临床护理路径用于川崎病合并冠状动脉改变患儿临床观察  

Clinical Observation of Clinical Nursing Pathway in the Treatment of Children with Kawasaki Disease Complicated with Coronary Artery Changes

作　　者：吴汶君[1] WU Wenjun(The First People's Hospital of Yibin,Yibin,Sichuan,China 644000)

机构地区：[1]四川省宜宾市第一人民医院,四川宜宾644000

出　　处：《中国药业》2022年第S02期256-258,共3页China Pharmaceuticals

摘　　要：目的探讨临床护理路径在川崎病合并冠状动脉改变患儿治疗中的应用效果。方法选取医院2020年11月至2021年11月收治的川崎病合并冠状动脉改变患儿68例,按照随机分配法分为对照组和观察组,各34例。对照组患儿开展常规基础护理工作,观察组患儿开展常规基础护理+临床护理路径工作。结果观察组患儿并发症总发生率为2.94%,显著低于对照组的14.71%(χ^(2)=8.598,P=0.003);整体住院时长为(8.62±3.02)d,显著短于对照组的(14.10±2.78)d(t=7.784,P=0.000);对护理工作的总满意度为97.06%,显著高于对照组的85.29%(χ^(2)=8.589,P=0.003);退热时间为(2.49±1.13)d,显著短于对照组的(4.56±1.88)d(t=5.502,P=0.001);白细胞计数为(9.10±1.08)×10^(9)/L,显著低于对照组的(10.97±1.98)×10^(9)/L(t=4.834,P=0.001);C反应蛋白为(3.02±0.79)mg/L,显著低于对照组的(8.03±1.96)mg/L(t=13.824,P=0.001);冠状动脉损害率为5.88%,显著低于对照组的23.53%(χ^(2)=12.418,P=0.001)。结论在川崎病合并冠状动脉改变患儿治疗中开展临床护理路径工作,可以有效降低并发症发生率,改善白细胞计数和C反应蛋白水平,减轻冠状动脉损害,缩短患儿退热时间和住院时长,提升患儿家属对护理工作的满意度,临床可推广应用。Objective To investigate the application effect of clinical nursing pathway in the treatment of children with Kawasaki disease complicated with coronary artery changes.Methods A total of 68 children with Kawasaki disease complicated with coronary artery changes admitted to the hospital from November 2020 to November 2021 were selected and randomly divided into the control group and the observation group,with 34 cases in each group.The children in the control group were given the routine basic nursing work,while the children in the observation group were given the routine basic nursing+clinical nursing pathway work.Results The incidence of total complications in the observation group was 2.94%,which was significantly lower than 14.71%in the control group(χ^(2)=8.598,P=0.003).The overall hospital stay in the observation group was(8.62±3.02)d,which was significantly shorter than(14.10±2.78)d in the control group(t=7.784,P=0.000).The total satisfaction in the observation group was 97.06%,which was significantly higher than 85.29%in the control group(χ^(2)=8.589,P=0.003).The antipyretic time in the observation group was(2.49±1.13)d,which was significantly shorter than(4.56±1.88)d in the control group(t=5.502,P=0.001).The white blood cell count in the observation group was(9.10±1.08)×10^(9)/L,which was significantly lower than(10.97±1.98)×10^(9)/L in the control group(t=4.834,P=0.001).The C-reactive protein(CRP)in the observation group was(3.02±0.79)mg/L,which was significantly lower than(8.03±1.96)mg/L in the control group(t=13.824,P=0.001).The coronary artery damage rate was 5.88%,which was significantly lower than 23.53%in the control group(χ^(2)=12.418,P=0.001).Conclusion The clinical nursing pathway work can effectively reduce the incidence of complications,improve the white blood cell count and CRP level,reduce the coronary artery damage,shorten the antipyretic time and hospital stay,and improve the satisfaction of the family members of the children with Kawasaki disease complicated with coronary art

关 键 词：临床护理路径 川崎病 冠状动脉改变 

分 类 号：R473.6[医药卫生—护理学]