小儿病毒性心肌炎综合护理路径研究

Implementation and evaluation of Comprehensive nursing scheme for children with viral myocarditis

目的探讨小儿病毒性心肌炎的综合护理路径的临床效果。方法选取2016年1—2017年6月本院儿科收治的94例病毒性心肌炎患儿为研究对象,将患儿随机分为综合护理组和对照组各47例。对照组患儿在治疗期间给予常规护理,综合护理组患儿在常规护理的基础上,接受本院制订的综合护理方案。比较两组患儿的住院时间、治疗效果、并发症发生情况及患儿满意度。结果综合护理组患儿临床总有效率95.75%,显著高于对照组患儿78.72%,差异具有统计学意义(Z=4.274,P=0.017)。综合护理组患儿的住院时间显著短于对照组患儿,并发症发生率显著低于对照组患儿,差异均具有统计学意义(P<0.05)。综合护理组患儿总满意率93.62%,显著高于对照组患儿65.96%,差异有统计学意义(P<0.05)。结论病毒性心肌炎患儿治疗期间给予综合护理,可有效提高临床治疗效果,减少并发症的发生,加速患儿康复。

Objective To develop the clinical efficacy of comprehensive nursing scheme for children with viral myocarditis.Methods 74 cases of children patients with viral myocarditis admitted in pediatric department of our hospital from January 2016 to Jun 2017 were selected and randomly divided into the comprehensive nursing group and the control group,each group with 47 cases. All children patients with viral myocarditis were treated with conventional symptomatic treatment. Children patients in the control group were given routine nursing service,and children patients in the comprehensive nursing group were given comprehensive nursing service. The clinical efficacy,hospitalization time,complication rate and children satisfaction between two groups were compared.Results The total efficiency rate of the comprehensive nursing group was(95.75%） significantly higher than the control group(78. 72%）. The hospitalization time(11. 28 ± 2. 69） d of the comprehensive nursing group was significantly shorter than the control group(17. 73 ± 3. 82） d. The complication rate of the comprehensive nursing group(6.39%） was significantly higher than the control group(25. 53%）. The children satisfaction rate of the comprehensive nursing group(93. 62%） was significantly higher than the control group(65. 96%）. All above differences had statistically(P〈0.05）.Conclusions Children with viral myocarditis were given comprehensive nursing service during the treatment,could effectively improve clinical efficacy,reduce the incidence of complications and accelerate children rehabilitation.