.00%）、消毒隔离（11.37%）、皮肤护理（10.67%）、发热护理（10.23%）、病情观察（10.11%）、饮食护理（9.64%）、心理护理（8.49%）、健康教育（6.54%）、脑炎护理（3.13%）、气管插管护理（3．06%），共占所有干预频次的85.24% 。结论手足口病的流行趋势影响其护理研究，但常规护理干预方式始终占重要地位。随着危重症患者护理干预方式研究的不断深入，护理干预方式的研究呈多元化发展。

Objective To explore the development, characteristic, developmental direction and influencing factors of hand-foot-mouth disease in 10 years. Methods We summarized 10 years overt published literature review of journal, and classified statistic literature review amount, nursing intervention types and the frequencies of nursing intervention mode by frequency table. Results A total of 544 references met the requirements, involving a total of 51 kinds of nursing interventions. Total frequencies of interventions presented 3 225 times including the top ten ways accounted for 85. 24% of all interventions： oral care （12. 00% ）, disinfection and isolation （11. 37% ）, skin care （10. 67% ）, fever Care （10. 23% ）, disease observation （10. 11% ）, diet care （9. 64% ）, psychological care （8. 49% ）, health education （6. 54% ）, encephalitis care （3. 13% ）, intubation care （3. 06% ）. Conclusions The trends of hand-foot-mouth disease affects nursing research. Although routine care interventions always plays an important role, nursing intervention studies showed a diversified development in critically ill patients when we deepens study of nursing interventions.