病毒性脑炎患儿综合性康复护理干预效果分析  

Effects of comprehensive rehabilitation nursing intervention in children with viral encephalitis

作　　者：张洁[1] 柴红[1] ZHANG Jie;CHAI Hong(Department of Rehabilitation Medicine,Affiliated Children's Hospital of Zhengzhou University Henan Province Children 's Hospital,Zhengzhou Children's Hospital Zhengzhou 450000,P.R.China)

机构地区：[1]郑州大学附属儿童医院.河南省儿童医院.郑州儿童医院康复医学科,河南郑州450000

出　　处：《社区医学杂志》2018年第22期1678-1680,共3页Journal Of Community Medicine

基　　金：2014年河南省医学科技攻关基金(20140325)

摘　　要：目的病毒性脑炎是一种多发于儿童的由病毒感染引起的脑实质弥漫性炎症综合征,经临床治疗后常遗留不同程度的后遗症。本研究探讨综合性康复护理对病毒性脑炎患儿康复效果的影响,寻求最佳的康复护理模式。方法选取2015-12-01-2017-09-30于郑州儿童医院接受治疗的病毒性脑炎患儿98例,按照配比的方法分为对照组和观察组各49例。观察组采取综合康复护理干预,对照组采取由家庭成员执行的综合性护理措施,比较两组遵医行为及康复效果。结果观察组遵医行为评分为(87.36±5.42)分,高于对照组的(80.71±5.37),t=5.184,P<0.001。观察组治疗总有效率为95.92%,高于对照组的83.67%,差异有统计学意义,χ2=4.009,P=0.045。观察组患儿惊厥恢复时间为(3.87±1.41)d,短于对照组的(5.62±1.48)d,t=5.993,P<0.001;意识障碍恢复时间为(4.76±1.89)d,短于对照组的(7.04±1.95)d,t=5.877,P<0.001;肢体障碍恢复时间为(12.96±2.55)d,短于对照组的(16.88±2.62)d,t=7.505,P<0.001;颅神经障碍恢复时间为(11.73±2.26)d,较对照组的(14.56±2.31)d短,t=6.130,P<0.001。结论病毒性脑炎患儿实施综合性护理干预,能明显提升患儿的遵医行为,有利于改善临床症状,提高康复效果。OBJECTIVE Viral encephalitis(VE)is a diffuse inflammatory syndrome in the parenchyma of the brain caused by viral infection in children.It often leaves behind different degrees of sequelae after clinical treatment.This study explored the effect of comprehensive rehabilitation nursing on children with viral encephalitis in order to seek the best rehabilitation nursing mode.METHODS A total of 98 children with viral encephalitis treated in Zhengzhou Children's Hospital from December 1,2015 to September 30,2017 were divided into control group and observation group with 49 cases in each group according to the matching method.The observation group was given comprehensive rehabilitation nursing intervention,while the control group was given comprehensive nursing measures implemented by family members.The compliance behavior and rehabilitation effect of the two groups were compared.RESULTS The compliance behavior of the observation group was(87.36±5.42),which was higher than that of the control group(80.71±5.37),t=5.184,P<0.001.The total effective rate of the observation group was 95.92%,which was higher than that of the control group(83.67%).The difference was statistically significant,χ^2=4.009,P=0.045.The recovery time of convulsion in the observation group was(3.87±1.41)d,which was shorter than that of the control group(5.62±1.48)d,Z=5.993,P<0.001.The recovery time of disturbance of consciousness was(4.76±1.89)d,which was shorter than that of the control group(7.04±1.95)d,t=5.877,P<0.001.The recovery time of limb disorders was(12.96±2.55)d,shorter than that of the control group(16.88±2.62)d,t=7.505,P<0.001.The recovery time of cranial nerve disorder was(11.73±2.26)d,which was shorter than that of the control group(14.56±2.31)d,t=6.130,P<0.001.CONCLUSIONS The implementation of comprehensive nursing intervention in children with viral encephalitis can significantly improve the compliance behavior of children,improve clinical symptoms and improve rehabilitation.

关 键 词：病毒性脑炎 综合性康复护理 遵医行为 康复效果 

分 类 号：R433.72[医药卫生—临床医学]