循证护理在小儿重症病毒性脑炎护理中的临床应用效果分析(1)
[摘要] 目的 探究循证护理在小儿重症病毒性脑炎护理中的临床应用效果。 方法 方便选取2017年6月—2018年10月在该院就诊的64例小儿重症病毒性脑炎患者经数字随机表法分为对照组和实验组，各有32例患儿，对照组采用常规护理，实验组采用循证护理;对比分析两组患儿脑脊液指标、并发症发生率以及病情恢复时间。结果 ①实验组患儿惊厥(2.31±1.07)d、意识障碍(3.09±1.11)d、颅神经障碍(10.73±3.02)d以及肢体障碍恢复时间(11.46±1.74)d均显著的优于对照组(t=4.391、3.198、3.872、4.017，P<0.05);②实验组患儿在护理干预后，除氯化物含量脑脊液指标与对照组差异不显著外(t=0.329，P>0.05);实验组患儿蛋白含量(0.35±0.09)mg/L、葡萄糖含量(3.43±0.33)mg/L以及白细胞计数(26.39±4.8)×109/L均显著的低于对照组(t=5.028、3.192、3.383，P<0.05);③实验组患儿出现呼吸衰竭、心力衰竭、中毒性休克、肺气肿、脓气胸以及缺氧性脑病等并发症总发生率为12.50%，显著的低于对照组(28.13%)(χ2=5.273，P<0.05);④实验组满意率为96.88%，显著的高于对照组(71.88%)(P<0.05)。 结论 对重症病毒性脑炎患儿实施循证护理能够有效的促进患儿病情恢复，改善患儿的临床症状指标，降低并发症的发生风险，提高患儿家属的满意程度，在临床中具有推广应用的价值。
[关键词] 小儿重症病毒性脑炎;循證护理;恢复时间;脑脊液指标;并发症
[中图分类号] R725.1 [文献标识码] A [文章编号] 1674-0742(2019)05(c)-0150-04
[Abstract] Objective To explore the clinical application effect of evidence-based nursing in the care of children with severe viral encephalitis. Methods Convenient select 64 children with severe viral encephalitis who were treated in our hospital from June 2017 to October 2018 were randomly divided into the control group and the experimental group by digital randomized method. There were 32 children in each group. For routine nursing， the experimental group used evidence-based nursing; the cerebrospinal fluid index， complication rate and recovery time of the two groups were compared and analyzed. Results 1.In the experimental group， convulsions (2.31±1.07) d， disturbance of consciousness (3.09±1.11) d， cranial nerve disorder (10.73±3.02) d， and recovery time of limb disorders (11.46±1.74) d were significant. In the control group (t=4.391， 3.198， 3.872， 4.017， P<0.05); 2.After the nursing intervention， the children in the experimental group had no significant difference in the cerebrospinal fluid index except the chloride content (t=0.329， P>0.05); the protein content of the experimental group (0.35±0.09) mg/L， glucose content (3.43±0.33) mg/L， and white blood cell count (26.39±4.8)×109/L were significantly lower than the control group， (t=5.028， 3.192， 3.383， P<0.05); 3.The total incidence of complications such as respiratory failure， heart failure， toxic shock， emphysema， pneumothorax and hypoxic encephalopathy in the experimental group was 12.50%， significantly lower than the control group (28.13%) (χ2=5.273， P<0.05); 4.the satisfaction rate of the experimental group was 96.88%， which was significantly higher than that of the control group (71.88%) (P<0.05). Conclusion Evidence-based nursing for children with severe viral encephalitis can effectively promote the recovery of children's disease， improve the clinical symptoms of children， reduce the risk of complications， improve the satisfaction of family members， and have clinical value of promotion and application., http://www.100md.com(梁兴连)
[关键词] 小儿重症病毒性脑炎;循證护理;恢复时间;脑脊液指标;并发症
[中图分类号] R725.1 [文献标识码] A [文章编号] 1674-0742(2019)05(c)-0150-04
[Abstract] Objective To explore the clinical application effect of evidence-based nursing in the care of children with severe viral encephalitis. Methods Convenient select 64 children with severe viral encephalitis who were treated in our hospital from June 2017 to October 2018 were randomly divided into the control group and the experimental group by digital randomized method. There were 32 children in each group. For routine nursing， the experimental group used evidence-based nursing; the cerebrospinal fluid index， complication rate and recovery time of the two groups were compared and analyzed. Results 1.In the experimental group， convulsions (2.31±1.07) d， disturbance of consciousness (3.09±1.11) d， cranial nerve disorder (10.73±3.02) d， and recovery time of limb disorders (11.46±1.74) d were significant. In the control group (t=4.391， 3.198， 3.872， 4.017， P<0.05); 2.After the nursing intervention， the children in the experimental group had no significant difference in the cerebrospinal fluid index except the chloride content (t=0.329， P>0.05); the protein content of the experimental group (0.35±0.09) mg/L， glucose content (3.43±0.33) mg/L， and white blood cell count (26.39±4.8)×109/L were significantly lower than the control group， (t=5.028， 3.192， 3.383， P<0.05); 3.The total incidence of complications such as respiratory failure， heart failure， toxic shock， emphysema， pneumothorax and hypoxic encephalopathy in the experimental group was 12.50%， significantly lower than the control group (28.13%) (χ2=5.273， P<0.05); 4.the satisfaction rate of the experimental group was 96.88%， which was significantly higher than that of the control group (71.88%) (P<0.05). Conclusion Evidence-based nursing for children with severe viral encephalitis can effectively promote the recovery of children's disease， improve the clinical symptoms of children， reduce the risk of complications， improve the satisfaction of family members， and have clinical value of promotion and application., http://www.100md.com(梁兴连)