全程绿色通道护理措施在急诊高热惊厥患儿中的应用效果  

Nursing measures of green channel for children with febrile convulsion at emergency department

作　　者：杨福珍[1] 郭爱丽[1] 魏晓珉 史晓红[1] Yang Fuzhen;Guo Aili;Wei Xiaomin;Shi Xiaohong(Outpatient and Emergency Department,Jinan Central Hospital,Jinan 250013,China)

机构地区：[1]济南市中心医院门急诊部,250013

出　　处：《国际医药卫生导报》2021年第11期1724-1727,共4页International Medicine and Health Guidance News

摘　　要：目的分析急诊高热惊厥患儿应用全程绿色通道护理措施对患儿治疗情况与抢救转归结局的影响。方法选取2017年1月至2019年12月期间本院儿科抢救室的80例高热惊厥患儿作为此次研究对象,采用随机数字表法将患儿分为观察组与对照组,每组40例。观察组男21例,女19例,年龄(2.61±1.17)岁;对照组男20例,女20例,年龄(2.63±1.21)岁。对照组采用常规急诊护理措施,观察组在对照组基础上采用全程绿色通道护理措施。比较两组患儿护理后临床治疗指标、治疗情况与抢救转归结局。结果观察组患儿急救时间、退热时间、惊厥消失时间与住院时间均短于对照组(t=18.001、16.731、13.787、13.268,均P<0.001);护理前两组患儿体温比较差异无统计学意义(t=0.367,P=0.714),护理后两组患儿体温均有所下降,且观察组患儿体温明显低于对照组[(36.43±1.42)℃比(38.04±2.13)℃](t=3.977,P<0.001);护理后观察组患儿病情稳定情况[92.50%(37/40)比72.50%(29/40)]与并发症总发生率[7.50%(3/40)比27.50%(11/40)]均优于对照组(χ^(2)=5.579、5.541,均P<0.05)。结论急诊高热惊厥患儿治疗中应用全程绿色通道护理措施可以明显改善患儿高热惊厥急救结果,减少患儿急救时间与住院时间,继而降低并发症发生率,具有推广价值。Objective To explore the influence of green channel nursing on treatment and rescue outcomes of children with febrile convulsion at emergency department.Methods A total of 80 children with febrile convulsion treated at the emergency room of the pediatric department of our hospital from January,2017 to December,2019 were selected as the study objects,and were divided into an observation group and a control group by the random number table method,with 40 cases in each group.There were 21 boys and 19 girls in the observation group;they were(2.61±1.17)years old.There were 20 boys and 20 girls in the observation group;they were(2.63±1.21)years old.Both groups received routine nursing,and the observation group took whole course green channel nursing.The clinical treatment indicators,treatment situations,and rescue outcomes were compared between the two groups.Results The first aid time,antipyretic time,convulsion disappearance time,and hospitalization time in the observation group were shorter than those in the control group(t=18.001,16.731,13.787,and 13.268,all P<0.001).There was no statistical difference in body temperature between the two groups before the nursing care(t=0.367,P=0.714).After the nursing care,the body temperature decreased in both groups,and was significantly lower in the observation group than in the control group[(36.43±1.42)℃vs.(38.04±2.13)℃;t=3.977,P<0.001].The condition was more stable and the incidence of complications was lower in the observation group than in the control group after the nursing care[95.00%(38/40)vs.72.50%(29/40)and 7.50%(3/40)vs.27.50%(11/40);χ^(2)=5.579 and 5.541,both P<0.05].Conclusion Green channel nursing measures for children with febrile convulsion can obviously improve the rescue effect,reduce the rescue time,hospitalization time,and incidence of complications,so it is worth being generalized.

关 键 词：急诊 小儿高热惊厥 全程绿色通道 临床指标 

分 类 号：R473.72[医药卫生—护理学]