重症早期预警护理策略在小儿手足口病中的影响

目的研究并探讨重症早期预警护理策略在小儿手足口病中的应用效果及其对患儿病情恢复时间和转归情况的影响。方法入组对象选择2015年3月-2017年3月期间我院收治的120例小儿手足口病患儿,按照计算机随机数字分组法,随机将这120例手足口病患儿分为两组,60例/组,对照组施行常规护理,观察组在常规护理的基础上应用重症早期预警护理策略,比较两组病情恢复时间、重症手足口病发生率、并发症发生率、血清炎性因子指标、家长负性情绪评分及护理满意度。结果观察组的疱疹消退时间、退热时间均短于对照组(P<0.05);观察组的并发症发生率低于对照组(P<0.05),而两组的重症手足口病发生率比较无统计学意义(P>0.05);两组患儿护理后的CRP、IL-6、TNF-α等血清炎性因子指标均较护理前显著降低(P<0.05),而在护理后,观察组各项血清炎性因子指标均低于对照组(P<0.05);两组家长护理后的焦虑评分、抑郁评分等负性情绪评分均较护理前显著降低(P<0.05),而观察组护理后的各项负性情绪评分均低于对照组(P<0.05);观察组家长的护理总满意率高于对照组(P<0.05)。结论在小儿手足口病患儿临床护理中应用重症早期预警护理策略,可有效促进患儿病情恢复,减少其病情重症化发展和并发症发生。

The Effect of Early Warning Nursing Strategy on Hand,Foot and Mouth Disease in Children

Objective To study and explore the clinical effect of severe early warning strategies in nursing care of children with hand foot and mouth disease in children with the disease and the recovery time and influence prognosis. Methods The subjects choose March 2015-2017 year in March 120 cases of hand foot mouth disease in our hospital, according to digital computer random grouping method. The random 120 cases of HFMD were divided into 2 groups, 60 cases in each group. The control group received routine nursing care, observation group on the basis of routine nursing care of severe application of early warning strategy, compared two groups of recovery time, heavy HFMD incidence rate, complication rate, serum inflammatory factor index parents, negative emotion and nursing satisfaction scores. Results The herpes subsiding time and antipyretic time in the observation group were shorter than those in the control group(P<0.05), the incidence of complications in the observation group was lower than that in the control group(P<0.05), but there was no significant difference between the two groups in the incidence of severe hand-foot-mouth disease(P>0.05). After nursing, the serum inflammatory factors such as CRPnIL-6, TNF-α and so on decreased significantly(P<0.05), but after nursing, the serum inflammatory factors in the observation group were lower than those in the control group(P<0.05), and the anxiety scores of parents in the two groups after nursing were significantly lower than those in the control group(P<0.05). The scores of negative emotions such as depression scores were significantly lower than those before nursing(P<0.05), but the scores of negative emotions after nursing in the observation group were lower than those in the control group(P<0.05), and the total satisfaction rate of the parents in the observation group was higher than that in the control group(P<0.05). Conclusion The application of early warning of severe disease in clinical nursing care strategy children with small children hand foot mouth, can effectively promote the recovery of children with the disease, reduce the development of severe illness and complications.