摘要
目的:探讨基于儿童早期预警评分(PEWS)的分级护理对发热性惊厥患儿的影响。方法:选择2021年12月—2023年12月中铁阜阳医院收治的100例发热性惊厥患儿作为研究对象,采用摸球法分组,奇数为对照组,偶数为观察组,各50例。对照组予以常规护理,观察组予以基于PEWS的分级护理。比较两组临床指标、免疫功能、家属疾病认知度及并发症发生情况。结果:观察组退热时间、惊厥持续时间短于对照组,惊厥发作次数少于对照组,差异有统计学意义(P<0.05)。干预后,观察组IgA、IgM、IgG低于对照组,疾病高危因素、预防措施、急救措施、日常护理注意事项评分高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为4.00%,低于对照组的18.00%,差异有统计学意义(P<0.05)。结论:基于PEWS的分级护理可以显著缩短发热性惊厥患儿的退热时间和惊厥持续时间,减少惊厥发作次数,提高家属对疾病的认知度,降低并发症的发生率。
Objective:To explore the effect of graded nursing based on pediatric early warning score(PEWS)on febrile convulsion in children.Method:A total of 100 children with febrile convulsion treated in China Railway Fuyang Hospital from December 2021 to December 2023 were selected as the study objects.They were divided by touch ball method,with odd numbers as the control group and even numbers as the observation group,with 50 cases in each group.The control group was given routine nursing,and the observation group was given graded nursing based on PEWS.The clinical indexes,immune function,family disease awareness and complications of the two groups were compared before and after intervention.Result:The fever reduction time,duration of convulsion in the observation group were shorter than those in the control group,and the frequency of convulsion was less than that in the control group,the differences were statistically significant(P<0.05).After intervention,IgA,IgM and IgG in the observation group were lower than those in the control group,the scores of high risk factors,preventive measures,first aid measures and daily nursing precautions were higher than those of control group,and the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 4.00%,which was lower than 18.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion:Graded nursing based on PEWS can significantly shorten the time of febrile convulsion and the duration of convulsion,reduce the number of convulsion attacks,improve the family's awareness of the disease,and reduce the incidence of complications.
作者
于庆坤
常丽娜
刘娇娇
YU Qingkun;CHANG Lina;LIU Jiaojiao(China Railway Fuyang Hospital,Fuyang 236000,China;不详)
出处
《中外医学研究》
2024年第17期94-98,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
基于儿童早期预警评分的分级护理
发热性惊厥
免疫功能
家属疾病认知度
并发症
Graded nursing based on pediatric early warning score
Febrile convulsions
Immune function
Family disease awareness
Complications
