前瞻性早期护理在重症手足口病患儿中的应用效果

Application effects of prospective early nursing in children with severe hand-footmouth disease

目的:观察前瞻性早期护理在重症手足口病患儿中的应用效果。方法:选取2016年2月至2018年11月收治的68例重症手足口病患儿作为研究对象,依据随机数字表法分为对照组和观察组各34例。对照组实施常规护理,观察组实施前瞻性早期护理,比较两组临床疗效、临床症状改善时间、并发症发生率、生命质量评分、满意度及临床指标水平。结果:护理后,观察组治疗总有效率为97.06%,明显高于对照组的73.53%,差异有统计学意义(P<0.05)。观察组体温恢复时间、皮疹消失时间、溃疡愈合时间均明显短于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为8.82%,明显低于对照组的32.35%,差异有统计学意义(P<0.05)。护理前,两组生命质量评分比较,差异无统计学意义(P>0.05);护理后,两组生命质量评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。护理后,观察组满意度评分高于对照组,差异有统计学意义(P<0.05)。结论:前瞻性早期护理可提高重症手足口病患儿治疗总有效率、生命质量评分和满意度评分,缩短体温恢复时间、皮疹消失时间和溃疡愈合时间,以及降低并发症发生率,效果优于常规护理效果。

Objective:To investigate Application effects of prospective early nursing in children with severe hand-foot-mouth disease.Methods:68 children with severe hand-foot-mouth disease were selected as the research objects,and were divided into control group and observation group according to random number table method,34 cases in each.The control group was given routine nursing,while the observation group was given prospective early nursing.The,the clinical efficacy,clinical symptom improvement time,incidence of complications,quality of life score,satisfaction and clinical index levels were compared between the two groups.Results:After the nursing,the total effective rate of the observation group was 97.06%,which was significantly higher than the control group of 73.53%,and the difference was statistically significant(P<0.05).The temperature recovery time,rash disappearance time,and ulcer healing time in the observation group were significantly shorter than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 8.82%,which was significantly lower than the control group of 32.35%,and the difference was statistically significant(P<0.05).Before the nursing,there was no significant difference in the quality of life score between the two groups(P>0.05).However,after the nursing,the quality of life scores of both groups were higher than those before the nursing;that of the observation group was higher than that of the control group;and the differences were statistically significant(P<0.05).After the nursing,the satisfaction score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:The prospective early nursing can improve the overall treatment effective rate,quality of life score and satisfaction score of the children with severe hand-foot-mouth disease,shorten the temperature recovery time,rash disappearance time and ulcer healing time,and reduce the incidence of complications.Moreover,it is superior to routine nursing.