三位一体护理对小儿高热惊厥病情转归及复发的影响

Effect of Trinity Nursing on the Prognosis and Recurrence of Febrile Convulsion in Children

目的 研究三位一体护理对小儿高热惊厥病情转归及复发的影响。方法 以2021年1月-2023年1月抚州市东乡区人民医院收治的60例高热惊厥患儿为研究对象,经随机数字表法分为对照组(30例)和观察组(30例)。对照组采用常规护理模式,观察组则应用三位一体护理模式,比较两组病情转归情况(退热时间、惊厥消失时间、意识清醒时间、住院时间)、血清生化指标[白细胞计数(WBC)、红细胞计数(RBC)、超敏C反应蛋白(hs-CRP)]、复发控制效果(复发次数、复发间隔时间、复发体温)、家长满意度。结果 观察组退热时间、惊厥消失时间、意识清醒时间及住院时间均短于对照组(P<0.05);两组护理后WBC、RBC、hs-CRP水平均低于护理前,且观察组WBC、RBC、hs-CRP水平低于对照组(P<0.05);观察组复发次数、复发体温低于对照组,且复发间隔时间长于对照组(P<0.05);观察组家长满意度高于对照组(P<0.05)。结论 三位一体护理可缩短高热惊厥患儿的病情转归时间,促进血清生化指标恢复,改善患儿复发情况,提高家长满意度。

Objective To study the effect of trinity nursing on the prognosis and recurrence of febrile convulsion in children.Methods A total of 60 children with febrile convulsion admitted to Fuzhou Dongxiang District People's Hospital from January 2021 to January 2023 were selected as the research objects,and they were divided into control group(30 children)and observation group(30 children)by random number table method.The control group was treated with routine nursing mode,while the observation group was treated with trinity nursing mode.The prognosis of the two groups(fever time,convulsion disappearance time,consciousness recovery time,hospitalization time),serum biochemical indexes[white blood cell count(WBC),red blood cell count(RBC),high-sensitivity C-reactive protein(hs-CRP)],recurrence control effect(recurrence frequency,recurrence interval,recurrence body temperature)and parental satisfaction were compared between the two groups.Results The antifebrile time,convulsion disappearance time,consciousness awakening time and hospitalization time in the observation group were shorter than those in the control group(P<0.05).The levels of WBC,RBC and hs-CRP in the two groups after nursing were lower than those before nursing,and the levels of WBC,RBC and hs-CRP in the observation group were lower than those in the control group(P<0.05).The recurrence frequency and recurrence temperature of the observation group were lower than those of the control group,and the recurrence interval was longer than that of the control group(P<0.05).The satisfaction of parents in the observation group was higher than that in the control group(P<0.05).Conclusion Trinity nursing can shorten the time of disease outcome in children with febrile convulsion,promote the recovery of serum biochemical indexes,improve the recurrence of children,and improve the satisfaction of parents.