Discussion on clinical nursing countermeasures of high fever caused by upper respiratory tract infection in children
小儿上呼吸道感染致高热临床护理对策探讨

摘要

目的 探究、分析小儿上呼吸道感染致高热的临床护理方法。方法 选取90例上呼吸道感染致高热患儿作为本次研究观察对象，患儿均来自我院2021年1月至2022年1月接收的小儿。通过随机数字表法对患儿进行随机、平均分配，45例分到对照组，另外45例分到实验组。治疗期间，对照组施行常规护理，实验组施行降温急救护理。观察对比2组小儿上呼吸道感染致高热患儿护理后的各项指标情况，退热时间、惊厥控制时间、住院时间、家长对护理服务内容的满意程度以及不良反应。结果 经过护理后，与对照组相对比，经过以降温急救为基础护理方式的实验组，退热时间更快、住院时间更短、惊厥消失时间更短，并且不良反应发生的几率也更低，患儿家长对本院的护理服务内容满意程度也更高。上述所有的观察指标在两组患者比较方面均具有统计学差异（P＜0.05）。结论 对于小儿上呼吸道感染致高热而言，以降温急救为基础的护理方式整体临床疗效显著，值得在临床中进一步应用和普及。

Abstract

Objective: To explore and analyze the clinical nursing methods of high fever caused by upper respiratory tract infection in children.
Methods: 90 children with high fever caused by upper respiratory tract infection were selected as the observation objects in this study. All the children were from our hospital from January 2021 to January 2022. Children were randomly and evenly assigned by random number table, 45 cases were assigned to the control group and the other 45 cases were assigned to the experimental group. During the treatment, the control group was given routine nursing, while the experimental group was given emergency nursing of cooling. The indexes, fever reduction time, convulsion control time, hospitalization time, parents' satisfaction with nursing services and adverse reactions of children with high fever caused by upper respiratory tract infection in two groups were compared.
Results: After nursing, compared with the control group, the experimental group, which takes cooling first aid as the basic nursing mode, has faster fever reduction time, shorter hospitalization time, shorter convulsion disappearance time, and lower incidence of adverse reactions. Parents of children are more satisfied with the nursing service content of our hospital. All the above observation indexes have statistical differences between the two groups (P < 0.05).
Conclusion  : For children with high fever caused by upper respiratory tract infection, the nursing method based on cooling and first aid has obvious overall clinical effect, which is worthy of further application and popularization in clinic.