手足口病患儿临床护理路径的应用效果研究  

The effect of clinical nursing pathway in patients with hand- foot- mouth disease

作　　者：刘佳潞[1] 韦利红[1] 杨银华[1] 徐晓明[1] 

机构地区：[1]南方医科大学附属小榄医院感染科,广东中山528415

出　　处：《实用临床医药杂志》2015年第22期103-104,107,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨临床护理路径对手足口病患儿的临床效果。方法选取手足口病患儿81例,随机分为对照组39例给予常规护理,观察组42例按照临床路径进行护理。结果观察组患者退热时间、皮疹消退时间、溃疡消退时间、水疱结痂时间以及住院时间均优于对照组,观察组高热≥3 d、四肢无力、烦躁嗜睡、呕吐、惊厥以及胸闷发生率均少于对照组,2组比较差异有统计学意义(P<0.05)。结论临床路径用于手足口病患儿的临床护理,可以有效调动患儿家长的能动性,减轻患儿的痛苦,缩短患儿治疗时间。Objective To investigate the clinical effect of clinical nursing pathway in patients with hand - foot - mouth disease. Methods A total of 81 hand - foot - mouth disease children were randomly divided into two groups. 39 cases in the control group received routine nursing and 42 cases in the observation group received clinical nursing pathway. Results Cooling time, the rash subsided time, ulcers subside time, blisters scab time and hospital stay in the observation group were better than that in the control group, the incidences of fever more than 3 days, weakness of four limbs, drowsiness, irritability, vomiting, seizures and chest in the observation group were less than that in the control group. The difference was statistically significant （P 〈 0.05）. Conclusion The clinical pathway for clinical care of HFMD children can effectively mobilize the initiative, alleviate the suffering of children, and shorten treatment time.

关 键 词：手足口病 儿童 临床路径 护理 

分 类 号：R473.73[医药卫生—护理学]