摘要
目的分析分层体温管理结合知信行健康教育应用于流行性出血热患者的护理效果。方法选择2020年1月至2023年6月徐州医科大学附属医院收治的62例流行性出血热患者进行研究,采用随机数字表法分成对照组(31例)与研究组(31例)。对照组接受常规护理,研究组在对照组的基础上采用分层体温管理结合知信行健康教育的护理。比较2组护理前后的临床指标改善所用时间,入院第1天、第7天、第14天的白介素-6(IL-6)、C反应蛋白(CRP)水平,以及并发症发生率。结果研究组患者的持续发热时间、血小板恢复时间、尿蛋白转阴时间、尿量恢复时间以及住院时间均明显短于或早于对照组,差异均有统计学意义(P均<0.05)。2组患者在入院第7天和入院第14天的IL-6、CRP水平均较入院第1天明显下降,且研究组均明显低于同期对照组,差异均有统计学意义(P均<0.05)。研究组的并发症总发生率为6.45%,明显低于对照组的25.80%(P<0.05)。结论对流行性出血热患者运用分层体温管理结合知信行健康教育的护理模式,能够促进患者的临床指标改善,减轻炎症反应,并减少术后并发症的发生。
Objective To analyze the nursing effect of stratified body temperature management combined with knowledge-attitude-practice health education in patients with epidemic hemorrhagic fever.Methods A total of 62 patients with epidemic hemorrhagic fever admitted to the Affiliated Hospital of Xuzhou Medical University from January 2020 to June 2023 were divided into two groups using a random number table,with 31 cases in each group.The control group received routine nursing care,while the study group received stratified body temperature management combined with knowledge-attitude-practice health education on the basis of the control group.The improvement time of clinical indicators before and after nursing,levels of interleukin-6(IL-6)and C-reactive protein(CRP)on day 1,day 7 and day 14 of admission,and complication rates were compared between the two groups.Results Compared to the control group,the study group exhibited significantly shorter durations for of fever,platelet recovery time,urine protein negativity,urine volume recovery,and hospital stay,and the differences were statistically significant(P<0.05).The levels of IL-6 and CRP in both groups on days 7 and 14 of admission were significantly lower than those on day 1 of admission,and the study group showed significantly lower levels than the control group,with statistically significant differences(P<0.05).The total complication rate in the study group was 6.45%,which was significantly lower than the 25.80% in the control group(P<0.05).Conclusion The application of stratified body temperature management combined with knowledge-attitude-practice health education can improve clinical outcomes,reduce inflammation,and decrease postoperative complications in patients with epidemic hemorrhagic fever.
作者
陈春兰
韩倩倩
CHEN Chunlan;HAN Qianqian(The Affiliated Hospital of Xuzhou Medical University,Xuzhou,Jiangsu,221000,China)
出处
《中西医结合护理(中英文)》
2025年第3期89-92,共4页
Journal of Clinical Nursing in Practice
关键词
流行性出血热
分层体温管理
知信行健康教育
并发症
epidemic hemorrhagic fever
stratified body temperature management
knowledge-attitude-practice health education
complication
