基于预警评分的针对性护理对高热惊厥患儿治疗效果及预后的影响

Effect of Targeted Nursing Based on Early Warning Score on Treatment Effect and Prognosis of Children with Febrile Convulsion

目的:探讨基于预警评分的针对性护理对高热惊厥(febrile convulsion,FC)患儿治疗效果及预后的影响。方法:选择2020年1月—2020年12月安阳市妇幼保健院收治的100例FS患儿作为研究对象,采用随机数表法分为试验组(n=50)与对照组(n=50)。对照组患儿接受常规性护理,试验组患儿接受基于预警评分的针对性护理,比较两组患儿的治疗效果及预后。结果:干预后两组患儿的神经内分泌因子[神经元特异性烯醇化酶(neuron-specific enolase,NSE)、脑源性神经营养因子(brain-derived neurotrophic factor,BDNF)]水平较干预前显著降低,差异有统计学意义(t=5.408、5.788,P<0.05);试验组患儿的退热时间、惊厥停止时间及住院时间显著短于对照组,差异有统计学意义(t=19.923、4.339、 35.158,P<0.05);干预后两组家属的焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分较干预前显著降低,差异有统计学意义(t=9.849、9.607,P<0.05);随访3个月,试验组患儿的复发率显著低于对照组,差异有统计学意义(χ^(2)=4.891,P<0.05)。结论:基于预警评分的针对性护理可提高FS患儿的治疗效果,促使其临床症状消失或缓解,缩短其恢复进展,有效控制其神经内分泌因子水平,有利于控制疾病复发,并可明显缓解家属的负面情绪。

Objective:To investigate the effect of early warning score-based targeted care on the treatment outcome and prognosis of children with febrile convulsion(FC).Methods:100 children with FS admitted to the hospital from January 2020 to December 2020 were selected as the study subjects,and were divided into experimental group and control group using the random number table method,with 50 cases in each group.The control group received routine care and the experimental group received targeted care based on early warning scores.The treatment results and prognosis of the children in the two groups were compared.Results:The levels of neuroendocrine factors [neuron-specific enolase(NSE) and brain-derived neurotrophic factor(BDNF)] were significantly lower in both groups after the intervention compared with those before the intervention,and the difference was statistically significant(t=5.408,5.788,P<0.05).The fever reduction time,convulsion cessation time and hospitalization time of the children in the experimental group were significantly shorter than those in the control group,and the difference was statistically significant(t=19.923,4.339,35.158,P<0.05).The Self-Rating Anxiety Scale(SAS) scores and Self-rating Depression Scale(SDS) scores of family members in both groups were significantly lower after the intervention than before the intervention,and the difference was statistically significant(t=9.849,9.607,P<0.05).At 3-month follow-up,the recurrence rate of children in the experimental group was significantly lower than that of the control group,and the difference was statistically significant(χ^(2)=4.891,P<0.05).Conclusion:Targeted care based on early warning scores can improve the treatment effect of children with FS,induce the disappearance or remission of their clinical symptoms,shorten their recovery progress,effectively control their neuroendocrine factor levels,facilitate the control of disease recurrence,and significantly alleviate the negative emotions of their families.