CAJ | 학술논문

目的：探讨临床护理路径在手足口病合并病毒性心肌炎患儿中的应用效果。方法选取2011年12月-2013年12月收治的手足口病合并病毒性心肌炎患儿76例，按照随机数字表法随机分为对照组和观察组，每组各38例。对照组患儿采用常规护理，观察组患儿制定并实施临床护理路径，比较两组护理效果。结果观察组患儿住院时间为（12．8±3．58）d，对照组为（18．7±5．31）d，差异有统计学意义（t＝9．25，P＜0．05）。观察组患儿住院费用较对照组降低了近20％。观察组仅有1例发生院内感染，而对照组患儿有6例发生院内感染，差异有统计学意义（χ2＝6．08，P＜0．05）。观察组满意度为94．74％（36/38），对照组为78．95％（30/38），差异有统计学意义（t＝14．08，P＜0．05）。结论临床护理路径应用于手足口病合并病毒性心肌炎患儿，可有效缩短住院时间，预防院内感染，提高患儿家属对护理工作的满意度。
목적：탐토림상호리로경재수족구병합병병독성심기염환인중적응용효과。방법선취2011년12월-2013년12월수치적수족구병합병병독성심기염환인76례，안조수궤수자표법수궤분위대조조화관찰조，매조각38례。대조조환인채용상규호리，관찰조환인제정병실시림상호리로경，비교량조호리효과。결과관찰조환인주원시간위（12．8±3．58）d，대조조위（18．7±5．31）d，차이유통계학의의（t＝9．25，P＜0．05）。관찰조환인주원비용교대조조강저료근20％。관찰조부유1례발생원내감염，이대조조환인유6례발생원내감염，차이유통계학의의（χ2＝6．08，P＜0．05）。관찰조만의도위94．74％（36/38），대조조위78．95％（30/38），차이유통계학의의（t＝14．08，P＜0．05）。결론림상호리로경응용우수족구병합병병독성심기염환인，가유효축단주원시간，예방원내감염，제고환인가속대호리공작적만의도。
Objective To study the effect of clinical nursing pathway in patients with hand-foot-and-mouth disease associated with vital myocarditis .Methods A total of 76 cases of patients with hand-foot-and-mouth disease associated with vital myocarditis between December 2011 and December 2013 were recruited and divided into control group(n=38)and observation group(n=38) randomly.The control group was treated by normal therapy , while the observation group was treated by clinical nursing pathway .The effect and satisfaction of two groups were observed and compared .Results The hospital stay of the observation group was (12.8 ± 3.58) days, which was significantly shorter than that in the control group ( 18.7 ±5.31 ) days, and the difference was statistically significant (t =9.25,P<0.05).The hospital cost in the observation group was reduced by almost 20%compared with the control group .The observation group had one case with nosocomial infection, while there were six cases in the control group , and the difference was statistically significant (χ2 =6.08,P<0.05).The satisfaction rate of the observation group was 94.74%(36/38), while the control group was 78.95%(30/38), and a significant difference was found ( t =14.08, P <0.05).Conclusions The clinical nursing pathway applied in patients with hand-foot-and-mouth disease associated with vital myocarditis can shorten hospital stay , reduce nosocomial infection and improve the satisfaction of patients .