摘要
目的探讨早期保温护理干预对血液净化期间患儿体温变化情况的效果,为患儿血液净化的护理提供指导。方法选取2017年3月~2018年12月在我院儿童重症监护病房(PICU)进行血液净化治疗的患儿60例为研究对象。采用随机数表法将患者分成观察组和对照组,每组30例。对照组给予常规护理,观察组提供早期保暖干预护理。比较两组患儿低体温现象发生率、连续性血液净化(CBP)治疗模式下不同时点的低体温现象发生率及患儿家属满意度。结果观察组患儿低体温发生率显著低于对照组,差异有统计学意义(P<0.05);两组患儿血液净化前期体温无显著差异(P>0.05),净化4 h、8 h、12 h及净化后期,观察组体温显著高于对照组,差异有统计学意义(P<0.05);观察组血液净化期间体温无显著差异(P>0.05),对照组净化4 h、8 h、12 h及净化后期体温显著低于净化前期,差异有统计学意义(P<0.05)。观察组患儿家长护理满意度显著高于对照组,差异有统计学意义(P<0.05)。结论血液净化治疗能够促使患儿体温降低,早期保温护理干预能降低患儿低体温发生率,改善患儿体温状况,提高患儿家属满意度,值得广泛应用。
Objective To explore the effect of early thermal insulation intervention on children's body temperature changes during blood purification, and to provide guidance for the care of children's blood purification. Methods Sixty children with blood purification treatment from March 2017 to December 2018 in the Pediatric Intensive Care Unit were selected as subjects. They were divided into observation group and control group by random number table method, with 30 cases in each group. The control group received routine nursing and the observation group was provided with early warm-up intervention nursing. The incidence of hypothermia in the two groups, the incidence of hypothermia at different time points in continuous blood purification(CBP), treatment mode, and the satisfaction of family members were compared. Results The incidence of hypothermia in the observation group was significantly lower than that in the control group, and the difference was statistically significant(P<0.05). There was no significant difference in the body temperature of the two groups(P>0.05). After purification 4 hours, 8 hours, 12 hours and in the late stage of purification, the body temperature of the observation group was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). There was no significant difference in body temperature during the blood purification period in the observation group (P>0.05). After purification 4 hours, 8 hours, 12 hours and in the late stage of purification, the body temperature of the control group was significantly higher than that in the pre-purification period, and the difference was statistically significant(P<0.05). The nursing satisfaction of parents in the observation group was significantly higher than that in the control group, and the difference was statistically significant(P<0.05). Conclusion Blood purification treatment can promote the hypothermia of children. Early thermal insulation intervention can reduce the incidence of hypothermia in chil
作者
李珍
LI Zhen(Children's Intensive Care Unit, the Xiangya Second Hospital of Central South University, Changsha 410000, China)
出处
《中国现代医生》
2019年第22期158-160,164,共4页
China Modern Doctor
关键词
早期保温护理
血液净化
儿童
低体温
Early thermal nursing
Blood purification
Children
Hypothermia
