临床护理路径对手足口病患儿的护理效果分析(1)
【摘要】 目的：探讨临床护理路径对手足口病患儿的护理效果。方法：选取2017年4月-2018年6月儿童感染科收治的120例手足口病患儿，根据随机数字表法分为对照组与观察组，每组60例。对照组给予常规护理，观察组在对照组基础上给予临床护理路径，比较两组治疗总有效率、临床指标(体温恢复正常时间、皮疹消退时间、溃疡愈合时间、住院时间)及患儿家属对护理工作满意度。结果：观察组治疗总有效率(98.33%)高于对照组(85.00%)，差异有统计学意义(P<0.05);观察组体温恢复正常时间、皮疹消退时间、溃疡愈合时间、住院时间均明显短于对照组(P<0.05);观察组护理满意度(100%)高于对照组(90.00%)，差异有统计学意义(P<0.05)。结论：临床护理路径对手足口病患儿的护理效果显著，值得在临床应用上进一步推广。
【关键词】 临床护理路径; 手足口病患儿; 皮疹消退; 溃疡愈合
Nursing Effect of Clinical Nursing Pathway on Children with Hand，Foot and Mouth Disease/HE Xiaofang，WANG Jia，XUE Zhen.//Medical Innovation of China，2019，16(24)：0-077
【Abstract】 Objective：To explore the nursing effect of clinical nursing pathway on children with hand，foot and mouth Disease.Method：A total of 120 children with hand，foot and mouth disease admitted to the infectious Department of children from April 2017 to June 2018 were selected.According to the random number table method they were divided into control group and observation group，60 cases in each group.The control group was given routine nursing，while the observation group was given clinical nursing path on the basis of the control group.The total effective rate，clinical indicators(body temperature return to normal time，the rash subsided time，ulcer healing time，hospitalization time) and family members'satisfaction with nursing work of the two groups were compared.Result：The total effective rate of the observation group(98.33%)was higher than that of the control group(85.00%)，the difference was statistically significant(P<0.05).The recovery time of body temperature，the time of rash subsided，the time of ulcer healing and the time of hospitalization in the observation group were significantly lower than those in the control group(P<0.05).Nursing satisfaction in observation group(100%) was higher than that in control group(90.00%)，the difference was statistically significant (P<0.05).Conclusion：The clinical nursing pathway has remarkable nursing effect on children with hand，foot and mouth disease，it is worthy of further promotion in clinical application.
【Key words】 Clinical nursing pathway; Children with hand，foot and mouth disease; Rash subsidence; Ulcer healing
First-author’s address：Ganzhou Maternal and Child Health Hospital，Ganzhou 341000，China
doi：10.3969/j.issn.1674-4985.2019.24.020
手足口病是兒科较常见的一种丙类急性传染病，由肠道病毒引起，以柯萨奇病毒A16型(CoXA16)和肠道病毒71型(EV71)多见，好发于学龄前儿童，尤以3岁以下年龄组发生率最高[1-4]。根据发病机制与临床表现将手足口病分为五期：Ⅰ期手足口病患者多会出现手、足、口等部位出疹、咳嗽、食欲不振等;Ⅱ期患者多会出现神经系统受累，少数患者出现中枢神经系统损害;Ⅲ期患者属于心肺功能衰竭前期，属于手足口病重症病例危重型，及时发现并正确治疗，是降低病死率的关键;Ⅳ期为心肺功能衰竭期，此期病例属于手足口病重症病例危重型，病死率较高;Ⅴ期为恢复期，神经系统受累症状和心肺功能逐渐恢复，少数可遗留神经系统后遗症状[5-7]。临床多对患者进行隔离、维持生命体征平稳、口腔护理、给予抗病毒药物等对症治疗，维持水、电解质平衡等合并治疗。在治疗基础上给予有效的护理干预可显著改善患儿临床症状，缩短临床指标时间，提高患儿家属护理满意度。因此，本文对临床护理路径对手足口病患儿的应用价值进行进一步探讨，现报道如下。, http://www.100md.com(何晓芳 王佳 薛珍)
【关键词】 临床护理路径; 手足口病患儿; 皮疹消退; 溃疡愈合
Nursing Effect of Clinical Nursing Pathway on Children with Hand，Foot and Mouth Disease/HE Xiaofang，WANG Jia，XUE Zhen.//Medical Innovation of China，2019，16(24)：0-077
【Abstract】 Objective：To explore the nursing effect of clinical nursing pathway on children with hand，foot and mouth Disease.Method：A total of 120 children with hand，foot and mouth disease admitted to the infectious Department of children from April 2017 to June 2018 were selected.According to the random number table method they were divided into control group and observation group，60 cases in each group.The control group was given routine nursing，while the observation group was given clinical nursing path on the basis of the control group.The total effective rate，clinical indicators(body temperature return to normal time，the rash subsided time，ulcer healing time，hospitalization time) and family members'satisfaction with nursing work of the two groups were compared.Result：The total effective rate of the observation group(98.33%)was higher than that of the control group(85.00%)，the difference was statistically significant(P<0.05).The recovery time of body temperature，the time of rash subsided，the time of ulcer healing and the time of hospitalization in the observation group were significantly lower than those in the control group(P<0.05).Nursing satisfaction in observation group(100%) was higher than that in control group(90.00%)，the difference was statistically significant (P<0.05).Conclusion：The clinical nursing pathway has remarkable nursing effect on children with hand，foot and mouth disease，it is worthy of further promotion in clinical application.
【Key words】 Clinical nursing pathway; Children with hand，foot and mouth disease; Rash subsidence; Ulcer healing
First-author’s address：Ganzhou Maternal and Child Health Hospital，Ganzhou 341000，China
doi：10.3969/j.issn.1674-4985.2019.24.020
手足口病是兒科较常见的一种丙类急性传染病，由肠道病毒引起，以柯萨奇病毒A16型(CoXA16)和肠道病毒71型(EV71)多见，好发于学龄前儿童，尤以3岁以下年龄组发生率最高[1-4]。根据发病机制与临床表现将手足口病分为五期：Ⅰ期手足口病患者多会出现手、足、口等部位出疹、咳嗽、食欲不振等;Ⅱ期患者多会出现神经系统受累，少数患者出现中枢神经系统损害;Ⅲ期患者属于心肺功能衰竭前期，属于手足口病重症病例危重型，及时发现并正确治疗，是降低病死率的关键;Ⅳ期为心肺功能衰竭期，此期病例属于手足口病重症病例危重型，病死率较高;Ⅴ期为恢复期，神经系统受累症状和心肺功能逐渐恢复，少数可遗留神经系统后遗症状[5-7]。临床多对患者进行隔离、维持生命体征平稳、口腔护理、给予抗病毒药物等对症治疗，维持水、电解质平衡等合并治疗。在治疗基础上给予有效的护理干预可显著改善患儿临床症状，缩短临床指标时间，提高患儿家属护理满意度。因此，本文对临床护理路径对手足口病患儿的应用价值进行进一步探讨，现报道如下。, http://www.100md.com(何晓芳 王佳 薛珍)