基于血栓弹力图的护理方案应用于川崎病患儿的临床研究

Clinical study of children with Kawasaki disease using a nursing program based on thromboelastogram

目的探究基于血栓弹力图的护理方案对川崎病患儿护理效果的改善作用。方法选取2018年1月至12月河北省儿童医院(以下简称“我院”)收治的57例川崎病患儿作为对照组,采取常规护理。选取2019年1月至12月我院收治的57例川崎病患儿作为观察组,在对照组的基础上联合血栓弹力图指导护理,将两组患儿护理后的住院时间、住院费用、家长护理满意度、不良反应发生率进行比较分析。结果观察组住院时间、住院费用低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05);两组二磷酸腺苷、花生四烯酸途径血小板抑制率比较,差异无统计学意义(P>0.05)。结论基于血栓弹力图的护理方案应用于川崎病患儿临床治疗能够有效提高患儿家属护理满意度,降低患儿家庭医疗负担,值得临床推广应用。

Objective To explore the improvement effect of nursing program based on thromboelastogram on children with Kawasaki disease.Methods A total of 57 children with Kawasaki disease treated in Hebei Children’s Hospital(hereinafter referred to as“our hospital”)from January to December 2018 were selected as the control group,and routine care was taken.A total of 57 children with Kawasaki disease admitted to our hospital from January to December 2019 were selected as the observation group,and on the basis of the control group,combined with thromboelastogram to guide nursing.The length of stay,hospitalization cost,parents’nursing satisfaction and incidence of adverse reactions were compared and analyzed between the two groups.Results The length of stay and hospitalization cost in the observation group were lower than those in the control group,and nursing satisfaction was higher than that in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in the incidence of adverse reactions between the two groups(P>0.05).There were no significant differences in platelet inhibition rates of adenosine diphosphate and arachidonic acid pathways between the two groups(P>0.05).Conclusion The application of the nursing program based on thrombus elastic diagram in the clinical treatment of children with Kawasaki disease can effectively improve the nursing satisfaction of the children’s family members and reduce the family medical burden of children,which is worth promoting in the clinical care.