杨燕飞++++++林少群++++++叶霞++++++周雪霞

[摘要]目的 分析電话随访式延续性护理对小儿高热惊阙后复发的影响。方法 选取2014年1月～2016年6月我院收治的96例小儿高热惊厥患儿按随机数字表法分成观察组和对照组，每组各48例。对照组实行常规出院指导，观察组在对照组的基础上行电话随访式延续性护理。比较两组患儿家长出院时及出院6个月后对相关知识的知晓情况及6个月内复发率。结果 观察组患儿家长出院时相关知识知晓得分（81.36±10.58）分，对照组得分（82.64±11.39）分，两组比较差异无统计学意义（P>0.05）；观察组出院半年后相关知识知晓得分[（93.34±6.85）分]高于对照组[（88.19±7.16）分]，差异有统计学意义（P<0.05）；观察组患儿半年内复发率（6.25%）高于对照组（22.92%），差异有统计学意义（P<0.05）。结论 电话随访式延续性护理能有效的促进小儿高热惊阙患儿家长对相关知识的认知，从而降低复发率。

[关键词]电话随访；延续性护理；小儿高热惊阙；复发

[中图分类号] R473.72 [文献标识码] A [文章编号] 1674-4721（2017）07（a）-0194-03

Efficacy of telephone follow-up continuous nursing on recurrent febrile convulsion in children

YANG Yan-fei LIN Shao-qun YE Xia ZHOU Xue-xia

Department of Emergency，Zhanjiang Maternity and Child Health Hospital in Guangdong Province，Zhanjiang 524038，China

[Abstract]Objective To explore efficacy of telephone follow-up continuous nursing on recurrent febrile convulsion in children.Methods 96 pediatric patients with febrile convulsion admitted to our hospital from January 2014 to June 2016 were selected and randomly divided into the observation group and the control group according to the random number table，with 48 cases in each group.The control group was given routine discharge instructions，and the observation group was given telephone follow-up continuous nursing in addition to routine discharge instructions.The awareness of the related knowledge among the patients′parents at 6 months post-discharge and the recurrence rate within 6 months were compared between two groups.Results The score for awareness of related knowledge among patients′ parents at discharge was （81.36±10.58） points in the observation group and （82.64±11.39） points in the control group，without statistically significant difference between the two groups（P>0.05）；the score for awareness of related knowledge among patients′parents at 6 months post-discharge in the observation group [（93.34±6.85） points] was higher than that in the control group[（88.19±7.16） points]，with statistically significant difference between the two groups（P<0.05）；the recurrence rate within 6 months in the observation group（6.25%） was lower than that in the control group（22.92%），with statistically significant difference between the two groups（P<0.05）.Conclusion Telephone follow-up continuous nursing is effective for raising the awareness of the related knowledge among parents of pediatric patients with febrile convulsion， thus reducing the recurrence rate.

[Key words]Telephone follow-up；Continuous nursing；Febrile convulsion in children；Recurrent

小儿高热惊厥是临床常见的急症，具有发病率高、起病急的特点，以6个月～4岁的婴幼儿为高发人群[1]。患儿往往多因急性感染等原因所致体温急剧升高而发生惊厥，常伴有意识不清，当惊厥消失后意识也随着恢复正常，故多数患儿在得到有效治疗情况下通常无后遗症出现[2]。复发是小儿高热惊厥患儿最为常见的问题，在第一次惊厥发生后，有30%～40%的患儿会出现复发[3]，而复发的反复发生则是引起大脑功能损害的潜在因素[4]，故需采用有效的措施进行预防。延续性护理是目前临床针对多种慢性病常用的院外护理措施，有效地提高了患者的生活质量，并使其预后得以明显改善[5]。随着社会及科技的不断进步，延续性护理开展的方式也日益多样化，包括电话随访、微信随访、上门随访等。本……