|
|
|
| Clinical study of children with Kawasaki disease using a nursing program based on thromboelastogram |
| DUAN Suxian SU Meiyan FENG Dongling ZHANG Yingqian▲ |
| Department of Cardiology, Hebei Provincial Children’s Hospital, Hebei Province, Shijiazhuang 050000, China |
|
|
|
Abstract Objective To explore the improvement effect of nursing program based on thromboelastogram on children with Kawasaki disease. Methods A total of 57 children with Kawasaki disease treated in Hebei Children’s Hospital (hereinafter referred to as “our hospital”) from January to December 2018 were selected as the control group, and routine care was taken. A total of 57 children with Kawasaki disease admitted to our hospital from January to December 2019 were selected as the observation group, and on the basis of the control group, combined with thromboelastogram to guide nursing. The length of stay, hospitalization cost, parents’ nursing satisfaction and incidence of adverse reactions were compared and analyzed between the two groups. Results The length of stay and hospitalization cost in the observation group were lower than those in the control group, and nursing satisfaction was higher than that in the control group, and the differences were statistically significant (P ＜ 0.05). There were no significant differences in the incidence of adverse reactions between the two groups (P ＞ 0.05). There were no significant differences in platelet inhibition rates of adenosine diphosphate and arachidonic acid pathways between the two groups (P ＞ 0.05). Conclusion The application of the nursing program based on thrombus elastic diagram in the clinical treatment of children with Kawasaki disease can effectively improve the nursing satisfaction of the children’s family members and reduce the family medical burden of children, which is worth promoting in the clinical care.
|
|
|
|
|
|
[1] 王雷，夏焙.超声心动图在川崎病诊断、治疗及长期随访中的应用进展——2017年AHA指南的解读[J].中华医学超声杂志（电子版），2019，16（3）：161-165.
[2] 刘飞，吴克义.杭州市2014—2018年川崎病患儿流行病学调查及并发冠状动脉损害危险因素分析[J].中国公共卫生管理，2020，36（5）：45-49.
[3] 李冬娥，周瑞，陈名武.不同剂量丙种球蛋白治疗小儿川崎病的临床疗效[J].中华全科医学，2019，17（6）：944-946.
[4] Meyvis I，Van Rompaey B，Goormans K，et al. Maternal positionand other variables：effects on perineal outcomes in 557 births [J]. Birth，2012，39（2）：115-120.
[5] Paternotte J，Potin J，Diguisto C，et al. Delivery in lateralposition. Comparative study in low risk pregnancy between lateraland dorsal position for the delivery in eutocic vaginal birth [J]. Gynecol Obstet Fertil，2012，40（5）：279-283.
[6] 韩翠存，姜梅.侧卧位接产在第二产程中的应用效果[J].中华现代护理杂志，2015，21（30）：3608-3610.
[7] 刘斌，孙霞，赵西西，等.团体辅导联合阶段性健康教育在白血病患儿家属中的应用[J].中华现代护理杂志，2020， 26（14）：1912-1916.
[8] 海盼，黄珊珊，田静.医院社区联动干预应用于川崎病患儿中的效果分析[J].新疆医科大学学报，2019，42（8）：1029-1032.
[9] 王颖，袁越，高路，等.川崎病患儿血清细胞因子变化的临床意义[J].中华实用儿科临床杂志，2020，35（13）：974-977.
[10] Verhaeghe C，Parot-Schinkel E，Bouet，PE，et al. The impact of manual rotation of the occiput posterior position on spontaneous vaginal delivery rate：study protocol for a randomized clinical trial （RMOS）[J]. Trials，2018，19（1）：109.
[11] Habek D，Marton I，Luetic AT，et al. Acute Abdomen Syndrome Due To Spontaneous Intraperitoneal Bladder Rupture Following Vaginal Delivery [J]. Z Geburtshilfe Neonatol，2018，222（1）：34-36.
[12] Yang GY，Chen QZ, Fu HY，et al. [Effect of auricular acupuncture on postpartum rehabilitation of primipara with cesarean] [J]. Zhongguo Zhen Jiu，2019，39（7）：717-720.
[13] Qi WH，Miao WJ，Ji YZ，et al. The Analgesic Effect of Transcutaneous Electrical Acupoint Stimulation on Labor：A Randomized Control Study [J]. Inter J General Med，2021，12（14）：559-569.
[14] 章晓英，李超雄，欧仲爱，等.川崎病患儿血清中25-羟基维生素D水平的变化及临床意义[J].中国当代医药，2019，26（5）：98-100，104.
[15] 王春晖，赵宏芳，杨洁，等. 丙种球蛋白对川崎病患儿炎症反应氧化应激及基质金属蛋白酶的影响[J].山西医药杂志，2020，49（2）：133-136.
[16] 黄建权，孙华君.1例脑膜炎合并川崎病患儿的抗感染药学监护[J].儿科药学杂志，2019，25（11）：39-42.
[17] 陈彬，卢蔚薇，徐忠玉.血清NT-proBNP，CRP与MMP-9在儿童川崎病中的临床意义[J].检验医学，2020，35（3）：61-64.
[18] 甘云，伍晓梅，邓燕艺.63例儿童川崎病的临床分析[J].当代医学，2021，27（2）：73-76.
[19] 邵东，陈洁.川崎病患儿血清中25-（OH）D3，NT-proBNP 和IL-6表达水平及诊断价值[J].中国地方病防治杂志，2019，34（6）：92-93.
[20] 熊祎，杜忠东.肿瘤坏死因子阻断剂在丙种球蛋白无反应川崎病患儿的应用[J].中华儿科杂志，2020，58（3）：248-251.
[21] 李丹，冯媛，耿玲玲，等.小剂量甲基泼尼松龙联合静脉丙种球蛋白治疗静脉丙种球蛋白无反应型川崎病的疗效分析[J].中国全科医学，2019，22（4）：81-85.
[22] 李菲，周娟，丁媛，等.单中心6年川崎病住院患儿早期并发冠状动脉瘤危险因素分析[J].中华实用儿科临床杂志，2019，34（9）：680-683.
[23] 赖雪芹，赵青，郭健秋，等.N端前脑钠肽与原田危险评分、小林评分对川崎病病儿冠状动脉病变风险预测价值的对比[J].安徽医药，2020，24（4）：688-691.
[24] 阿尔孜古丽·托合提，李秀玲，杜典国.经胸超声心动图对川崎病患儿冠状动脉血流动力学的评估分析[J].心脑血管病防治，2019，19（3）：212-214.
[25] 张依菡，吴蓉洲，胡军勇，等.不同性别川崎病患儿冠状动脉损害风险差异的内在机制[J].中华流行病学杂志，2019，40（12）：1634-1638.
[26] 罗云娇，甘泉，马薇，等.川崎病患儿血清CaN,NFATc1水平与冠状动脉损伤及治疗效果的相关性分析[J].疑难病杂志，2022，21（3）：232-236.
[27] 饶晓红，童文娟，陈丁丁.川崎病并发感染患儿Treg/Th17细胞、免疫功能的变化及临床意义[J].中国医药导报，2020，17（5）：91-94. |
|
|
|
