手足口病患儿的综合性护理干预效果观察

目的探讨对手足口病患儿实施综合性护理干预措施的临床效果。方法选取笔者所在医院2009年6月～2012年6月来我院就诊、符合手足口病诊断标准的住院患儿84例，根据护理方法不同分为观察组和对照组各42例，对照组实施对症护理干预，具有随机化，观察组实施综合性的护理干预，比较两组的治疗效果、发热及疱疹消退时间、并发症、护理满意度。结果观察组在治疗过程中实施综合性护理干预措施后的疗效明显优于对照组。两组总有效率比较．差异有统计学意义（P〈0．05）。观察组42例患儿的临床症状如发热消退时间较对照组快。疱疹消退时间较对照组短，观察组住院时间也明显短于对照组，上述指标组间分别比较，差异有统计学意义（P〈0．05）。观察组患儿无一例出现脑炎、心脏损害，对照组患儿出现上呼吸道感染、脑炎、皮肤感染、心脏和肾脏损害的例数明显多于观察组，差异有统计学意义（P〈0．05）。观察组患儿家属对护理的满意度达85．7％，明显高于对照组，差异有统计学意义（P〈0．05）。结论对手足口病患儿在配合药物治疗的过程中通过实施综合性护理干预措施不仅能显著提高临床治疗效果，而且促进症状缓解，减轻患儿家长的焦虑抑郁情绪，提高了护理满意度及治疗效果，从而促使患儿早日康复。

The effect observed of comprehensive care intervention on child patients with HFMD

Objective To investigate the clinical effects of comprehensive care interventions for child patients with HFMD. Methods Selected the author＇s hospital from June 2009 to June 2012 in our hospital, 84 cases of hospitalized children with the hand, foot and mouth disease diagnostic criteria were divided into observation group and control group 42 cases in the control group, the control group was given implementation symptomatic care intervention, the observation group was given implementing comprehensive nursing intervention, the effects,fever and herpes subsided time,complications nursing satisfaction werecompared between two groups. Results The observation group in the course of treatment after the implementation of the comprehensive care interventions, the efficacy was significantly better than the control group, the total effective rate had statistically significant difference（P 〈 0.05）. The observation group 42 patients clinical symptoms such as fever subsided than control group, herpes subsided time was shorten than the control group, hospitalization time of the observation group was significantly shorter than the control group, between the above-mentioned group of indicators were compared, the difference was statistically significant（P 〈 0.05）. Children of the observation group had no case of encephalitis, heart damage, control group children with upper respiratory tract infection, encephalitis, skin infections, heart and kidney damage, the number of cases was significantly more than the observation group, the difference was statistically significant（P 〈 0.05）. The satisfaction of the observation group, children with family members to care amounted to 85.7%, was significantly higher than the control, the difference was statistically significant （P 〈 0.05）. Conclusion The hand, foot and mouth disease children in the process of combining drug treatment through can not only significantly improve the implementation of the implementation of the comprehensive care interventions the clinical treatment effect, and to promote the relief of symptoms, relieve parents of children with anxiety and depression, and improve nursing satisfaction degrees and therapeutic effects, thus contributing to the children a speedy recovery.