何婷喜

[摘要]目的 探讨对小儿高热患者分别行常规与针对性护理的效果。方法 选取2016年1月～2017年1月小儿高热患者100例，随机分为干预组与对照组，各50例，两组均给予常规护理，干预组在此基础上实施针对性护理，比较两组护理效果。结果 护理后干预组患儿体温为（37.5±0.2）℃，低于对照组的（38.3±0.2）℃（P<0.05）；干预组患儿临床总有效率为96.0%，高于对照组的80.0%（P<0.05）；干预组患儿护理总满意度为98.0%，高于对照组的84.0%（P<0.05）；干预组患儿护理后并发症发生率为6.0%，低于对照组的20.0%（P<0.05）。结论 临床中针对小儿高热患儿， 在实施常规护理的基础上给予针对性护理措施，可明显促进患儿康复，改善患儿高热症状，提高患儿家长护理满意度、降低并发症发生率，值得在临床中推广应用。

[关键词]小儿高热；针对性护理；常规护理；临床效果

[中图分类号] R248.4 [文献标识码] A [文章编号] 1674-4721（2017）04（a）-0185-03

Nursing effect of different nursing care modes in children with high fever

HE Ting-xi

People′s Hospital of Yangjiang City in Guangdong Province，Yangjiang 529500，China

[Abstract]Objective To study the effect of the routine nursing care and the specific nursing care in children with high fever respectively.Methods 100 children patients with high fever from January 2016 to January 2017 were selected and divided randomly as the intervention group and the control group，50 cases in each group.Patients in both groups were given the routine nursing care.On the basis of the routine nursing care，the specific nursing care was given to patients in the intervention group.Nursing effect of the two groups was compared.Results Temperature of children patients in intervention group was（37.5±0.2）℃，lower than（38.3±0.2）℃ of the control group after the nursing care（P<0.05）.The total clinical effective rate of children patients in the intervention group was 96.0%，higher than 80.0% of the control group（P<0.05）.The nursing care total satisfaction degree of children patients in the intervention group was 98.0%，higher than 84.0% of the control group（P<0.05）.The incidence rate of complication of children patients in the intervention group was 6.0%，lower than 20.0% of the control group（P<0.05）.Conclusion On the basis of the routine nursing care，the clinical application of specific nursing care to children patients with high fever promotes the rehabilitation significantly.Additionally，it also improves the degree of satisfaction of parents of children patients，decreases the incidence rate of complication，which is worth clinical promotion and application.

[Key words]High fever in children；Specific nursing care；Routine nursing care；Clinic effect

研究顯示，当高热患儿体温达到39.1～40.0℃时，便会对患儿造成极大的危害，若难以给予及时有效的治疗措施，将会对患儿身体健康及生命安全造成严重影响，形成高热后遗症[1]。目前临床对于小儿高热患者的治疗，多采用药物治疗，虽取得较好的治疗效果，但小儿患者治疗依从性较低，且容易出现一些临床并发症。所以需要注意，针对小儿高热患者不但要给予及时有效的治疗措施，还应给予患儿相应的护理措施，方可取得最佳疗效[2]，因此针对我院收治的100例高热患儿分别给予不同的护理措施，研究护理效果差异，现报道如下。

1资料与方法

1.1一般资料

选取2016年1月～2017年1月我院收治小儿高热患者100例，按就诊时间随机分为干预组与对照组，各50例。干预组中男27例，女23例；年龄10～30个月，平均（19.0±1.4）个月；体温37.9～40.7℃，平均（38.8±1.3）℃；病程0.4～5.1 d，平均（2.1±0.8）d。对照组中男26例，女24例；年龄9～31个月，平均（19.5±1.0）个月；体温38.0～40.5℃，平均（38.7±1.2）℃；患儿病程0.5～5.0 d，平均（2.0±0.7）d。本次研究获得医院伦理委员会批准，且患儿家属均已签署知情同意书。两组患儿性别、年龄、体温及病程等一般资料组间比较，差异无统计学意义（P>0.05），具有可比性。……