舒适护理干预在川崎病患儿中的应用效果评价
张会芳1，刘妍1 ，王雪利2，王辉1，刘兰3
（凤翔县医院：1.呼吸内科；2.院长办公室；3.心脏内科，陕西 宝鸡，721000）
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摘要：
目的 观察舒适护理干预对川崎病患儿的护理效果。方法 选取2009年1月至2013年12月来我院儿科治疗的川崎病患儿50例作为研究对象，将所有患儿随机分为对照组和干预组，每组25例，对照组采用常规护理，干预组在此基础上实施舒适护理。对比两组患儿的临床疗效、焦虑抑郁评分及护理满意度。结果 干预组患儿的临床总有效率为92.00%，稍高于对照组患儿的76.00%，但两组患儿临床疗效比较，差异无统计学意义（P>0.05）；护理后，干预组患儿的抑郁、焦虑评分均显著优于 对照组（P<0.05）。观察组患儿的护理满意度显著优于对照组（P<0.05）。结论 舒适护理干预是一种人性化、个性化的护理模式，有助于提高川崎病患儿的临床治疗效果，并能提高患儿及家属对护理工作的满意度，改善患儿的心理状态。
关键词：川崎病；患儿；舒适护理
中图分类号：R473.72 文献标志码：A文章编号：2096-1413(2017)28-0132-03
Application effect evaluation of comfortable nursing intervention in children with Kawasaki``s disease
ZHANG Hui-fang 1, LIU Yan 1, WANG Xue-li 2, WANG Hui 1, LIU Lan 3
(1. Department of Respiratory Medicine; 2. President``s Office; 3. Department of Cardiovascular Medicine,
Fengxiang County Hospital, Baoji 721000, China)
ABSTRACT: Objective To investigate the application effect of comfortable nursing intervention in children with Kawasaki``s disease. Methods Fifty cases of children with Kawasaki disease were selected from January 2009 to December 2013 in department of pediatrics of our hospital and were randomly divided into intervention group(n=25) and control group (n=25). The conventional nursing measures were used in control group, and on this basis, the intervention group received comfortable nursing intervention. The clinical efficacy, anxiety score, depression score and nursing satisfaction of the two groups were compared. Results The total effective rate of the intervention group was 92.00%, which was slightly higher than 76.00% of the control group, but there was no significant difference between the two groups in the clinical efficacy (P>0.05). The scores of depression and anxiety in the intervention group were significantly better than those in the control group after the nursing (P<0.05). The nursing satisfaction of the observation group was significantly better than that of the control group (P<0.05). Conclusion Comfortable nursing is a nursing model of humanization and individuation, which is helpful to improve the clinical treatment effect of children with Kawasaki disease, and can improve the children and family satisfaction with nursing work and the children``s mental state.
KEYWORDS: kawasaki disease; child patients; comfortable nursing
参考文献：
[1] KOBAYASHI T,SAJI T,OTANI T,et al.Efficacy of immunoglobulin plus prednisolone for prevention of coronary artery abnormalities in severe kawasaki disease (RAISE study): a randomised, open-label, blind原 ed-endpoints trial[J].Lancet,2012,379(9826):1613-1620.
[2] 徐巧仙.舒适护理在无创机械通气治疗慢性阻塞性肺疾病患者中的应用[J].护士进修杂志,2013,28(7): 655-656.
[3] MONTPETIT AJ,SESSLER CN.Optimizing safe, comfortable ICU care through multi-professional quality improvement: just do it[J].Critical Care,2013,17(2):1-2.
[4] 张春雨,刘丽丽,廖莹,等.血浆前白蛋白联合C-反应蛋白对川崎病患 儿冠状动脉病变的预测[J].北京大学学报:医学版,2013,45(2):207-210.
[5] ZHAO CN,DU ZD,GAO LL.Corticosteroid therapy might be associated with the development of coronary aneurysm in children with kawasaki disease[J].Chin Med J,2016,129(8):922-928.
[6] 郭志芬.大剂量静脉滴注丙种球蛋白防止川崎病患儿冠伏动脉损害的效果评价及护理[J].中国实用护理杂志,2012,28(19):45-47.
[7] 杨宜萍,熊衍君.丙种球蛋白冲击治疗川崎病的临床护理[J].现代中西医结合杂志,2011,20(6):762-763.
[8] 张会芳,谢林爱,赵素琴,等.舒适护理干预对川崎病患儿的临床效果评价[J].深圳中西医结合杂志,2014,24(11):162-163.