精细化护理对小儿发热的干预效果  

The intervention effect of refined nursing on pediatric fever

作　　者：张瑞梅 ZHANG Rui-mei(Emergency Department,Xiamen Children's Hospital,Xiamen Fujian Province 361000,China)

机构地区：[1]厦门市儿童医院急诊科,福建厦门361000

出　　处：《中国城乡企业卫生》2025年第1期7-10,共4页Chinese Journal of Urban and Rural Enterprise Hygiene

摘　　要：目的研究发热门诊采用精细化护理措施干预儿童发热的效果,为改善儿童发热预后提供参考。方法选取2021年8月—2022年2月在厦门市儿童医院发热门诊就诊的患儿94例为研究对象,依照计算机表法随机分为研究组和对照组各47例。对照组采用常规护理干预,研究组采用精细化护理干预。比较两组护理有效率、48 h内给药次数、用药后1、3、5 h的体温、家属对护理的满意率。结果研究组临床护理总有效率为95.74%,高于对照组的80.85%,差异有统计学意义(χ^(2)=5.045,P<0.05)。研究组首日给药次数少于对照组,差异有统计学意义(P<0.05);两组次日给药次数比较,差异无统计学意义(P>0.05);研究组治疗期间总用药次数少于对照组,差异有统计学意义(P<0.05)。研究组用药后1、3、5 h的体温均低于对照组,差异均有统计学意义(P<0.05)。研究组家属对护理总满意率为95.74%,高于对照组的82.98%,差异有统计学意义(χ^(2)=4.029,P<0.05)。结论发热门诊应用精细化护理干预儿童发热,能够在减少退热药使用次数基础上,降低药物不良反应发生率,同时产生较好的退热作用,提高护理满意度,值得临床推广应用。Objective To study the effect of using refined nursing measures to intervene in children's fever in fever clinics,and to provide reference for improving the prognosis of children's fever.Methods A total of 94 pediatric patients who visited the fever clinic of Xiamen Children's Hospital from August 2021 to February 2022 were selected as the research subjects.They were divided into study group and control group,with 47 patients in each group,using a computer table method.The control group received routine nursing interventions,while the study group received refined nursing interventions.The effective rate of nursing,the frequency of medication administration within 48 hours,body temperature at 1,3 and 5 hours after medication and the satisfaction rate of nursing by family members between two groups were compared.Results The total effective rate of clinical nursing in the study group was 95.74%,which was higher than the 80.85%in the control group,and the difference was statistically significant(χ2=5.045,P<0.05).The number of doses administered on the first day in the study group was less than that in the control group,and the difference was statistically significant(P<0.05);there was no statistically significant difference in the frequency of drug administration between the two groups on the following day(P>0.05);the total number of medication used during the treatment period in the study group was less than that in the control group,and the difference was statistically significant(P<0.05).The body temperature of the study group were lower than those of the control group at 1,3 and 5 hours after medication,and the differences were statistically significant(P<0.05).The overall satisfaction rate of family members with nursing in the study group was 95.74%,which was higher than that in the control group with 82.98%,and the difference was statistically significant(χ2=4.029,P<0.05).Conclusion The application of refined nursing intervention in fever clinics for children with fever could reduce the frequency of antipyret

关 键 词：常规护理 精细化护理 发热 物理降温 药物降温 效果研究 

分 类 号：R453[医药卫生—治疗学]