摘要
目的探讨个性化护理结合家庭陪伴式护理在病毒性心肌炎(VM)患儿中的应用效果。方法回顾性分析2020年1月至2022年1月华中科技大学同济医学院附属同济医院收治的105例VM患儿资料,根据干预措施的不同将其分为观察组(53例)和对照组(52例)。对照组实施常规护理,观察组在常规护理的基础上采用个性化护理结合家庭陪伴式护理。比较2组的心肌酶指标、炎症因子水平、生活质量及治疗有效率。结果干预1个月后,观察组的治疗总有效率高于对照组(P<0.05)。干预2周及干预1个月后2组患儿的儿童生存质量测定量表(PedsQL4.0)各维度评分均高于入院当日(P均<0.05),且观察组的PedsQL4.0各维度评分均高于同期对照组(P均<0.05);2组的肌酸激酶、肌酸激酶同工酶、乳酸脱氢酶和羟丁酸脱氢酶水平均低于入院当日(P均<0.05),且观察组的上述指标均低于同期对照组(P均<0.05);2组的白介素-6(IL-6)、白介素-8(IL-8)和白介素-10(IL-10)水平均低于入院当日(P均<0.05),且观察组的IL-6、IL-8和IL-10水平均低于同期对照组(P均<0.05)。结论个性化护理结合家庭陪伴式护理能有效促进VM患儿的心功能恢复,减轻炎症反应,提高患儿的生活质量及治疗有效率。
Objective To explore the application effect of individualized nursing combined with family participatory nursing in children with viral myocarditis(VM).Methods The data of 105 VM children at Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from January 2020 to January 2022 were retrospectively analyzed.They were assigned into an observation group(n=53)and a control group(n=52)according to different intervention measures.The control group received routine nursing,while the observation group received individualized nursing combined with family participatory nursing based on the routine nursing.The myocardial enzymes,inflammatory factor levels,quality of life,and treatment effective rate of the two groups were compared.Results After 1 month of intervention,the total effective rate of the observation group was higher than that of the control group(P<0.05).After 2 weeks and 1 month of intervention,the scores of all dimensions of the Pediatric Quality of Life Inventory 4.0(PedsQL4.0)in both groups were higher than those at admission(all P<0.05),and the scores of the PedsQL4.0 in the observation group were higher than those in the control group(all P<0.05).The levels of creatine kinase,creatine kinase-MB,lactate dehydrogenase,and hydroxybutyrate dehydrogenase in both groups were lower than those at admission(all P<0.05),and the above indicators in the observation group were lower than those in the control group(all P<0.05).The levels of interleukin-6(IL-6),interleukin-8(IL-8),and interleukin-10(IL-10)in both groups were lower than those at admission(all P<0.05),and the levels of IL-6,IL-8,and IL-10 in the observation group were lower than those in the control group(all P<0.05).Conclusion Individualized nursing combined with family participatory nursing can effectively promote the recovery of cardiac function,reduce the inflammatory response,and improve the quality of life and treatment efficacy of VM children.
作者
刘玲
曹海燕
高欢
LIU Ling;CAO Haiyan;GAO Huan(Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan,Hubei,430030,China;Wuhan No.1 Hospital,Wuhan,Hubei,430030,China)
出处
《中西医结合护理（中英文）》
2023年第3期29-32,共4页
Journal of Clinical Nursing in Practice
关键词
小儿病毒性心肌炎
个性化护理
家庭陪伴式护理
pediatric viral myocarditis
individualized nursing
family participatory nursing
