循证护理干预在预防小儿危重型手足口病的应用及对患者心肺功能的影响  

Application of evidence-based nursing intervention in the prevention of critical hand-foot-mouth disease in children and its effect on cardiopulmonary function

作　　者：张微竹[1] 付莉[2] 邓力 龚晓岭 ZHANG Wei-zhu;FU Li;DENG Li;GONG Xiao-ling(Department of Pediatric Surgery,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China;Department of Neonatal,Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China;School of Nursing,North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]川北医学院附属医院儿外科,四川南充637000 [2]川北医学院附属医院新生儿科,四川南充637000 [3]川北医学院护理学院护理学系,四川南充637000

出　　处：《川北医学院学报》2019年第6期809-812,共4页Journal of North Sichuan Medical College

摘　　要：目的:研究循证护理干预在预防小儿危重型手足口病中的应用效果及对患者心肺功能的影响。方法:80例小儿手足口病患者按随机数表法分为对照组和观察组,每组各40例。对照组在患者治疗期间给予常规手足口病护理,观察组在常规护理基础上实施循证护理干预。观察护理后两组患者疾病恶化情况、心肺功能指标改善效果及恢复效果。结果:观察组患儿的危重型手足口病出现比例(5.00%)低于对照组的(20.00%),差异有统计学意义(P<0.05);护理后,观察组患儿的心率低于对照组,心排出量和左室射血分数高于对照组,差异有统计学意义(P<0.05);观察组患儿的氧合指数、氧分压均高于对照组,二氧化碳分压低于对照组,差异有统计学意义(P<0.05);观察组患儿的体温恢复、抖动消失等恢复效果及住院时间均低于对照组,差异有统计学意义(P<0.05)。结论:在小儿手足口病患者中应用循证护理干预效果显著,可有效预防小儿危重型手足口病,减轻患者心肺功能损害,加速临床症状减轻,促进患者康复。Objective:To study the application of evidence-based nursing intervention in the prevention of critical hand-foot-mouth disease in children and its effect on cardiopulmonary function.Methods:80 cases of children with hand-foot-mouth disease were selected as the research objects.All the patients were randomly divided into the control group and the observation group,each group of 40 cases.The patients in the control group were given routine care,and the patients in the observation group were given evidence-based nursing intervention on the basis of routine nursing in the control group.The progression of the disease,the improvement of cardiopulmonary function and the rehabilitation of the two groups of patients were compared and analyzed.Results:The incidence of critical hand-foot-mouth disease in the observation group(5.00%)was lower than that in the control group(20.00%),and the difference was statistically significant(P<0.05).After treatment,the heart rate of the observation group was lower than that of the control group,and the cardiac output and the left ventricular ejection fraction were higher than the control group,the differences were statistically significant(P<0.05).The oxygenation index and oxygen partial pressure of the observation group were higher than those of the control group,while the partial pressure of carbon dioxide was lower than that of the control group,all the differences were statistically significant(P<0.05).Compared to the control group,the rehabilitation effect including body temperature recovery,jitter disappeared of the observation group were better,the hospital stay was shorter,all the differences were statistically significant(P<0.05).Conclusion:Giving evidence-based care interventions to hand-foot-mouth disease patients can effectively prevent children to become critical and reduce the patients’heart and lung functional damage,therefore accelerate the reduction of clinical symptoms and promote patient rehabilitation.

关 键 词：手足口病 循证护理干预 心率 心肺功能 

分 类 号：R248.4[医药卫生—中医临床基础]