急诊临床路径在小儿高热惊厥急救治疗及健康教育中的应用

Application of Clinical Nursing Pathway in the Emergency Treatment and Health Education of Children with Febrile Convulsion

目的:探讨临床护理路径在小儿高热惊厥急救治疗及健康教育中的应用。方法:选取本院2016年1月-2018年1月接收的115例小儿高热惊厥作为研究对象,按照时间先后顺序,将2016年1-12月接收的57例患儿设为对照组,提供临床常规护理;将2017年1月-2018年1月接收的58例患儿设为研究组,在对照组的护理基础上按照临床护理路径实施急救治疗及健康教育。对比两组惊厥消失时间、退热时间、患儿家长对疾病健康知识的掌握情况以及对护理的满意度。结果:研究组惊厥消失、退热时间分别为(4.22±0.67)h、(16.85±3.47)h均明显短于对照组(6.25±0.48)h、(43.12±3.56)h,差异均有统计学意义(t=18.649、40.073,P<0.05)。干预后,研究组患儿家长对疾病知识、降温方法以及急救技能掌握率分别为94.83%、96.55%、93.10%均高于对照组77.19%、84.21%、78.95%,差异均均有统计学意义(字2=7.464、5.062、4.810,P<0.05);研究组患者家长对护理措施的满意度评价(100%)明显高于对照组(92.98%),差异有统计学意义(字2=4.217,P<0.05)。结论:临床护理路径的实施,使小儿高热惊厥的急救治疗及健康教育更加有条不紊地进行,从而加快患儿疾病恢复时间,改善其预后,意义重大。

Objective:To explore the application of clinical nursing pathway(CNP)in the emergency treatment and health education of children with febrile convulsion.Method:115 children with febrile convulsion treated from January 2016 to January 2018 in our hospital were selected.In order of time sequence children were assigned to two groups,57 cases from January 2016 to December 2016 were selected as control group,they were given routine clinical nursing care,58 cases from January 2017 to January 2018 were selected as research group,they were given the conventional nursing care and emergency treatment and health education based on the CNP.The convulsion disappearance time,antipyretic time,parents’knowledge of disease and health and their satisfaction with nursing were compared between the two groups.Result:The disappearance time of convulsion and febrile in the research group were(4.22±0.67)h and(16.85±3.47)h,lower than(6.25±0.48)h and(43.12±3.56)h of the control group,there were statistical significance(t=18.649,40.073,P<0.05).After intervention,the mastery rate of the children’s family members on the disease knowledge,cooling methods and emergency skills in the research group were 94.83%,96.55%and 93.10%,which were higher than 77.19%,84.21%,78.95%of the control group,there were statistical significance(Х^2=7.464,5.062,4.810,P<0.05).The family member’s satisfaction in the study group was 100%,higher than 92.98%of control group,there was statistical significance(Х^2=4.217,P<0.05).Conclusion:The implementation of clinical nursing path makes the emergency treatment and health education of children with febrile convulsion more orderly,so as to accelerate the recovery time and improve the prognosis of children with febrile convulsion,which is of great significance.