李婷

[摘要] 目的 探讨护理干预对小儿腹型过敏性紫癜的护理效果。 方法 便利抽取2018年6月—2019年6月在該院接受治疗的小儿腹型过敏性紫癜患儿78例为研究对象，根据其住院先后顺序从1～78编号，再按等差数列首项为1，公差为2的方式将78例患儿平均分为两组，即对照组与实验组，两组患儿均为39例。对照组行常规护理，实验组在常规护理基础上行护理干预，对比两组患儿的 VAS 疼痛评分、并发症发生率、住院时间以及家长满意度。 结果 实验组VAS评分（2.93±0.86）分显著低于对照组（5.36±1.25）分，住院时间（7.35±1.88）d短于对照组（9.38±2.47）d（t=10.367、4.678，P<0.05）;实验组患儿并发症发生率为2.56%，对照组患儿并发症发生率为17.95%（χ2=4.342，P<0.05）;实验组患儿家属满意度（94.87%）高于对照组（79.49%）（χ2=4.201，P<0.05）。结论 护理干预对小儿腹型过敏性紫癜患儿的护理效果显著，能够降低患儿的VAS评分，缩短患儿的住院时间，降低并发症发生率，提高患儿家属满意度。

[关键词] 护理干预;小儿腹型过敏性紫癜;儿科;效果

[Abstract] Objective To investigate the nursing effect of nursing intervention on infantile allergic purpura. Methods Seventy-eight children with abdominal allergic purpura who were treated in the hospital from June 2018 to June 2019 were convenient selected as study subjects. They were numbered from 1-78 according to their hospitalization order， and the first item according to the equal difference series was 1. The method of tolerance 2 divided 78 patients into two groups， that is， the control group and the experimental group， with 39 patients in both groups. The control group received routine nursing care， and the experimental group received routine nursing interventions based on conventional nursing care. The VAS pain score， complication rate， length of hospital stay， and parental satisfaction were compared between the two groups. Results The VAS score （2.93±0.86） points of the experimental group was significantly lower than that of the control group （5.36±1.25）points. The length of hospital stay （7.35±1.88）d was shorter than that of the control group （9.38±2.47）d（t=10.367， 4.678， P<0.05）; the incidence of complications in the experimental group was 2.56%， and the incidence of complications in the control group was 17.95%（χ2=4.342， P<0.05）; the family satisfaction of the children in the experimental group （94.87%） was higher than that in the control group （79.49%）（χ2=4.201， P<0.05）. Conclusion Nursing intervention has significant nursing effect on children with abdominal allergic purpura. It can reduce the VAS score of children， shorten the hospital stay of children， reduce the incidence of complications， and increase the satisfaction of children's families.

[Key words] Nursing intervention;Pediatric abdominal allergic purpura;Pediatric;Effect

小儿腹型过敏性紫癜是临床常见的一种病症，对患儿的正常生活有很大影响[1]。对于腹型过敏性紫癜患儿，仅靠手术治疗是无法从根本上改善患儿的疼痛感的，需要结合必要的护理措施。研究发现对腹型过敏性紫癜患儿实施护理干预效果优于常规护理，其护理方案更具有针对性，能够弥补常规护理模式的缺陷，满足患儿的实际需求[2-3]。因此，在腹型过敏性紫癜患儿护理过程中，要充分发挥护理干预的优势，进一步提升护理效果，为患儿创造良好的恢复环境，实施有针对性的护理，体现以患儿为本的护理思想，为患儿提供更加优质的护理服务。该次研究便利抽取2018年6月—2019年6月在该院接受治疗的小儿腹型过敏性紫癜患儿78例为研究对象，探讨护理干预对小儿腹型过敏性紫癜的护理效果。现报道如下。

1  资料与方……