综合性护理联合健康宣教在手足口病患儿中的应用效果观察

Observation on Application Effect of Comprehensive Nursing Combined with Health Education in Children with Hand,Foot and Mouth Disease

目的:观察综合性护理联合健康宣教在手足口病患儿中的应用效果。方法:选取2019年3-10月东莞市茶山医院收治的105例手足口病患儿为研究对象,根据护理方式的不同分为研究组与对照组。对照组50例,接受常规护理,研究组55例,接受综合性护理联合健康宣教。比较两组患儿家属护理前后对疾病的应对方式评分、护理后患儿体温正常、皮疹减退/消失、口腔疱疹减退/消失、住院时间,患儿家属护理总满意度。结果:护理前,两组患儿家属对疾病的应对方式评分比较,差异无统计学意义(P>0.05);护理后,两组对疾病的应对方式中积极性评分高于护理前,且研究组高于对照组,两组对疾病的应对方式中消极评分低于护理前,且研究组低于对照组,差异有统计学意义(P=0.000);护理后,两组患儿住院时间比较,差异无统计学意义(P>0.05);研究组患儿体温正常、皮疹减退/消失、口腔疱疹减退/消失时间短于对照组,差异有统计学意义(P<0.05);研究组患儿家属护理总满意度高于对照组,差异有统计学意义(P=0.043)。结论:在手足口病患儿的护理中,运用综合性护理联合健康宣教干预,可明显改变患儿家属对疾病的应对方式,并缩短患儿在入院后体温正常、皮疹减退/消失、口腔疱疹减退/消失时间,效果理想。

Objective:To observe the application effect of comprehensive nursing combined with health education in children with hand,foot and mouth disease.Methods:A total of 105 children with hand,foot and mouth disease who were admitted to Chashan Hospital of Dongguan from March 2019 to October 2019 were selected as the study subjects,and they were divided into study group and control group according to different nursing methods.The 50 cases in the control group received routine nursing,and55 cases in the study group received comprehensive nursing combined with health education.The scores of family member’s coping style to the disease before and after nursing,the time of normal body temperature,the decrease/disappearance of rash,the decrease/disappearance of oral herpes after nursing,the length of hospital stay,and total satisfaction of family member with nursing were compared between two groups.Results:Before nursing,there was no significant difference in the scores of family member’s coping style to the disease between the two groups(P>0.05).After nursing,the positivity scores of coping style to the disease in the two groups were higher than those before nursing,and the study group was higher than the control group,while the negative scores of coping style to the disease in the two groups were lower than those before nursing,and the study group was lower than the control group,and the difference was statistically significant(P=0.000).After nursing,there was no significant difference in the length of hospital stay between the two groups(P>0.05).The time of normal body temperature,the decrease/disappearance of rash,the decrease/disappearance of oral herpes of children in the study group was shorter than that in the control group,and the differences were statistically significant(P<0.05).The total satisfaction of family member with nursing in the study group was higher than that in the control group,and the difference was statistically significant(P=0.043).Conclusion:In the nursing of children with hand,foot and mouth disease,the use of comprehensive nursing combined with health education intervention can significantly change the coping style of children’s family members to the disease,and shorten the time of normal body temperature,skin rash decrease/disappearance and oral herpes decrease/disappearance after admission,with ideal effect.