摘要
目的:探讨临床护理路径在川崎病患儿中的应用效果。方法:将104例川崎病患儿分为对照组和观察组,每组52例;对照组给予传统护理模式,而观察组给予临床护理路径干预;比较2组患儿的健康教育效果、白细胞计数、C反应蛋白及治疗效果等指标。结果:干预后,观察组的健康知识掌握情况(83. 91±7. 48)、治疗依从性(90. 54±5. 26)及满意度(87. 86±6. 04)得分均明显高于对照组(71. 45±9. 62、80. 30±8. 19、75. 63±6. 85,P <0. 05);观察组的白细胞计数、C反应蛋白下降水平(6. 20±2. 08、49. 38±14. 55)均高于对照组(3. 92±1. 87、27. 54±10. 60,P<0. 05);观察组患儿的退热时间(2. 93±1. 52) d、住院时间(7. 39±2. 87) d均短于对照组(4. 34±2. 40d、9. 45±3. 68d,P <0. 05),观察组的冠状动脉损害率为3. 85%,低于对照组的15. 38%(P <0. 05)。结论:川崎病患儿实施临床护理路径干预后,可提高健康教育效果,促进病情恢复,降低并发症发生率,提高治疗效果。
[Objective]To explore the intervention effect of clinical nursing pathway application in children with Kawasaki disease. [Method]104 cases w ere divided into control group and observation group,w ith 52 cases in each group.The control group w as given traditional nursing mode,and the observation group w as given clinical nursing pathw ay.The indexes of health education effect,leucocyte count,C reactive protein and treatment effect w ere compared betw een the tw o groups. [Result] After intervention,the scores of health know ledge mastery（ 83. 91 ± 7. 48）,treatment compliance（ 90. 54 ± 5. 26） and satisfaction degree（ 87. 86 ± 6. 04） in the observation group w ere all higher than the control group（ 71. 45 ± 9. 62,80. 30 ± 8. 19,75. 63 ± 6. 85,P〈0. 05）. The decline levels of leucocyte count（ 6. 20 ± 2. 08）and C reactive protein（ 49. 38 ± 14. 55） in the observation group w ere both low er than the control group（ 3. 92 ± 1. 87,27. 54 ± 10. 60,P〈0. 05）. The times of antipyretic time（ 2. 93 ± 1. 52 d） and hospitalization（ 7. 39 ± 2. 87 d） in the observation group w ere both shorter than the control group（ 3. 92 ± 1. 87,27. 54 ± 10. 60,P〈0. 05）,and the incidence rate of coronary artery damage in the observation group w as 3. 85%,low er than the control group（ 15. 38%,P〈0.05）. [Conclusion] The intervention of clinical nursing pathw ay to children w ith Kaw asaki can raise health education effect,promote the recovery of disease,and cut dow n incidence rate of complications,and improve treatment effect.
作者
吴益飞
陆卫民
WU Yifei;LU Weimin(Zhejiang Taizhou Hospital,Zhejiang 317000,China)
出处
《浙江医学教育》
2018年第5期26-29,共4页
Zhejiang Medical Education
关键词
川崎病
临床护理路径
干预效果
Kawasaki disease
clinical nursing pathway
intervention effect
