广西少数民族边远山区县手足口病流行病学特征及护理干预评价

Epidemiological Characteristics of Hand-foot-and-mouth Disease and Evaluation of Nursing Intervention of Minorities in Remote Mountain of County in Guangxi

目的：探讨广西边远贫困落后地区东兰县儿童手足口病的流行病学特征及评价护理干预的效果，为今后该县对该病防制及护理干预提供参考。方法：收集该县2008-2014年各医疗单位诊治的手足口病例资料，护理干预分为无需住院和住院两大类五个不同时期诊治并进行分类护理干预。结果：该县在过去的7年间疫情报告手足口病病例共7966例，分布于全县各乡镇，年均人群发病率为380.12/10万，农村的各乡镇病例占69.96%（5573/7966），0~6岁幼儿占94.13%（7498/7796），1~4岁的占80.55%（6417/7966），重症病例占2.71％（216/7966）。经及时诊治和有效分类护理干预后，重症病例治愈，无死亡病例出现。结论：该县手足口病的及时诊治配合有效分类护理干预取得较好的效果。

Objective：To investigate the epidemiological characteristics of children hand-foot-and-mouth disease（HFMD） and evaluation of the effect of nursing intervention in remote disadvantaged areas in Donglan county in Guangxi,for the county to provide a reference for disease prevention and control and nursing intervention in the future.Method：The data of HFMD cases was collected for treatment of various medical units during 2008 to 2014 in the county,the nursing interventions were taken two categories five different times for treatment without hospitalization and hospital and nursing interventions classification.Result：The county in the past seven years,HFMD outbreaks were reported 7966 cases,the county located in the township,with an annual incidence rate of population 380.12/100,000,the township of cases in rural areas accounted for 69.96%（5573/7966）,0-6 years old children accounted for 94.13%（7498/7796）,1-4 years old accounted for 80.55%（6417/7966）,in severe cases accounted for 2.71%（216/7966）. After timely diagnosis and effective treatment classification nursing intervention the severe cases were cured,no deaths occured.Conclusion：The timely diagnosis and treatment of HFMD with effective of classification nursing interventions in the county can achieve better results.