早期预警策略联合精细化护理干预在小儿手足口病患儿中的应用效果分析

Analysis of the Application Effect of Early Warning Strategy Combined with Refined Nursing Intervention in Children with Pediatric Hand,Foot and Mouth Disease

目的:探讨早期预警策略联合精细化护理干预在小儿手足口病中的应用效果,为临床护理提供依据。方法:选取2020年1月—2022年2月上饶市立医院收治的102例手足口病患儿作为研究对象,依据护理模式不同分为对照组49例和观察组53例。对照组采用常规护理干预,观察组采用早期预警策略联合精细化护理干预。比较两组患儿症状消退时间、住院时间、并发症和重症发生率、家属护理满意度及血液指标[肌酸激酶同功酶(CK-MB)、肌酸激酶(CK)、神经元特异性烯醇化酶(NSE)及中性粒细胞值]改善情况。结果:观察组患儿症状消退时间和住院时间均短于对照组,差异有统计学意义(t=3.748、3.273、6.291、11.054,P<0.05)。观察组患儿并发症发生率和重症发生率均明显低于对照组,差异有统计学意义(χ^(2)=4.979、4.537,P<0.05)。干预后,观察组患儿CK-MB、CK、NSE和中性粒细胞值均明显低于对照组,差异有统计学意义(t=21.258、2.616、3.519、3.776,P<0.05)。结论:对小儿手足口病患儿实施早期预警策略联合精细化护理干预,能够有效缩短症状消退时间及住院时间,改善患儿血液指标,降低并发症发生率。

Objective:To explore the application effect of early warning strategies combined with refined nursing interventions in pediatric hand,foot and mouth disease and to provide a basis for clinical care.Methods:102 cases of children with hand,foot and mouth disease admitted to the hospital from January 2020 to February 2022 were selected as the study subjects,and were divided into 49 cases in the control group and 53 cases in the observation group according to the different nursing models.The control group used conventional nursing intervention,and the observation group used early warning strategy combined with refined nursing intervention.The improvement of symptom subsidence time,hospitalization time,complication and serious illness incidence,family care satisfaction and blood indexes(creatine kinase isoenzyme[CK-MB],creatine kinase[CK],neuron-specific enolase[NSE]and neutrophil value)were compared between the two groups of children.Results:The time of symptom subsidence and hospitalization time of the children in the observation group were shorter than those in the control group,and the difference was statistically significant(t=3.748,3.273,6.291,11.054,P<0.05).The complication rate and serious illness rate of children in the observation group were significantly lower than those in the control group,and the difference was statistically significant(χ^(2)=4.979,4.537,P<0.05).After the intervention,CK-MB,CK,NSE and neutrophil values were significantly lower in the observation group than in the control group,and the difference was statistically significant(t=21.258,2.616,3.519,3.776,P<0.05).Conclusion:The implementation of early warning strategies combined with refined nursing interventions for children with pediatric hand,foot and mouth disease can effectively shorten the symptom subsidence time and hospitalization time,improve the blood indexes of the children,and reduce the incidence of complications.