上呼吸道感染致高热惊厥患儿的综合护理分析

Comprehensive Nursing Analysis of Children With Febrile Convulsions Caused by Upper Respiratory Tract Infection

目的探讨综合护理在小儿上呼吸道感染致高热惊厥中的应用效果。方法选取2017年5月—2019年6月在本院急诊科就诊的上呼吸道感染致高热惊厥患儿60例,其中2017年5月—2018年5月降温急救护理实施前收治的30例患儿为对照组,2018年6月—2019年6月降温急救护理实施后收治的30例患儿为观察组。对照组给予常规急救护理,观察组采用综合护理。对比两组康复指标、护理满意度及惊厥复发情况。结果观察组干预后两组体温恢复时间(27.33±5.32)h、惊厥控制时间(4.37±1.07)d、住院时间(5.98±1.57)d,短于对照组,差异有统计学意义(P<0.05);观察组总护理满意度(93.33%)比对照组(70.00%)更高,差异有统计学意义(P<0.05);观察组复发率(3.33%)比对照组(26.67%)更低,差异有统计学意义(P<0.05)。结论降温综合护理可缩短呼吸道感染致高热惊厥患儿症状恢复时间,提升护理满意度,降低惊厥复发风险,值得应用。

Objective To investigate the effect of comprehensive nursing based on cooling emergency nursing in children with febrile convulsions caused by upper respiratory infections.Methods From May 2017 to May 2018,30 patients with febrile convulsions caused by upper respiratory infections.admitted before the implementation of cooling emergency care were the control group,30 children treated after the implementation of the cooling emergency care from June 2018 to June 2019 were the observation group.Rehabilitation indicators,nursing satisfaction,and recurrence of convulsions were compared between the two groups.Results The recovery time of body temperature(27.33±5.32)h,the control time of convulsion(4.37±1.07)d,and the length of hospital stay(5.98±1.57)d in the observation group were shorter than those in the control group,with statistically significant differences(P<0.05).The total nursing satisfaction in the observation group(93.33%)was higher than that in the control group(70.00%),and the difference was statistically significant(P<0.05).The recurrence rate in the observation group(3.33%)was lower than that in the control group(26.67%),with statistically significant difference(P<0.05).Conclusion The comprehensive nursing based on cooling and emergency nursing can shorten the recovery time of symptoms of children with febrile convulsions caused by upper respiratory infections,improve nursing satisfaction,and reduce the risk of recurrence of convulsions.