临床护理干预对手足口病危重型并脑炎患儿康复效果分析  

Clinical Nursing Intervention of Severe Encephalitis in Critically Ill and Rehabilitation Effect on Hand Foot Mouth Analysis

作　　者：彭素近[1] 罗雯薇[1] 杨芳[1] 

机构地区：[1]惠州市中心人民医院,广东惠州516001

出　　处：《深圳中西医结合杂志》2016年第12期134-136,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

基　　金：惠州市医疗卫生科技计划项目资助课题(2014Y008)

摘　　要：目的：探讨临床护理干预在手足口病危重型并脑炎患儿康复中的效果分析。方法：68例重症手足口病合并脑炎患儿均为惠州市中心人民医院2013年4月至2014年3月收治的在儿童重症病区住院的患儿,按随机数字表法和双盲法分为观察组和对照组;两组患儿经治疗2-4 d后均有显著好转,对照组采用对症治疗及常规护理干预,观察组采用对症治疗及通过消毒隔离、心理护理、饮食护理、及时病情监护、皮肤护理、健康教育、康复护理等全面护理干预。比较两组患儿疗效情况及症状改善时间及治疗时间。结果：观察组总有效率97.06%;对照组总有效率79.41%;观察组总有效率显著高于对照组,差异具有统计学意义（P〈0.05）;观察组体温恢复正常时间、意识恢复时间、住院时间,差异具有统计学意义（P〈0.05）;结论：手足口病危重型患儿康复过程中采用全面的护理干预能显著提高治疗效果,缩短康复时间。Objective To investigate the clinical nursing intervention of severe encephalitis in critically ill and rehabilitation effect on hand foot mouth analysis. Methods 68 cases of severe hand foot mouth disease complicated with encephalitis were pediatric infectious disease in our hospital in 2013 April -2014 year in March from hospitalized patients, according to the random number table method and double-blind divided into observation group and control group; two groups of children were improved significantly after 2-4d treatment,the control group using conventional symptomatic treatment and nursing intervention, the observation group with symptomatic treatment and the disinfection and isolation, psychological nursing, diet nursing, timely and comprehensive nursing intervention condition monitoring, skin care, health education, rehabilitation nursing; efficacy was compared between two groups after treatment. Comparison of two groups of efficacy in children and symptoms improved time and treatment time. Results the total effective rate of observation group was 97.06 %; the control group the total efficiency of 79.41%; total effective rate of observation group was significantly higher than that of control group, and the difference was statistically significant （P 〈 0.05）; observation group temperature returned to normal time, consciousness recovery time, hospitalization time was significantly lower than that of the control group, and the difference was statistically significant （P 〈 0.05）; Conclusion foot and mouth dying by comprehensive nursing intervention in children with severe in the rehabilitation process can significantly improve the therapeutic effect, shorten the recovery time.

关 键 词：护理干预 手足口病 脑炎 康复 

分 类 号：R473.72[医药卫生—护理学]