综合护理干预在小儿川崎病中的应用及临床使用参考价值研究(1)
【摘要】 目的：研究在小儿川崎病的临床护理中应用综合护理干预的临床参考价值。方法：选取2013年7月-2015年7月本院住院治疗的小儿川崎病患者60例，按照住院号采用随机数字表法分为综合护理干预组(观察组)30例、常规护理组(对照组)30例，对比两组的临床护理效果。结果：观察组与对照组的总有效率(100% vs 93.33%)比较差异无统计学意义(P>0.05)，但观察组的治愈率高于对照组(90.00% vs 60.00%)，差异有统计学意义(P<0.05)；观察组的并发症发病率低于对照组(6.67% vs 20.00%)，差异有统计学意义(P<0.05)；护理干预后，观察组与对照组患儿家长对川崎病知识[(90.24±4.45)分 vs(82.25±3.23)分]及护理满意度评分[(97.86±4.32)分 vs(90.11±3.65)分]比较差异均有统计学意义(P<0.05)。结论：在小儿川崎病临床治疗护理中应用综合护理干预能够提高患儿家长对川崎病的认知程度及护理满意度，提高临床疗效，降低并发症发生率，值得推广应用。
【关键词】 川崎病； 小儿； 综合护理干预； 临床疗效
, 百拇医药
The Application of Comprehensive Nursing Intervention in Children with Kawasaki Disease and Its Clinical Application/XIE Xin-qu.//Medical Innovation of China，2015，12(36)：072-074
【Abstract】 Objective： To study the clinical reference value of comprehensive nursing intervention in the clinical nursing of Kawasaki disease in children. Method： 60 children with Kawasaki disease in our hospital from July 2013 to July 2015 were randomly divided into two groups： comprehensive nursing intervention group (observation group， 30 cases)， routine nursing group (control group， 30 cases)， and the clinical nursing effect of two groups were compared. Result： The total effective rate (100% vs 93.33%) of the observation group and the control group were not significantly different (P>0.05)， but the cure rate (90.00% vs 60.00%)of the observation group was significantly higher than that of the control group (P<0.05). The incidence of complications in the observation group was significantly lower than that in the control group (P<0.05). The nursing intervention was statistically significant [(90.24±4.45)vs(82.25±3.23)] and the control group [(97.86±4.32)vs(90.11±3.65)]， and the observation group was better than the control group(P<0.05).Conclusion： Comprehensive nursing intervention in the treatment of children with Kawasaki disease can improve the degree of parents of children with Kawasaki disease and nursing satisfaction， improve clinical efficacy， reduce the incidence of complications， it is worthy of popularization and application.
, 百拇医药
【Key words】 Kawasaki disease； Children； Comprehensive nursing intervention； Clinical effect
First-author’s address：Yuexiu District Children’s Hospital of Guangzhou， Guangzhou 510030，China
doi：10.3969/j.issn.1674-4985.2015.36.024
川崎病是临床常见结缔组织疾病，主要病理变化特征为变态反应性全身小血管炎，以<5岁小儿最为常见[1]。川崎病按照病情进展可分为急性期、亚急性期与恢复期3个阶段，患儿常表现为经抗生素治疗无效的持续性发热、淋巴结肿大以及皮肤黏膜损伤，如不及时治疗可诱发冠状动脉扩张活着心肌梗死等并发症，严重时可引起冠状动脉瘤等，严重威胁患儿的生命健康[2-4]。为预防川崎病并发症的发生，改善临床预后，在临床治疗中开展科学合理的护理干预措施非常必要。本院在小儿川崎病的临床护理中应用综合护理干预，获得了较为满意的效果，现将研究结果报道如下。, 百拇医药(谢新曲)
【关键词】 川崎病； 小儿； 综合护理干预； 临床疗效
, 百拇医药
The Application of Comprehensive Nursing Intervention in Children with Kawasaki Disease and Its Clinical Application/XIE Xin-qu.//Medical Innovation of China，2015，12(36)：072-074
【Abstract】 Objective： To study the clinical reference value of comprehensive nursing intervention in the clinical nursing of Kawasaki disease in children. Method： 60 children with Kawasaki disease in our hospital from July 2013 to July 2015 were randomly divided into two groups： comprehensive nursing intervention group (observation group， 30 cases)， routine nursing group (control group， 30 cases)， and the clinical nursing effect of two groups were compared. Result： The total effective rate (100% vs 93.33%) of the observation group and the control group were not significantly different (P>0.05)， but the cure rate (90.00% vs 60.00%)of the observation group was significantly higher than that of the control group (P<0.05). The incidence of complications in the observation group was significantly lower than that in the control group (P<0.05). The nursing intervention was statistically significant [(90.24±4.45)vs(82.25±3.23)] and the control group [(97.86±4.32)vs(90.11±3.65)]， and the observation group was better than the control group(P<0.05).Conclusion： Comprehensive nursing intervention in the treatment of children with Kawasaki disease can improve the degree of parents of children with Kawasaki disease and nursing satisfaction， improve clinical efficacy， reduce the incidence of complications， it is worthy of popularization and application.
, 百拇医药
【Key words】 Kawasaki disease； Children； Comprehensive nursing intervention； Clinical effect
First-author’s address：Yuexiu District Children’s Hospital of Guangzhou， Guangzhou 510030，China
doi：10.3969/j.issn.1674-4985.2015.36.024
川崎病是临床常见结缔组织疾病，主要病理变化特征为变态反应性全身小血管炎，以<5岁小儿最为常见[1]。川崎病按照病情进展可分为急性期、亚急性期与恢复期3个阶段，患儿常表现为经抗生素治疗无效的持续性发热、淋巴结肿大以及皮肤黏膜损伤，如不及时治疗可诱发冠状动脉扩张活着心肌梗死等并发症，严重时可引起冠状动脉瘤等，严重威胁患儿的生命健康[2-4]。为预防川崎病并发症的发生，改善临床预后，在临床治疗中开展科学合理的护理干预措施非常必要。本院在小儿川崎病的临床护理中应用综合护理干预，获得了较为满意的效果，现将研究结果报道如下。, 百拇医药(谢新曲)