儿童疱疹性咽峡炎综合护理心得体会

Comprehensive nursing experience of children's herpetic angina

目的总结儿童疱疹性咽峡炎患儿的综合护理心得体会。方法将2017年1～12月本院普儿科收治的200例疱疹性咽峡炎患儿随机分为对照组和观察组。对照组采用常规临床护理方式,观察组在常规护理的基础上采用综合护理方式,并对两组临床护理资料进行分析对比,总结综合护理措施及经验。结果对照组退热时间(2.33±0.27)d,咽峡部疱疹消退时间(4.13±0.77)d,恢复进食时间(3.65±0.46)d;观察组退热时间(1.67±0.43)d,咽峡部疱疹消退时间(3.02±0.37)d,恢复进食时间(2.36±0.55)d,观察组疱疹性咽峡炎退热时间、咽峡部疱疹消退时间、恢复进食时间均短于对照组,差异有统计学意义(P<0.05)。对照组58例患者比较满意58.0%(58/100),一般认可21例,不满意21例,总满意度79.0%(79/100),观察组比较满意91例,一般认可7例,不满意2例,总满意度98.0%,观察组家属对护理满意程度明显高于对照组,差异有统计学意义(P<0.05)。结论有效的综合治疗护理措施,可达到疱疹性咽峡炎患儿早期治愈康复的目的,并加强患儿家属护理配合程度,明显改善医患关系。

Objective To summarize the comprehensive nursing experience of children with herpetic angina.Methods 200 children with herpetic angina admitted in our hospital from January to December 2017 were randomly divided into control group and observation group.The control group used routine clinical nursing methods.The observation group used comprehensive nursing methods on the basis of routine nursing.The clinical nursing data between the two groups were analyzed and compared,and the comprehensive nursing measures and experience were summarized.Results The antipyretic time of the control group was(2.33±0.27)days;the time of herpes regression in the pharyngeal isthmus was(4.13±0.77)days;the eating recovery time was(3.65±0.46)days.The antipyretic time of the observation group was(1.67±0.43)days;the time of herpes regression in the pharyngeal isthmus was(3.02±0.37)days;the eating recovery time was(2.36±0.55)days.The antipyretic time,the time of disappearance of pharyngeal herpes,and eating recovery time were shorter than those of the control group,and the difference was statistically significant(P<0.05).58 patients in the control group were quite satisfied;21 cases were generally recognized;21 cases were unsatisfied;and total satisfaction was 79.0%.91 patients in the observation group were quite satisfied;7 cases were generally recognized;2 cases were unsatisfied;and total satisfaction was 98.0%.The observation group's family satisfaction with the nursing was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Effective comprehensive treatment and nursing measures can achieve the purpose of early healing and rehabilitation of children with herpetic angina,strengthen the nursing cooperation degree of the family members of the children,and significantly improve the relationship between doctors and patients.