急诊护理临床路径在小儿惊厥中的应用

The Application of the Emergency Nursing Clinical Pathway in the Infant Seizure

目的探讨急诊护理临床路径对小儿惊厥抢救的价值。方法将2015年1月-2016年3月我院急诊科就诊的80例小儿惊厥患儿进行随机分组,分为传统护理组和急诊护理临床路径组,观察两组惊厥患儿进入急诊后抽搐持续时间及患儿家属对护理工作的满意度。结果传统护理组患儿进入急诊后抽搐持续时间为(6.36±7.47)min,家属对护理工作的满意度为80%;急诊护理临床路径组患儿从进入急诊后抽搐持续时间为(3.47±3.80)min,患儿家属对护理工作的满意度为95%。结论将急诊护理临床路径运用于小儿惊厥抢救中,可以缩短抽搐持续时间,亦可有效提高患儿家属满意度,取得较为满意的护理效果。

Objective To study the value of the emergency nursing clinical pathway in the emergency rescue process of infant seizure. Methods 80 cases of children with convulsions were divided into the tradition nursing model and the emergence nursing clinical pathway model two groups at random, who were rescued in our emergence department from January, 2015 to May, 2016. Then, we objected the twitch duration after the children with convulsions in the two different groups entered into the emergence department and the relations＇ degree of satisfaction to the nursing work. Results In the traditional nursing model, the twitch duration of the children with convulsions was （6. 36 ± 7.47）min, and the relations＇ degree of satisfaction to the nursing work was 80%. While in the emergence nursing clinical pathway model, the twitch duration of the children with convulsions was （3.47 ± 3.80）min, and the relations＇degree of satisfaction to the nursing work was 95 %. Conclusion Through the way of applying the emergency nursing clinical pathway into the rescue process of infant seizure, we not only could reduce the twitch duration of the children with convulsions, then abating the incidence of irreversible damage, such as the hypoxic brain damage and sequelae of convulsions, but also could improve the relations＇ degree of satisfaction to the nursing work and then get more satisfactory nursing effect.