Orem理念应用于手足口病患儿对其预后转归及家属感染事件的影响

Effect of Orem on prognosis of children with hand, foot, and mouth disease and infection in their family members

目的探讨手足口病患儿引入基于Orem理念为导向的照护策略对患儿疾病预后转归及家属感染率的影响。方法选取本院2013年9月至2016年3月收治的88例手足口病患儿，以随机数字表作为分组依据，将纳入对象分为研究组和对照组，各44例。对照组实施传统护理照护，而研究组则在对照组基础上引入基于Orem理念为导向的照护措施。记录两组患儿住院天数、病情好转所需天数、患儿手足口病复发率、家庭交叉感染和家属隐性感染。结果研究组住院天数和病情好转所需天数均短于对照组，差异有统计学意义（P〈0．05）。研究组复发率、家庭交叉感染率及家属隐性感染率均低于对照组，差异有统计学意义（P〈0．05）。结论对于手足口病患儿而言，引入基于Orem理念为导向的照护措施，有助于促进患儿病情预后转归，且能降低家属感染率，取得较为可观的临床疗效。

Objective To explore the effect of the care strategies based on Orem concept for children with hand, foot, and mouth disease on the prognosis and the infection rate of family members. Methods 88 children with hand, foot, and mouth disease admitted into our hospital from September, 2013 to March, 2016 were randomly divided into a study group and a control group, 44 cases for each group. The control group received traditional nursing care; in addition, the study group received Orem concept oriented care measures. The hospital stay, the time for the condition improvement, the recttrrence rate of hand, foot, and mouth disease, the family cross infection, and the hidden infection in family members were recorded. Results The hospital stay and the time for the condition improvement were shorter in the study group than in the control group, with statistical differences （P 〈 0.05）. The recurrence rate, the family cross infection rate, and the family members＇ recessive infection rate were lower in the study group than in the control group, with statistical differences （P 〈 0.05）. Conclusions For children with hand, foot, and mouth disease, the introduction of Orem based on the concept of care measures can promote the prognosis, reduce the family infection rate, and achieve a more significant clinical efficacy.