重症早期预警的护理策略在小儿手足口病中的影响

Effects of Severe Early Warning care Strategy on Children with Hand-foot-mouth Diseases

目的探索重症早期预警护理策略用于小儿手足口病临床护理的效果。方法在我院收治的手足口病患儿中随机选出130例作为本次临床研究的对象,将其随机分入到观察组和对照组,对照组65例患儿采用常规临床护理策略,观察组65例患儿则采用重症早期预警护理策略,对比分析两组患儿的病情缓解时间、实验室指标值、并发症发生率、家属护理满意度等指标。结果观察组的疱疹消退时间、热退时间均比对照组短,观察组的实验室指标(中性粒细胞、NSE、CK、CK-MB、PFG)均低于对照组(P<0.05);且观察组的重症发生率(7.69%)低于对照组(21.54%),观察组并发症发生率(6.15%)低于对照组(20.0%),P<0.05;观察组患儿家属的护理满意度评分比对照组高(P<0.05)。结论在小儿手足口病护理工作中采用重症早期预警护理策略有助于预防病情的重症化发展,促进患儿的早日康复,值得推广应用。

Objective To explore the effects of severe early - warning nursing strategy on clinical nursing of children with hand - foot - mouth diseases. Methods 130 children with hand - foot - mouth diseases in our hospital were randomly selected as the objects of this clinical study, and randomly divided into observation group and control group. The control group （ n = 65 ） was treated with conventional clinical nursing, while the observation group （ n = 65 ） with severe early warning care. The two groups were compared in view of some indicators such as remission time, laboratory values, the incidence of complications and family care satisfaction. Results Herpes fade time and thermal annealing time of the observation group were shorter than that of the control group. The laboratory indicators （neutrophils, NSE, CK, CK - MB, PFG） were lower than the control group （P 〈 0. 05 ）. The incidence of severe diseases and complications in the observation group （ 7.69%, 6. 15% ） was lower than that of the control group （21.54% , 20. 0% ; P 〈0. 05）. Family care satisfaction in the observation group was higher than that in the control group （ P 〈 0.05 ）. Conclusion Severe early warning care in children with hand - foot - mouth disease contributes to the prevention of severe disease and early recovery of children. It is worthy of populariza- tion clinically.