摘要
目的探讨急诊高热惊厥儿童采用早期预警评分、分级护理综合运用的效果。方法选取2020年1月至2020年12月我院收治的高热惊厥急诊患儿105例,按照随机数字表法,分为对照组(n=50)与观察组(n=55)。对照组接受常规护理,观察组在对照组的基础上加用早期预警评分联合分级护理,比较两组护理预检分诊正确率、患儿家长对高热惊厥相关知识掌握程度、应对惊厥处置能力及护理满意度。结果观察组护理总有效率高于对照组(86.00%vs. 98.18%,χ^(2)=4.326),差异有统计学意义(P <0.05)。观察组各分级患儿的检出时间短于对照组,差异有统计学意义(P <0.05)。观察组抢救时间、体温恢复时间与惊厥持续时间均短于对照组,差异有统计学意义(P <0.05)。观察组患儿家长对预检分诊(76.00%vs. 94.55%,χ^(2)=7.356)、基础护理(70.00%vs. 90.91%,χ^(2)=7.426)、健康教育(80.00%vs. 94.55%,χ^(2)=5.108)与照护指导(76.00%vs. 94.55%,χ^(2)=7.356)的满意度均高于对照组,差异有统计学意义(P <0.05)。结论急诊高热惊厥儿童采用早期预警评分以及分级护理,可提高预检分诊正确率、减少患儿院内高热惊厥发生率,提高抢救效率,并提高患儿家长对护理工作的满意度。
Objective To explore the effect of early warning score and graded nursing in emergency children with febrile convulsion. Methods A total of 105 children with acute febrile convulsion admitted to our hospital from January 2020 to December 2020 were selected and divided into control group(n=50)and observation group(n=55) according to random number table method. The control group received routine care, and the observation group was combined with early warning score combined with graded nursing on the basis of the control group. The two groups were compared with the correct rate of pre-test and triage of nursing, the parents of the children’s knowledge of high fever convulsion, the ability to deal with convulsion and nursing satisfaction. Results The total effective rate of nursing care in the observation group was higher than that in the control group(86.00% vs. 98.18%, χ^(2)=4.326), and the difference was statistically significant(P<0.05). The detection time of children in each grade in the observation group was shorter than that in the control group, and the difference was statistically significant(P<0.05). The rescue time, body temperature recovery time and convulsion duration of the observation group were shorter than those of the control group, and the difference was statistically significant(P<0.05). Parents of children in the observation group are concerned about pre-examination triage(76.00% vs. 94.55%, χ^(2)=7.356), basic care(70.00% vs. 90.91%, χ^(2)=7.426), health education(80.00% vs. 94.55%, χ^(2)=5.108) and the satisfaction of nursing guidance(76.00% vs. 94.55%, χ^(2)=7.356) was higher than that of the control group, and the difference was statistically significant(P <0.05). Conclusion Early warning score and graded nursing can improve the accuracy of pre-examination and triage, reduce the incidence of high fever convulsion in the hospital, improve the rescue efficiency, and improve the satisfaction of the parents of the children with high fever convulsion.
作者
张丽月
吕丽敏
ZHANG Liyue;LYU Limin(Department of Pediatric Emergency,the First Affiliated Hospital of Xiamen University Xiamen,Xiamen 361000,China;Department of Neonatology,the First Affiliated Hospital of Xiamen University Xiamen,Xiamen 361000,China)
出处
《中国医药指南》
2021年第34期4-6,10,共4页
Guide of China Medicine
关键词
高热惊厥
急诊
小儿
早期预警评分
分级护理
护理满意度
Emergency
Febrile convulsion
Children
Early warning score
Grading nursing
Nursing satisfaction
