摘要
目的探讨全程绿色通道护理路径在急诊小儿高热惊厥中的干预价值。方法方便选择2021年1月—2022年6月福建厦门大学附属第一医院急诊收治的小儿高热惊厥患儿120例为研究对象,以随机数表法将其分为观察组(60例)和对照组(60例),对照组患儿予以常规急诊护理进行干预,观察组患儿采用全程绿色通道护理路径,比较两组患儿病情稳定、并发症和死亡的控制情况,患儿急救时间、退热、惊厥消失时间、住院时间,干预前后体温改善情况,患儿发生智力障碍、脑性瘫痪和癫痫的并发症发生率以及患儿家属的急救护理的满意度。结果观察组患儿病情稳定53例(88.3%),高于对照组的40例(66.7%),并发症发生6例(10%),低于对照组的15例(25%),差异有统计学意义(P<0.05),死亡1例(1.7%),低于对照组的5例(8.3%),但差异无统计学意义(P>0.05)。观察组急救时间、高热惊厥症状消失时间、住院时间均低于对照组,差异有统计学意义(P<0.05)。两组患儿在干预前体温接近,差异无统计学意义(P>0.05)。干预后,观察组患儿体温降至(36.6±0.2)℃,低于对照组的(37.1±0.3)℃,差异有统计学意义(P<0.05)。观察组患儿家属满意度达到95.0%,明显高于对照组的73.3%,差异有统计学意义(P<0.05)。结论为急诊小儿高热惊厥患儿提供全程绿色通道护理路径,有助于缩短患儿的急救时间和住院时间,加快高热惊厥症状的消退,减少并发症的发生,稳定病情,提高满意度。
Objective To explore the intervention value of the whole green channel nursing path in children with emergency febrile convulsions.Methods A total of 120 children with febrile convulsion who were admitted to the emergency department of our hospital from January 2021 to June 2022 were conveniently selected and divided into 60 cases of observation group and 60 cases of control group by random number table method.The children in the control group were given routine emergency nursing intervention,and the children in the observation group were given the whole green channel nursing path.The condition stability,complications and death control,first aid time,antipyretic,convulsion disappearance time,hospitalization time,body temperature improvement before and after intervention,incidence of mental retardation,cerebral palsy and epilepsy complications in children,and satisfaction of emergency care of children's family members were compared between the two groups.Results There were 53 stable cases(88.3%)in the observation group,higher than 40 cases(66.7%)in the control group.Complications occurred in 6 cases(10%),lower than 15 cases(25%)in the control group,and the difference was statistically significant(P<0.05).One case died(1.7%),lower than 5 cases(8.3%)in the control group,buit the difference between the two groups was not statistically significant(P>0.05).The observation group had significantly lower emergency response time,disappearance time of high fever convulsion symptoms,and hospitalization time compared to the control group,and the difference was statistically significant(P<0.05).The temperature of the two groups of children was similar before intervention,and the difference was not statistically significant(P>0.05).After intervention,the observation group's children dropped to(36.6±0.2)℃,which was lower than the control group's(37.1±0.3)℃,and the difference was statistically significant(P<0.05).The observation group's family members'satisfaction reached 95.0%,significantly higher than the control group's
作者
许小澜
许丽满
XU Xiaolan;XU Liman(Department of Pediatrics,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361000 China)
出处
《中外医疗》
2023年第11期153-156,171,共5页
China & Foreign Medical Treatment
关键词
全程绿色通道护理路径
急诊
小儿高热惊厥
干预价值
Whole-course green channel nursing path
Emergency department
Febrile convulsions in children
Intervention value
