阶段性健康指导在高热惊厥患儿家属中的效果观察(1)
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[摘要] 目的 探讨阶段性健康指导在高热惊厥患儿家属中的效果。 方法 选择180例高热惊厥患儿作为研究对象，随机分为观察组及对照组各90例，对照组按传统随机性教育，护士凭经验对不同患儿家长出现的健康问题给予指导，观察组采用个体及示范性指导形式进行入院阶段、发热持续阶段及出院阶段的健康指导。 结果 观察组患儿并发症5.56%、住院时间(5.76±2.87)d,低于对照组的20.00%、(7.23±2.89)d (P<0.05)；家长健康教育内容掌握92.22%、护理满意度97.78%,高于对照组的51.11%、88.89%(P<0.05)。随访(15.34±11.12)个月，观察组高热惊厥复发7.77%，低于对照组的21.11%(P<0.05)。 结论 临床阶段性健康指导在高热惊厥患儿中可减少患儿并发症，提高护理满意度，缩短住院时间 、减少复发，值得临床应用。
[关键词] 高热惊厥；阶段性；健康指导
[中图分类号] R473.72 [文献标识码] B [文章编号]1673-9701(2011)23-139-02
Effects of Health Education in Family of Infant with High Fever Convulsions
ZHANG Xiaohong
The Second People's Hospital of Yuyao City in Zhejiang Province ,Yuyao 315400, China
[Abstract] Objective To explore the effects of health education in family of infant with high fever eonvulsions Methods One hundred and eignty infant with high fever eonvulsions were elected, who were randomly divided into observation group and control group 90 cases, in each , according to the traditional randomness of children with experience different nurse parents provide guidance the emerging health problems, the observation group using form of individual and demonstrative guidance hospital stage, fever continued stage and discharge phase of health guidance. Results The complications of children in observation group was 5.56%, lower than in control group( 20.00%),the time of hospital stay of observation group was (5.76±2.87)days lower than those of control group (7.23±2.89) days (P<0.05) Parents health education content palm, care satisfaction than in control group (P<0.05). Follow-up(15.34±11.12) monthsr, the observation group relapse 7.77%less than control group21.11%(P<0.05). Conclusion Clinical stage in guiding the health convulsion with high fever in children with children can reduce the complications, improve nursing satisfaction, shorten the length of time is short, reduce the recurrence, and clinical application.
[Key words] High fever convulsions; Stage; Health guide
高热惊厥为婴幼儿期最常见的急症，其发病率为2%~8%，与婴幼儿的大脑发育尚未完善、兴奋性、抑制性神经介质不平衡、惊厥阈值低有关[1]。加强对高热惊厥家长的健康指导，对及时控制惊厥和有效地预防再次发作尤为重要[2]。本文对高热惊厥家长实行阶段性健康指导，效果满意，现报道如下。
1 对象与方法
1.1 研究对象
选择2006年1月～2011年2月收治180例高热惊厥患儿作为研究对象，男92例，女88例，年龄4个月~ 8岁，平均(4.45±2.12)岁；基础疾病为呼吸系统感染、腹泻、麻疹等。将180例患儿按照随机数字法为观察组及对照组各90例 ......
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