延續(xù)性護理對手足口病患兒遵醫(yī)行為及生活質(zhì)量的影響

陳銘

[摘要] 目的 探討延續(xù)性護理對手足口病患兒遵醫(yī)行為及生活質(zhì)量的影響。 方法 將2015年4月～2017年8月我院接診的40例手足口病患兒納入本研究。按照隨機數(shù)字表法均分為觀察組和對照組各20例，對照組患兒采取常規(guī)護理干預(yù)，觀察組在對照組的基礎(chǔ)上，對患兒進行延續(xù)性護理。觀察患兒藥物依從性評分、足部護理評分、SF-36評分、起始退熱時間、體溫恢復(fù)正常時間、皮疹、皰疹消退時間。 結(jié)果 觀察組干預(yù)后藥物依從性評分、足部護理評分均高于對照組和干預(yù)前，差異有統(tǒng)計學(xué)意義（P<0.05），觀察組干預(yù)后SF-36評分低于對照組，差異有統(tǒng)計學(xué)意義（P<0.05），觀察組起始退熱時間、體溫恢復(fù)正常時間、皮疹、皰疹消退時間均低于對照組，差異有統(tǒng)計學(xué)意義（P<0.05）。 結(jié)論 延續(xù)性護理對手足口病患兒遵醫(yī)行為及生活質(zhì)量有積極影響，能夠提高患兒的遵醫(yī)行為，改善患兒的生活質(zhì)量，而且通過延續(xù)性護理干預(yù)，患兒臨床癥狀快速緩解，有較高的應(yīng)用價值。

[關(guān)鍵詞] 延續(xù)性護理；手足口病；遵醫(yī)行為；生活質(zhì)量；影響

[中圖分類號] R473.72 [文獻標識碼] B [文章編號] 1673-9701（2018）07-0151-03

[Abstract] Objective To investigate the effect of continuous nursing on compliance and quality of life of children with hand-foot-mouth disease. Methods From April 2015 to August 2017， 40 cases of HFMD admitted to our hospital were included in this study. According to the random number table method， they were divided into observation group and control group， 20 cases in each group. The control group was taken routine nursing intervention， the observation group was taken on the base of the control group， take continuous nursing for children. Children's drug-compliance score， foot care score， SF-36 score， initial antipyretic time， normal body temperature recovery time， rash and herpes regression time were observed. Results After treatment， the score of drug dependence and foot care in observation group were higher than those in control group and before intervention， the difference was statistically significant（P<0.05）. The SF-36 score of observation group was lower than that of control group after intervention （P<0.05）. The initial antipyretic time， normal body temperature recovery time， rash and herpes regression time in the observation group were all lower than those in the control group（P<0.05）. Conclusion Continuous nursing has a positive effect on compliance and quality of life of children with hand-foot-mouth disease， which can improve the compliance of children and improve children's quality of life. Moreover， through continuous nursing intervention， the clinical symptoms of children are rapidly relieved which has higher application value.

[Key words] Continuous nursing； Hand-foot-mouth disease； Compliance behavior； Quality of life； Influence

手足口病是世界范圍內(nèi)的急性傳染病，多因腸道病毒引起。普通患兒多為急性發(fā)病，伴有發(fā)熱、口腔黏膜散在皰疹，手足部位出血斑丘疹[1]。該病癥主要以小兒為多發(fā)群體。但對于免疫力低下或者和手足口病者密切接觸的成人，也會發(fā)病[2]。早發(fā)現(xiàn)、早診斷、早治療是改善患兒癥狀的必要措施。采取護理干預(yù)配合臨床治療，效果較好。我院開展了延續(xù)性護理對手足口病患兒遵醫(yī)行為及生活質(zhì)量的影響方面的研究，現(xiàn)報道如下。

1 資料與方法

1.1 一般資料

將2015年4月～2017年8月我院接診的40例手足口病患兒納入本研究。按照隨機數(shù)字表法均分為觀察組和對照組各20例，觀察組男7例，女13例，年齡1～3歲，平均（2.02±1.11）歲；就診時體溫（38.39±0.25）℃；就診時病程（27.93±4.66）h。對照組男8例，女12例，年齡1～3歲，平均（2.15±1.21）歲；就診時體溫（38.28±0.24）℃；就診時病程（27.81±4.73）h。兩組患兒的性別比例、年齡構(gòu)成等資料差異無統(tǒng)計學(xué)意義（P>0.05），具有可比性。……