关键词： 循证护理   手足口病   患儿   急救护理  

摘要： 分析在儿科危重症手足口病患儿急救护理中应用循证护理的临床效果,并对其进行评价。方法:本研究将选取90例手足口病患儿作为研究对象,根据随机数字表法将患儿分为观察组(循证护理;n=45)与对照组(常规护理;n=45),将两组患儿的不良反应发生率、护理效果以及护理满意度进行对比。结果:观察组的不良反应发生率显著低于对照组(P<0.05);观察组的护理效果显著优于对照组(P<0.05);观察组的护理满意度明显高于对照组(P<0.05)。结论:将循证护理应用于儿科危重症手足口病患儿的护理中,可以有效提高护理效果,对患儿的预后进行改善,可以进一步使患儿的不良反应发生率降低,使得患儿家属的满意度得到提升,有利于维护良好的护患关系,值得在临床中应用推广。

关键词： 大红门地区   散居儿童   手足口病   危险因素  

摘要： 调查分析大红门地区散居儿童发生手足口病的危险因素,以便于为手足口病早期确诊以及治疗提供参考数值。方法:随机抽取红门地区2017年3月—2018年9月,年龄于0—36个月时发生手足口病的儿童作为研究对象,调查人数共计118例,此外选择同社区以及同年龄阶段的健康群体120例儿童纳入对照组,分析探究疾病发生的危险性因素、手足口病接触史、家长手足口病认知评分等相关知识。结果:多因素Logistic分析结果显示,手足口病接触史、近期门诊/医院暴露史、饭前便后少洗手以及家长缺乏手足口病健康知识均属于散居儿童手足口病危险因素,组间数值对比差异为P<0.05。结论:影响大红门地区散居儿童手足口病的危险因素较为复杂,针对相关高危因素展开预防和管理,对于降低手足口病发生概率具有积极意义。

关键词： 整体护理   小儿危重症手足口病   临床效果  

摘要： 研究分析小儿危重症手足口病护理中整体护理的应用效果。方法:96例样本取自2019年4月至2020年4月,是危重症手足口病患儿,以单双号方式分组,采取常规护理干预参照组,采取整体护理干预观察组,组别间护理效果开展比对。结果:比对临床指标、症状缓解情况、并发症发病率等,观察组护理干预效果良好(P<0.05)。结论:以整体护理干预小儿危重症手足口病患儿,护理后可促进患儿疾病康复,抑制并发症发病,存显著护理干预作用。

关键词： hand, foot and mouth disease   epidemic characteristics   the prevention and control   epidemiology  

摘要： Objective: to analyze the specific prevalence of hand, foot and mouth disease (HFMD) in MaJuqiao Town, Tongzhou District, Beijing during 2018-2020, and to analyze the main causes of the current epidemic infection, so as to make relevant preparations for subsequent disease control and epidemic prevention and control, so as to control the epidemic to a minimum. Methods: we collected data and case information on the incidence of HFMD in Tongzhou District, Beijing from 2018 to 2020, and analyzed the prevalence of HFMD in this period using epidemiological methods and models.. The distribution of infection was 46 positive specimens, with a positive rate of 82.14%. Among the positive samples, CV-A6 accounted for 86.9% (40 cases), CV-A16 accounted for 6.5% (3 cases), and other enteroviruses accounted for 6.5% (3 cases), which was basically consistent with the epidemic trend in Beijing. From 2018 to 2020, a total of 20 cases of HFMD clusters were reported, involving 47 cases. In 2018 and 2019, 18 cases and 2 cases were reported respectively. Most of the outbreaks occurred in nurseries, involving 17 cases, accounting for 85.00%, and 3 cases occurred in family clusters, accounting for 15.00%. Conclusion: the incidence of HFMD in MaJuqiao Town has been effectively controlled gradually from 2018 to 2020, but so far the main population of HFMD is still concentrated in children aged 5 years and below. The temporal variation trend was bimodal, and the peak was from May to August. CV-A6 and CV-A16 were the main pathogens. The main places where cluster outbreaks occur are nursery institutions and families.

关键词： evidence-based nursing   children hand   foot and mouth disease   encephalitis   application effect  

摘要： Objective: to explore effective nursing measures for hand, foot and mouth disease with encephalitis as the center of this study, and to analyze the value of evidence-based nursing in improving its clinical indicators and treatment effect. Methods: the children were selected from July 2019 to December 2020. According to the random number method, 160 children were divided into the control group and the observation group, with 80 children in each group. Routine nursing and evidence-based nursing were carried out respectively, and the nursing effect between groups was statistically evaluated. Results: the time required for clinical symptoms to resolve and hospital stay in the observation group were significantly shorter than those in the control group, and the data were statistically tested (P < 0.05). The evaluation and comparison of the effective rate of group-price treatment showed that the observation group was better, and the data were statistically tested (P < 0.05). Conclusion: the application of pre-examination and triage nursing management in children with hand-foot-mouth disease complicated with encephalitis plays a positive role in promoting the improvement of clinical symptoms and the improvement of clinical treatment efficiency, which is worthy of further clinical research and promotion.

关键词： 治疗依从性   小儿手足口病   健康教育指导  

摘要： 探讨为手足口病小儿联合实施心理护理、健康教育指导对心理状态、治疗依从性的影响。方法:于我院随机抽选手足口病小儿94例为研究对象,病例抽选时间:2019年8月-2021年8月。遵循小儿患病日期的先后纳入两组,即甲组(n=47)与乙组(n=47)。甲组采用常规干预模式,乙组联合采纳心理护理、健康教育指导。统计两组小儿干预后的心理状态、治疗依从性评分。结果:较之于甲组小儿,乙组小儿干预后SCARED、DSRSC的评分结果明显更低(P<0.05);且遵医用药、行为与运动评分的数值明显更高(P<0.05)。结论:为手足口病小儿联合实施心理护理、健康教育指导,能够显著缓解其焦虑、抑郁情况,提升治疗依从性。促使小儿形成良好的服药、行为习惯,也建立了和谐医患关系,临床应用、推广价值明显。

关键词： hand-foot-and-mouth disease   encephalitis   evidence-based nursing   children   nursing satisfaction  

摘要： Objective: to analyze the clinical effect of evidence-based nursing in children with hand foot mouth disease complicated with encephalitis and its influence on nursing satisfaction. Methods: the samples included children with foot-and-mouth disease and children with encephalitis in our hospital. 79 samples were selected for analysis. The collection time was from June 2019 to March 2021. They were combined by parity method, and the observation group conducted evidence analysis. The control group received traditional nursing and summarized the nursing effect. Results: the cerebrospinal fluid index of the children was better in the observation group, and the nursing satisfaction of the children's families was higher in the observation group, and the difference between the groups was significant, with statistical significance (P < 0.05). Conclusion: the clinical effect of evidence-based nursing for children with hand-foot-mouth disease combined with encephalitis in our hospital is good, which ensures the quality of nursing and improves the nursing satisfaction of the children's families.

关键词： 手足口病   病原学   检测方法  

摘要： 手足口病,它是一种因为肠道病毒而引起的急性传染病,传播速度比较快,发病人群多为5岁以下的婴幼儿,幼儿园人口密集,更加容易被传染。手足口病是由肠道病毒引起的,这种病毒又很容易通过咳嗽、打喷嚏等途径进行传播,有时候还可以通过接触感染者的粪便或水疱液体而传播的。一般而言,从感染到出现症状会需要几天,这段时间我们常称为潜伏期。通常发病前几天的时间内,感染者的咽部与粪便都可以检查出病毒的存在,一般在发病内的一周时间内,传染性是最强的。一年四季均会有发病的可能,所以做好婴幼儿童个人、家庭、托儿机构的卫生是非常的重要,也是预防手足口病的关键。

关键词： 重症手足口病   盐酸纳美芬注射液   人免疫球蛋白   甘露醇  

摘要： 面对小儿重症手足口病患者,为了能够做好临床治疗工作,文章选择本院88例患者,结合患者家属本身意愿,按照使用治疗方式不同下划分对比小组,其中有43例选择了人免疫球蛋白+甘露醇治疗方式,将其当作对照组,而45患者选择了盐酸纳美芬注射液联合人免疫球蛋白、甘露醇治疗,将其作为观察组。对两个组患者治疗效果以及身体恢复时间等进行重点观察。站在两个组患者治疗有效率、呼吸以及意识恢复等情况下,观察组情况明显好于对照组。从中可以看出,要想能够做好小儿重症手足口病患者治疗工作,医护人员采取盐酸纳美芬注射液联合人免疫球蛋白、甘露醇治疗方式极为关键。