循证护理在小儿手足口病合并脑炎护理中的应用观察

目的探讨循证护理在小儿手足口病合并脑炎护理应用效果。方法分析湖州市中心医院2011年10月。2013年10月儿科收治的80例手足口病并脑炎患儿的临床资料，依据护理措施不同进行分组，常规护理组（给予常规护理措施）40例和循证护理组（给予常规护理措施联合循证护理措施）40例。观察两组手足口病合并脑炎患儿的一般资料，如性别构成比例、年龄分布状态等情况，护理前后脑脊液中白细胞计数水平、蛋白含量、葡萄糖含量、氯化物含量情况，及其住院时间、并发症发生率、家属满意度情况。结果两组手足口病合并脑炎患儿的性别构成比例、年龄分布状态差异均无统计学意义（χ2=0．55，t=1．21，P〉0．05），两组手足口病合并脑炎患儿护理前脑脊液中自细胞计数水平、蛋白含量、葡萄糖含量和氯化物含量差异均无统计学意义（t=0．14、0．29、0．15、0．04，P〉0．05），两组护理后脑脊液中氯化物含量差异无统计学意义（t=0．10，P〉0．05），循证护理组手足口病合并脑炎患儿护理后脑脊液中自细胞计数水平、蛋白含量、葡萄糖含量均优于常规护理组，差异均有统计学意义（t=9．52、38．86、19．21，P〈0．05），循证护理组手足口病合并脑炎患儿住院时间、并发症发生率和家属满意度均优于常规护理组．差异均有统计学意义（t=6．91，χ2=10．29、10．53，P〈0．05）。结论在小儿手足口病合并脑炎护理中应用循证护理可以明显改善手足口病合并脑炎患儿临床症状，降低并发症发生率，提高护理质量，值得临床推广应用。

The nursing observation of pediatric hand foot and mouth disease by evi- dence-based nursing

Objective To approach nursing result of pediatric hand foot and mouth disease by evidence-based nursing. Methods 80 cases clinical data of hand foot and mouth disease and encephalitis in children in Department of Pediatric of Huzhou Central Hospital from October 2011 to October 2013 were analyzed, which was to be divided into two groups, 40 cases were routine nursing group with routine nursing measures, 40 cases were evidence-based nursing group with routine nursing measures combined with evidence-based nursing measures. The general information on the sex proportion, age distribution of two group with hand foot and mouth disease and encephalitis in children were detected, the white blood cell count, protein content, the content of glucose and chloride of two group before and after nursing were detected, the time in hospital, complication rate and family satisfaction of glucose of two group were detected. Results The general information on the sex proportion, age distribution of two group of hand foot and mouth disease and encephalitis in children were no difference （χ2=0.55, t = 1.21, P 〉 0.05）. The white blood cell count, protein con- tent, the content of glucose and chloride of two group before nursing were no difference （t = 0.14, 0.29, 0.15, 0.04, P 〉 0.05）. Chlorid of evidence-based nursing group after nursing was no difference （t = 0.10, P 〉 0.05）. The white blood cell count, protein content, the content of glucose of evidence-based nursing group after nursing were better than those of routine nursing group with significant differences （t = 9.52, 38.86, 19.21, P 〈 0.05）. The time in hospital, complication rate and family satisfaction of glucose of evidence-based nursing group were better than those of routine nursing group with significant differences （t = 6.91,χ2=10.29, 10.53, P 〈 0.05）. Conclusion The clinical symptoms in children with hand foot mouth disease complicated with encephalitis of pediatric hand foot and mouth disease by evidence-based nursing has improved,complication rate has decreased and quality of care has increased, which is to be used in clinical.