早期康复干预联合中医情志护理对重症脑炎患儿不良症状发生情况的影响

The Effect of Early Rehabilitation Intervention Combined with TCM Emotional Nursing on the Occurrence of Adverse Symptoms in Children with Severe Encephalitis

目的:探讨早期康复干预联合中医情志护理对重症脑炎患儿不良症状发生情况的影响。方法:选取2018年8月—2019年8月期间于郑州大学附属儿童医院就诊收治的68例重症脑炎患儿作为研究对象,按照随机数表法分为联合组34例,对照组34例,其中对照组予以常规护理干预,联合组在对照组的基础上予以早期康复干预联合中医情志护理。对比两组患儿的不良症状情况(包括患儿的惊厥、颅神经障碍、意识障碍及肢体障碍的恢复时间)、依从性、住院天数及家属满意度。结果:治疗后联合组患儿的惊厥恢复时间、颅神经障碍恢复时间、意识障碍恢复时间、肢体障碍恢复时间均较对照组患儿短(P<0.05);联合组患儿的依从性较对照组高(P<0.05);联合组患儿的住院天数较对照组短(P<0.05);联合组患儿的家属满意度较对照组高(P<0.05)。结论:早期康复干预联合中医情志护理可有效缩短重症脑炎患儿不良症状的恢复时间及住院天数,提高患儿的依从性,且家属满意度高。

Objective:To explore the effect of early rehabilitation intervention combined with TCM emotional nursing on the occurrence of adverse symptoms in children with severe encephalitis.Methods:A total of 68 children with severe encephalitis who were admitted to the hospital from August 2018 to August 2019 were selected as the research objects.According to the random number table method,they were divided into combination group(34 cases)and control group(34 cases).The control group received routine nursing intervention,the combined group was given early rehabilitation intervention combined with TCM emotional nursing.The adverse symptoms of the two groups of children(including the recovery time of convulsions,cranial nerve disorders,consciousness disturbances and limb disorders),compliance,hospitalization days and satisfaction of family members were compared between the two groups.Results:After treatment,the recovery time of convulsion,cranial nerve disorder,consciousness disorder and limb disorder of children in the combination group were shorter than those in the control group(P<0.05).The compliance of the combination group was higher than that of the control group(P<0.05).The combination group had shorter hospital stays than the control group(P<0.05).Family satisfaction of the combination group was higher than that of the control group(P<0.05).Conclusion:Early rehabilitation intervention combined with TCM emotional nursing can effectively shorten the recovery time of adverse symptoms and the length of hospitalization in children with severe encephalitis,improve the compliance of the children,and have high family satisfaction.