综合全面护理对手足口病患儿溃疡愈合及护理满意率的影响

目的了解综合全面护理对手足口病患儿溃疡愈合及护理满意率的影响。 方法收集本院2014年1月至2015年1月收治小儿手足口病且伴有口腔溃疡的患儿180例，分为观察组和对照组各90例，其中对照组患儿给予常规护理，观察组患儿在常规护理基础上加以皮肤护理、饮食、口腔黏膜等方面进行综合全面性护理。比较两组患儿口腔溃疡的治疗情况以及护理满意率。 结果观察组患儿病程较对照组显著缩短，差异具有统计学意义（t = 2.264、P = 0.002）。两组患儿经过治疗后口腔溃疡均愈合，其中观察组患儿口腔溃疡疼痛缓解时间和口腔溃疡愈合时间均较对照组短，差异均具有统计学意义（χ²= 4.585、P = 0.000，χ²= 3.723、P = 0.000）。观察组患儿家属的总满意率为97.78%，显著高于对照组患儿家属总满意率的85.56%（χ²= 8.800、P = 0.003）。 结论综合全面护理干预较常规护理，可缩短手足口病患儿口腔溃疡的痛疼缓解时间及其愈合时间，缩短整个病程，提高护理满意率。

Effect of comprehensive nursing care on the healing of ulcer and nursing satisfaction rate in children with hand,foot and mouth disease

ObjectiveTo investigate the effect of comprehensive nursing care on the healing of ulcer in children with hand, foot and mouth disease (HFMD) and the nursing satisfaction rates. MethodsTotal of 180 children with HFMD and oral ulcer treated in our hospital from January 2014 to January 2015, were collected and divided into observation group and control group, each with 90 cases, respectively. The patients in control group received routine nursing care, while thoes in observation group received the comprehensive nursing on skin care, diet, oral mucous and other aspects based on routine nursing. Meanwhile, the treatment of children with oral ulcer and nursing satisfaction rates of the two groups were compared, respectively. ResultsThe disease duration of observation group was significantly shorter than that of the control group, with significant difference (t = 2.264, P = 0.002). The patients’ oral ulcer were healed after the treatment in both groups, and the durations of oral ulcer pain relief time and healing time of oral ulcer of the children in the observation group were significantly shorter than those of the control group (χ²= 4.585, P = 0.000; χ²= 3.723, P = 0.000). The nursing satisfaction rates were 97.78% and 85.56% of families of the children in the observation group and the control group, respectively, with significant difference (χ²= 8.800, P = 0.003). ConclusionsCompared with the conventional care, the comprehensive nursing intervention could shorten the durations of oral ulcer pain relief time and healing time, and shorten the disease duration time of the cases with HFMD, so as to improve the nursing satisfaction.