摘要
目的 探讨集束化护理策略在小儿高热惊厥患者急诊护理中的应用效果。方法 本研究一共纳入80例研究对象，均为2018.3月至2021.3月期间在我院诊治的高热惊厥患儿，根据不同的护理模式进行分组，对照组（n=40，采用常规急诊护理），观察组（n=40，在急诊护理中采用集束化护理策略），将两组患儿的急救时间、惊厥消退时间、高热消退时间、住院天数进行比较。结果 将两组患儿的急救时间、惊厥消退时间、高热消退时间、住院天数进行比较发现，观察组患儿的急救时间、惊厥消退时间、高热消退时间、住院天数分别为（30.69±4.34）min、（2.75±0.56）min、（2.54±0.31）h、（5.86±1.14）d，对照组与患儿的急救时间、惊厥消退时间、高热消退时间、住院天数分别为（39.28±4.57）min、（4.13±0.78）min、（4.62±0.54）h、（8.15±1.63）d，观察组急救时间、惊厥消退时间、高热消退时间以及住院天数均明显短于对照组，两组患者各项数据比较有统计学意义，（P＜0.05）。结论 对高热惊厥患儿实施急诊护理过程中，采用集束化护理策略，能为患儿争取抢救时间，缩短症状消退与住院天数，有利于提高急诊护理效果，值得推广与应用于临床护理中。
关键词： 集束化护理策略；小儿高热惊厥；急诊护理；急救效果
Abstract
Objective To explore the effect of cluster nursing strategy in emergency nursing of children with febrile convulsion. Methods a total of 80 subjects were included in this study. All of them were children with febrile convulsion treated in our hospital from March 2018 to March 2021. They were divided into two groups according to different nursing modes: the control group (n = 40, using routine emergency nursing) and the observation group (n = 40, using cluster nursing strategy in emergency nursing). The first aid time, convulsion regression time, fever regression time and hospital stay of the two groups were compared. Results comparing the first aid time, convulsion subsided time, high fever subsided time and hospital stay of the two groups, it was found that the first aid time, convulsion subsided time, high fever subsided time and hospital stay of the children in the observation group were (30.69 ± 4.34) min, (2.75 ± 0.56) min, (2.54 ± 0.31) H and (5.86 ± 1.14) d respectively, and the first aid time, convulsion subsided time, high fever subsided time The hospitalization days were (39.28 ± 4.57) min, (4.13 ± 0.78) min, (4.62 ± 0.54) H and (8.15 ± 1.63) d respectively. The first-aid time, convulsion regression time, high fever regression time and hospitalization days in the observation group were significantly shorter than those in the control group. The data of the two groups were statistically significant (P < 0.05). Conclusion in the process of emergency nursing for children with febrile convulsion, the use of cluster nursing strategy can strive for the rescue time for children, shorten the days of symptom regression and hospitalization, and improve the effect of emergency nursing. It is worthy of popularization and application in clinical nursing.
Key words： Cluster nursing strategy; Children with high fever convulsion; Emergency care; Effect of first aid
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