高热患儿发生热性惊厥的影响因素及针对性护理的效果观察

Targeted nursing countermeasures of febrile convulsion in children with high fever

目的探讨高热患儿发生热性惊厥的影响因素及针对性护理对策。方法选取高热惊厥患儿100例,随机数字表法分为综合护理组和针对护理组,每组50例。综合护理组患儿采用综合护理,针对护理组在综合护理的基础上,给予心理护理、降温处理及监测病情等针对护理干预。比较两组患儿临床护理效果、热性惊厥次数、热退及住院天数、整体护理满意程度。结果针对护理组患儿临床护理有效率为90.0%,高于综合护理组(74.0%),差异有统计学意义(χ~2=4.336,P=0.037)。与综合护理组相比,针对护理组患儿热性惊厥次数明显较少,热退天数、住院天数明显较短(P<0.001)。针对护理组患儿整体满意率为98%,高于综合护理组(86%),差异有统计学意义(χ~2=4.891,P=0.027)。结论针对高热患儿发生热性惊厥的影响因素采取相应的针对护理干预,能提高患儿的临床护理效果及预后,值得广泛应用于临床。

Objective To explore the influence factors and targeted nursing countermeasures of febrile convulsion in children with high fever. Methods A hundred children with febrile convulsion were randomly assigned into comprehensive nursing group and special nursing group and every group had 50 children. Children in the comprehensive nursing group were cared by comprehensive nursing while children in the special nursing group were cared by mental nursing, cooling treatment and monitoring of disease on the basis of comprehensive nursing. Clinical nursing effect, time of febrile convulsion, fever relieving, hospital stay, and satisfaction with overall nurs-ing were compared between the two groups. Results The clinical nursing efficiency of children in the special nursing group was 90. 0% , higher than that in the comprehensive nursing group （74. 0 % ） and the difference was statistically significant （ =4.336 ,P = 0. 037 ） . Compared with comprehensive nursing group, children in the special nursing group had less time of febrile convulsion, shor-ter fever relieving days and length of hospital stay （P 〈0. 001） . The overall satisfaction rate of children in the special nursing group was 98. 0% , higher than that in the comprehensive nursing group （86. 0 % ） and the difference was statistically significant （ =4. 891 ,P =0. 027 ） . Conclusions We take corresponding comprehensive nursing intervention according to the influence factors of febrile convul-sion in children with high fever and it can improve the clinical nursing efficiency and prognosis,which is worthy of application in clinics.