关英彧长春市儿童医院，吉林长春　130051

健康护理教育用于小儿高热惊厥的分析

关英彧
长春市儿童医院，吉林长春130051

目的 研究并探讨健康护理教育用于小儿高热惊厥的效果。方法 于2013年1月—2015年4月，选取该阶段内该院收治的100例小儿高热惊厥患者作为此次研究的对象，采取计算机随机分组法将患者随机分为两组，每组50例。对照组实施常规护理，观察组在常规护理过程中实施针对性健康教育。比较两组患者的退热时间、止惊时间、1年内复发率、惊厥发作次数，并比较两组患者家长的焦虑评分、疾病不确定感评分。结果 与对照组相比，观察组的退热时间、止惊时间均明显缩短（P＜0.05）。观察组的1年内复发率为12%，较对照组的28%明显更低（P＜0.05），且观察组的惊厥发作次数明显更少（P＜0.05）。与对照组相比，观察组家长的焦虑评分、疾病不确定感评分均明显降低（P＜0.05）。结论 在小儿高热惊厥的护理中，实施有针对性的健康教育，可有效促进高热、惊厥症状的缓解，改善患儿家长的心理状态，同时，还能有效减少复发。

小儿高热惊厥；健康教育；护理

［Abstract］Objective To research and study the effect of health nursing education in the hyperpyretic convulsion in children.M ethods 100 cases of children with hyperpyretic convulsion admitted and treated in our hospital from January 2013 to April 2015 were selected as the research objects and randomly divided into two groupswith 50 cases in each，the control group adopted conventional nursing，the observation group adopted targeted health education in the conventional nursing course，and the fever subsidence time，relieving fright time，recurrence rate within 1 year and seizure frequency of the two groups were compared，and the anxiety score and disease uncertainty score of parents of the two groups were compared. Results The fever subsidence time and relieving fright time in the observation group were obviously shortened compared with those in the control group（P＜0.05），the recurrence rate within 1 year was obviously lower than that in the control group，（12%vs 28%）（P＜0.05），and the seizure frequency in the observation group were obviously lower（P＜0.05）.Compared with those in the control group，the anxiety score and disease uncertainty of parents in the observation group obviously decreased（P＜0.05）.Conclusion The implementation of targeted health education in the nursing of hyperpyretic convulsion in children can effectively promote the relief of ardent fever and seizure symptoms and improve themental state of children's parents and effectively reduce the recurrence at the same time.

［Key words］Hyperpyretic convulsion in children；Health education；Nursing

小儿高热惊厥是一种常见的儿科疾病，主要是指发生在婴幼儿期的惊厥，这种惊厥发生前患者往往伴有高热症状，高热可能是由于神经感染所致，进而引发惊厥［1］。小儿高热惊厥发作时表现为痉挛、失神，惊厥持续时间过久，会对患者的脑细胞造成损伤，危及患者的生命安全［2］。小儿高热惊厥具有较高的复发性，故施行护理干预具有重要的意义。……