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目的:探讨医护一体化护理干预对流行性腮腺炎患儿预后的影响。方法:回顾性分析2013年5月至2014年5月收治的70例流行性腮腺炎采用常规护理的对照组患儿与2014年6月至2015年6月收治的70例流行性腮腺炎采用医护一体化护理模式进行干预的观察组患儿的临床资料。比较两组临床疗效、腮腺消肿时间、退热时间及后遗症发生情况。结果:观察组总有效率显著高于对照组(χ~2=9.22,P<0.05),腮腺消肿时间和退热时间均显著短于对照组(t=5.08、t=4.87,P<0.05);两组患儿均未发生癫痫、失明及肢体瘫痪等严重的后遗症,对照组患儿出现了不同程度的听力障碍、智力障碍和头痛等,两组后遗症发生率比较差异具有统计学意义(χ~2=8.64,P<0.05)。结论:医护一体化护理模式可明显提高流行性腮腺炎的临床疗效,缩短患者恢复时间,降低后遗症的发生率,可在临床上推广应用。
Objective: To investigate the impact of integrated health care intervention on the prognosis of children with mumps. Methods: A retrospective analysis of 70 cases of mumps admitted from May 2013 to May 2014 in the control group with routine care and 70 cases of mumps admitted from June 2014 to June 2015 were performed with medical care Integrative nursing model intervention group observation of clinical data of children. The clinical efficacy, parotid swelling time, antipyretic time and sequelae were compared between the two groups. Results: The total effective rate in the observation group was significantly higher than that in the control group (χ ~ 2 = 9.22, P <0.05). The swelling time and antipyretic time in the parotid gland were significantly shorter than those in the control group (t = 5.08, ). There were no serious sequelae such as epilepsy, blindness and limb paralysis in both groups. The children in the control group had different degrees of hearing impairment, mental retardation and headache. The incidence of sequelae in the two groups was statistically significant ( χ ~ 2 = 8.64, P <0.05). Conclusion: The integrated medical care model can significantly improve the clinical efficacy of mumps, shorten the recovery time of patients and reduce the incidence of sequelae, which can be widely applied in clinic.