儿童川崎病层级链式护理效果  

Effectiveness of Hierarchical Chain Nursing in Treating Children with Kawasaki Disease

作　　者：李利苹 张玉[1,2] LI Liping;ZHANG Yu(Pediatric Department,Xinxiang Central Hospital,Xinxiang 453000,China;Fourth Clinical College,Xinxiang Medical University,Xinxiang 453003,China)

机构地区：[1]新乡市中心医院儿科,河南新乡453000 [2]新乡医学院第四临床学院,河南新乡453003

出　　处：《河南医学研究》2024年第14期2676-2679,共4页Henan Medical Research

摘　　要：目的探讨层级链式护理模式在儿童川崎病治疗中的应用效果。方法本研究选择2023年1—12月新乡市中心医院收治的70例川崎病患儿为研究对象。采用双盲随机分组法,将患儿分为对照组和试验组,每组35例。对照组接受传统护理方案,试验组接受层级链式护理方案。主要结果指标包括发热持续时间、皮疹缓解时间、心脏炎症恢复时间、体温正常化时间以及阿司匹林与免疫球蛋白副作用发生率。此外,还包括患儿治疗依从性、焦虑和抑郁状况的改善,以及家庭支持的增强情况。结果与传统护理方案相比,层级链式护理在缩短发热持续时间、减轻皮疹、加速心脏炎症及体温恢复、降低药物副作用发生率、改善心脏功能和冠状动脉异常、减少心电图和超声心动图异常发现,以及降低心力衰竭和心律失常的发生率方面均表现出优势(P<0.05)。层级链式护理提高了患儿的治疗依从性(P<0.01),有效减轻了焦虑和抑郁情绪(P<0.05),增强了家庭支持(P<0.01)。结论层级链式护理模式在儿童川崎病的治疗中具有明显优势,能够改善患儿的疾病指标,有效降低药物治疗的副作用和心脏功能异常,同时提高患儿的心理状态和治疗依从性,是一种值得推广应用的护理模式。Objective To investigate the effectiveness of the hierarchical chain nursing model in the treatment of children with Kawasaki disease.Methods This study selected 70 children with Kawasaki disease admitted to Xinxiang Central Hospital from January to December 2023 as the research subjects.The children were randomly divided into control group and experimental group using a double-blind randomization method,with 35 cases in each group.The control group received traditional nursing care,while the experimental group received hierarchical chain nursing care.The main outcome measures included the duration of fever,time to rash resolution,cardiac inflammation recovery time,normalization time of body temperature,and the incidence rates of side effects from aspirin and immunoglobulin.Additionally,the study evaluated improvements in treatment compliance,anxiety and depression,and the enhancement of family support.Results Compared to traditional nursing care,hierarchical chain nursing significantly reduced the duration of fever,alleviated rash more quickly,accelerated the recovery from cardiac inflammation and normalization of body temperature,reduced the incidence rates of side effects from medications,improved cardiac function and coronary artery abnormalities,decreased the findings of abnormal ECGs and echocardiograms,and lowered the incidence rates of heart failure and arrhythmias(P<0.05).Hierarchical chain nursing significantly improved treatment compliance(P<0.01),effectively reduced anxiety and depression(P<0.05),and significantly enhanced family support(P<0.01).Conclusion The hierarchical chain nursing model has significant advantages in the treatment of children with Kawasaki disease.It can improve disease indicators,effectively reduce the side effects of drug treatment and cardiac function abnormalities,and enhance the psychological state and treatment compliance of the children.This model is worth promoting for application.

关 键 词：川崎病 儿童 层级链式护理 治疗效果 心脏并发症 

分 类 号：R473[医药卫生—护理学]