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急诊手足口病患儿应用重症早期预警护理的价值

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目的:分析急诊手足口病患儿应用重症早期预警护理的价值。方法:选取 2023 年 1-12 月厦门市儿童医院急诊科收治的 200 例手足口病患儿。随机将其分为研究组和对照组,各 100 例。对照组接受常规急诊护理,研究组接受重症早期预警护理。比较两组临床症状消失时间,并发症,护理前后病情严重程度、生存质量及不良反应。结果:研究组发热消失时间、口腔溃疡消失时间、手足疱疹消失时间均早于对照组,差异有统计学意义(P<0。05)。研究组并发症发生率低于对照组,差异有统计学意义(P<0。05)。护理后,研究组意识、心血管系统、呼吸频率、总分均低于对照组,差异有统计学意义(P<0。05)。护理后,研究组情感功能、生理功能、社会功能及角色功能评分均高于对照组,差异有统计学意义(P<0。05)。研究组护理总满意度高于对照组,差异有统计学意义(P<0。05)。结论:急诊手足口病患儿实施重症早期预警护理有助于缩短临床症状消失时间,降低儿童早期预警评分(PEWS),减少并发症发生,提高患儿生存质量。
Value of Applying Severe Early Warning Nursing to Children with Emergency Hand,Foot and Mouth Disease
Objective:To analyze the value of applying severe early warning nursing to children with emergency hand,foot and mouth disease.Method:A total of 200 children with hand,foot and mouth disease treated in the Emergency Department of Xiamen Children's Hospital from January to December 2023 were selected.They were randomly divided into study group and control group,100 cases in each group.The control group received routine emergency nursing,and the study group received early warning nursing for severe illness.The disappearance time of clinical symptoms,complications,medical condition severity,quality of life before and after nursing and adverse reactions were compared between the two groups.Result:The disappearance time of fever,oral ulcer and hand and foot herpes in the study group was earlier than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complication of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).After nursing,the consciousness,cardiovascular system,respiratory rate and total score of the study group were lower than those of the control group,and the differences were statistically significant(P<0.05).After nursing,the scores of emotional function,physiological function,social function and role function in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total nursing satisfaction of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The implementation of early warning nursing for severe illness in emergency children with hand,foot and mouth disease is helpful to shorten the time of disappearance of clinical symptoms,reduce pediatric early warning score(PEWS),reduce the occurrence of complications,and improve the quality of life of children.

Hand,foot and mouth diseaseSevere early warning nursingClinical symptomsPediatric early warning scoreComplicationsQuality of life

张银萍、陈淑娟、潘媛媛、吴珍花

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厦门市儿童医院 福建 厦门 361000

厦门大学附属中山医院

手足口病 重症早期预警护理 临床症状 儿童早期预警评分 并发症 生存质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(26)