小儿重型化脓性脑膜炎致高热的护理要点分析

Pediatric Nursing Key Points of Analysis of Heavy Fester Sex Meningitis Caused by High Fever

目的探讨小儿重型化脓性脑膜炎致高热的护理要点。方法整群选取该院自2014年3月—2016年2月以来所收治的79例小儿重型化脓性脑膜炎致高热患者,按照掷硬币法将患者分为常规组(39例)和综合优质组(40例)。常规组采取的护理模式为常规降温等基础护理;综合优质组在常规组基础上采取综合化优质护理干预。1综合优质组患者家长对护理的满意率100.00%显著比常规组高76.92%,差异有统计学意义,P<0.05;2综合优质组肛温恢复时间、脑温恢复时间、住院时间分别为(1.23±0.34)d、(1.53±0.44)d、(12.73±2.13)d,显著比常规组(2.72±0.95)d、(2.46±0.25)d、(16.67±4.82)d短,差异有统计学意义,P<0.05;3综合优质组患者治愈率87.50%显著高于常规组53.85%,死亡率2.50%显著比常规组12.82%低,差异有统计学意义,P<0.05。结论小儿重型化脓性脑膜炎致高热给予综合化优质护理干预,可有效促进患者肛温、脑温恢复,改善患者预后,降低死亡率,缩短患者住院时间,提升患者家长的满意度,值得推广。

Objective To investigate the heavy fester sex meningitis caused by high fever nursing key points. Methods Group selection from March 2014— February 2016, 79 cases treated by pediatric heavy fester sex meningitis patients with high fever, in accordance with the coin toss method divided the patients into conventional group （39 cases） and the compre-hensive quality group （40 cases）. Conventional nursing mode for the conventional cooling group and so on basic nursing; On the basis of comprehensive quality in the regular group take comprehensive quality nursing intervention. Results ①Com-prehensive quality group parents of patients for nursing satisfaction rate was 100.00% significantly than that of the conven-tional group 76.92%. There was significant difference, P〈 0.05;②integrated group of high-quality rectal temperature recov-ery time, brain temperature recovery time and hospitalization time were （1.23 ± 0.34）d, （1.53 ± 0.44）d （12.73 ±2.13） d, sig-nificantly than the conventional group （2.72±0.95）d, （246± 0.25）d, （16.67 ± 4.82） days short, have significant difference, P〈0.05; ③comprehensive quality group cure rate was 87.50% was significantly higher than that in the conventional group 53.85%, mortality rate of 2.50% were markedly higher than that in conventional group 12.82% low, there was statistically significant difference, P〈0.05. Conclusion Children with heavy fester sex meningitis caused by high fever to give compre-hensive high quality nursing intervention, which can effectively promote patients recovery anus temperature, brain tempera-ture, improve the prognosis of patients, reduce the mortality rate, shortening the time of patients in hospital, improve pa-tients＇ parents satisfaction, is worth promoting.