川崎病患儿静脉注射丙种球蛋白治疗中循证护理的应用研究  

Application study of evidence-based nursing for intravenous gamma globulin therapy in children with Kawasaki disease

作　　者：李轶[1] LI Yi(Dalian Children Hospital,Dalian 116000,China)

机构地区：[1]大连市儿童医院,116000

出　　处：《中国现代药物应用》2018年第23期147-149,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨川崎病患儿丙种球蛋白静脉注射治疗中循证护理的应用效果及价值。方法 60例拟行丙种球蛋白静脉注射治疗的川崎病患儿,按照简单随机化方法分为参考组和循证组,各30例。参考组采用常规护理,循证组在参考组基础上采用循证护理。对比两组不良反应发生情况、家属护理满意度及两组患儿家属护理前后药物不良反应相关健康知识的认知情况评分。结果护理前两组患儿家属对药物不良反应的原理、发生风险、征兆、预防控制相关健康知识认知情况评分对比差异无统计学意义(P>0.05);护理后两组患儿家属对药物不良反应的原理、发生风险、征兆、预防控制相关健康知识认知情况评分均明显高于护理前,且循证组均高于参考组,差异具有统计学意义(P<0.05)。循证组不良反应发生率6.67%明显低于参考组的33.33%,差异有统计学意义(P<0.05)。循证组患儿家属护理满意度为96.67%(29/30),参考组患儿家属护理满意度为66.67%(20/30),对比差异有统计学意义(P<0.05)。结论川崎病患儿静脉注射丙种球蛋白治疗中应用循证护理能够显著改善家属对于相关健康知识的认知情况,减少不良反应,提高家属满意度。Objective To discuss the application effect and value of evidence-based nursing for intravenous gamma globulin therapy in children with Kawasaki disease.Methods A total of 60 children with Kawasaki disease treated with intravenous gamma globulin therapy were divided by simple randomization method into control group and evidence-based group,with 30 cases in each group.The control group received conventional nursing,and the evidence-based group received evidence-based nursing on the basis of the control group.Comparison were made on occurrence of adverse reactions,nursing satisfaction of family members and cognition score of adverse drug reactions related health knowledge before and after nursing in two groups.Results Before nursing,there was no statistically significant difference in family members'cognition scores on the principles,risks,signs,and prevention and control related health knowledge of adverse drug reactions than those before nursing,and the evidence-based group was higher than the control group.Their difference was statistically significant(P<0.05).Evidence-based group had obviously lower incidence of adverse reactions as 6.67%than 33.33%in the control group,and the difference was statistically significant(P<0.05).Evidence-based group had nursing satisfaction of family members as 96.67%(29/30),which was 66.67%(20/30)in the control group,and their difference was statistically significant(P<0.05).Conclusion Evidence-based nursing in intravenous gamma globulin therapy for children with Kawasaki disease can significantly improve family members’cognition of relevant health knowledge,reduce adverse reactions and improve family member’s satisfaction.

关 键 词：川崎病 静脉注射丙种球蛋白 循证护理 

分 类 号：R473.72[医药卫生—护理学] R-03[医药卫生—临床医学]