观察家庭式延续性护理对发热患儿体温控制、睡眠质量的影响效果

To Observe the Effect of Continuous Family Nursing on Temperature Control and Sleep Quality of Children with Fever

目的:观察家庭式延续性护理对发热患儿体温控制、睡眠质量的影响效果。方法:选取2022年1月至2022年10月泉州市第一医院发热门诊收治的发热患儿80例作为研究对象,采用随机数字表法分为观察组和对照组,每组40例。对照组给予健康宣教,观察组在对照组的基础上给予家庭式延续性护理干预,比较2组患儿的体温控制效果,比较2组华患儿家属疾病知识知晓程度,采用匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index, PSQI)比较2组患儿的睡眠质量,比较2组患儿家属焦虑程度,采用焦虑自评量表(Self-rating Anxiety Scale, SAS)比较2组患儿家属的焦虑程度。结果:1)体温控制效果:经护理后2组患儿的体温控制效果均优于护理前,观察组护理后的发热持续时间短于对照组,每日发热次数少于对照组,差异有统计学意义(P<0.05);2)疾病知识知晓程度:观察组患儿家属对降温方法、注意事项、急救方法和高危因素的知晓程度评分均大于对照组,差异有统计学意义(P<0.05);3)睡眠质量:2组患儿护理后PSQI评分显著低于对照组,差异有统计学意义(P<0.05);4)家属焦虑情绪:观察组患儿家属护理后的SAS评分小于对照组,差异有统计学意义(P<0.05)。结论:对发热患儿实施家庭式延续性护理更有利于控制患儿的体温波动,改善其睡眠质量,又可以提高家属对疾病和护理相关知识的知晓程度,缓解家属的焦虑情绪,有借鉴意义和临床推广价值。

Objective:To observe the effect of continuous family nursing on temperature control and sleep quality of children with fever.Methods:A total of 80 children with fever admitted to the fever clinic of Quanzhou First Hospital from January 2022 to October 2022 were selected as the research objects and divided into observation group and control group according to the random number table method,with 40 cases in each group.The control group was given health education,and the observation group was given family continuous nursing intervention on the basis of the control group.The temperature control effect of the children in 2 groups was compared,and the disease knowledge level of the families of the Chinese children in the two groups was compared,the Pittsburgh Sleep Quality Index(PSQI)was used to compare the sleep quality of patients in 2 groups,the Anxiety level of family members of children in the two groups was compared,and Self-rating Anxiety Scale(SAS)was used to compare the anxiety level of family members of patients in the two groups.Results:1)Temperature control effect:After nursing,the temperature control effect of the 2 groups was better than that before nursing.The fever duration of the observation group after nursing was shorter than that of the control group,and the daily fever frequency was less than that of the control group,the difference between the 2 groups was statistically significant(P<0.05);2)Awareness of disease knowledge:Family members of the observation group were more aware of cooling methods,precautions,first aid methods and high-risk factors than those of the control group,and the difference between the two groups was statistically significant(P<0.05);3)Sleep quality:PSQI score in 2 groups after nursing was significantly lower than that in control group,with statistical significance between 2 groups(P<0.05);4)Family anxiety:The SAS score of the observation group was lower than that of the control group after family care,and the difference between the two groups was statistically significant(P<0.05).Conclusion:The implementation of family continuous nursing for children with fever is more conducive to controlling the temperature fluctuation of children,improving their sleep quality,improving the family′s awareness of the disease and nursing related knowledge,and alleviating the anxiety of family members,which has reference significance and clinical promotion value.