循证护理在小儿手足口病合并脑炎护理中的效果观察

Effect of Evidence-based Nursing in Children With Hand Foot Mouth Disease Complicated With Encephalitis

目的探讨循证护理在小儿手足口病合并脑炎护理中的临床效果。方法选择2015年4月—2017年4月于我院治疗的166例患手足口病合并脑炎患儿,按其护理措施分成对照组与循证组,每组83例。对照组给予常规护理,循证组在此基础上给予循证护理,比较两组患者的临床效果。结果护理后两组患儿脑脊液中葡萄糖含量、白细胞计数水平及蛋白含量对比,差异有统计学意义(t=5.56、7.39、6.51,P<0.05);两组患儿肢体抖动缓和时长、呕吐头痛缓和时长、住院时长、退热时长对比,差异有统计学意义(t=6.86、7.42、7.54、8.08,P<0.05),循证组并发症发生率、家属满意度、临床总有效率优于对照组(χ2=6.54、8.31、6.34,P<0.05)。结论在小儿手足口病合并脑炎护理中应用循证护理能减缓病情的发展,增强其预后能力,尽量避免出现并发症,临床成效显著,提高家属满意程度改善医患关系。

Objective To investigate the clinical effect of evidence- based nursing in children with hand foot mouth disease complicated with encephalitis. Methods From April 2015 to April 2017, 166 children with hand foot mouth disease complicated with encephalitis in our hospital Were treated, according to the nursing measures, they were divided into control group and evidence-based group, 83 cases in each group. Control group was given routine nursing, evidence based group was given evidence-based nursing on this basis, clinical effects of the two groups were compared. Results After nursing, levels of glucose, WBC count and protein in cerebrospinal fluid of two groups were compared, the difference was statistically significant （t=5.56, 7.39, 6.51, P 〈 0.05）. Two groups of children with limbs shaking eased long, vomiting headache eased, compared with longer during long hospital stay, fever, a statistically significant difference （t=6.86, 7.42, 7.54, 8.08, P 〈 0.05）, complication rate, family satisfaction, total effective rate of evidence-based group were better than that of the control group （x2=6.54, 8.31, 6.34, P 〈 0.05）. Conclusion The development and application of evidence-based nursing can slow disease complicated with encephalitis in nursing care of children with hand foot and mouth disease, enhance the ability to avoid the prognosis, complications, clinical effect, improve family satisfaction, improve the doctor-patient relationship.