The role of safety early warning nursing process in nursing of children with severe pneumonia and febrile convulsion
安全预警护理流程在小儿重症肺炎高热惊厥护理中的作用

摘要

目的 安全预警护理流程应用于小儿重症肺炎高热惊厥价值探析。方法 本次重症肺炎儿童患者高热惊厥护理研究选择时间段为2022年6月到2023年6月，选择重症肺炎儿童患者94人，分为各47人对照组（给予常规重症肺炎护理）及预警护理组（给予小儿重症肺炎高热惊厥安全预警护理），对比两组重症肺炎患者干预前后护理综合效应、症状改善情况评分及并发症发生率。结果 预警护理组综合效应良好以上39人，良好率为82.98%，相较于对照组综合效应良好以上32人，良好率为68.09%。两组重症肺炎儿童患者重症肺炎护理综合效应数据差异性明显，P<0.05。预警护理组与对照组护理后症状改善差异较大，其中高热惊厥、动脉气血和神经功能评分前者得分明显较高，P<0.05。预警护理组并发症出现2例，并发症发生率为4.26%，相比较于对照组出现并发症6例，并发症发生率为12.77%，两组重症肺炎儿童并发症发生率对比差异性较大，P<0.05。结论 在重症肺炎患儿的治疗过程中护理是极为重要的，明显安全预警护理能够更全面针对小儿重症肺炎高热惊厥异常情况进行预防，在大幅提高护理效果的同时，能够有效减少高热惊厥持续时间并加快症状恢复，最大程度上改善重症肺炎患儿愈后，避免并发症出现。

Abstract

Objective To explore the value of safety early warning nursing process in children with severe pneumonia and febrile convulsion.
Methods The study was conducted from June 2022 to June 2023. 94 children with severe pneumonia were selected and divided into 47 control group (receiving routine severe pneumonia nursing) and early warning nursing group (receiving safety early warning nursing). The comprehensive nursing effect, symptom improvement score and complication rate of severe pneumonia patients before and after intervention were compared between the two groups.
Results More than 39 patients in the early warning nursing group had good comprehensive effect, the good rate was 82.98%, compared with 32 patients in the control group, the good rate was 68.09%. There was significant difference between the two groups in the comprehensive effect of severe pneumonia nursing in children with severe pneumonia (P<0.05). The improvement of symptoms after nursing was significantly different between the early warning nursing group and the control group, and the scores of high fever convulsion, arterial qi and blood and nerve function were significantly higher in the former group (P<0.05). There were 2 cases of complications in the early warning nursing group, with a complication rate of 4.26%, compared with 6 cases of complications in the control group, with a complication rate of 12.77%. There was a significant difference in the complication rate of children with severe pneumonia between the two groups, P<0.05.
Conclusion   Nursing is extremely important in the treatment of children with severe pneumonia. Obviously, safety early warning nursing can prevent the abnormal condition of hyperthermia convulsion in children with severe pneumonia in a more comprehensive way. While greatly improving the nursing effect, it can effectively reduce the duration of hyperthermia convulsion and accelerate the recovery of symptoms, and improve the recovery of severe pneumonia children to the greatest extent and avoid complications.