重症肺炎致高热惊厥患儿服药期间实施个性化干预的效果观察

Observation on the Effect of Individualized Intervention During Medication in Children with Febrile Convulsion Caused by Severe Pneumonia

目的:观察重症肺炎致高热惊厥患儿服药期间实施个性化干预的效果。方法:选取2020年2月—2022年10月在本院接受治疗的重症肺炎致高热惊厥患儿64例,按照随机编号法分为对照组和观察组,各32例。对照组患儿给予常规干预,观察组患儿给予个性化干预,比较两组家属对疾病的认知情况、患儿临床症状改善情况、依从性、焦虑、抑郁心理状态评分。结果:观察组干预后患儿家属对各维度知识知晓评分高于对照组(P<0.05);观察组体温恢复正常时间、惊厥症状、肺部啰音、咳嗽及喘憋消失时间均短于对照组(P<0.05);观察组各维度依从性评分高于对照组(P<0.05);观察组儿童焦虑障碍自评量表(SCARED)和儿童抑郁障碍自评量表(DSRSC)评分低于对照组(P<0.05)。结论:重症肺炎致高热惊厥患儿采用个性化干预效果显著,能够增强患儿家属认知水平,提高患儿治疗的依从性,缓解患儿的不良心理状态,有效改善患儿的临床症状和体征。

Objective:To observe the effect of individualized intervention on children with febrile convulsion caused by severe pneumonia during medication.Methods:A total of 64 children with febrile convulsion caused by severe pneumonia who were treated in our hospital from February 2020 to October 2022 were selected and divided into control group and observation group according to random number method,with 32 children in each group.The children in the control group were given routine nursing intervention,and the children in the observation group were given individualized intervention.The family members’cognition of the disease,the improvement of clinical symptoms,compliance,anxiety and depression scores were compared between the two groups.Results:After intervention,the awareness of disease knowledge among family members of the observation group was significantly higher than that in the control group(P<0.05).After intervention,the time to body temperature recovery,disappearance time of convulsion,lung rales,cough and wheezing in the observation group were significantly shorter than those in the control group(P<0.05).The compliance scoreof observation group was significantly higher than that of the control group(P<0.05).After intervention,the Screen for Child Anxiety Related Emotional Disorders(SCARED)scores and Depression Self Rating Scale for Children(DSRSC)scores of the observation group were significantly lower than those of the control group(P<0.05).Conclusion:Individualized intervention has a significant effect on children with febrile convulsion caused by severe pneumonia.It can enhance the cognitive level of family members of children,improve the compliance of children with treatment,alleviate the adverse psychological state of children,and effectively improve the clinical symptoms and signs of children.