摘要
目的 为进一步提高外感发热患儿降温效果，本课题将围绕以降低核心体温为基础的中医综合护理干预效果开展讨论，检验应用价值。方法 实验时间选择在2024年5月开始，至2025年5月结束，选入样本均为该期间收治外感发热患儿，筛选其中80例，利用随机数字表、计算机生成序列分组方法将所有患儿分成两组，分别实施常规护理（对照组，n=40）、以降低核心体温为基础的中医综合护理（观察组，n=40），归纳不同护理结局，并利用统计学系统（SSPS）完成对比分析，观察结果差异表现。结果 统计结果显示，两组干预前肛门温、腋下温无明显差异，干预后观察组肛门温、腋下温均低于对照组；观察组退热起效时间、病程持续时间、痊愈达标时间以及护理满意度优于对照组，组间P值均可见＜0.05标准，有可比性。结论 外感发热患儿采纳以降低核心体温为基础的中医综合护理干预可明显提高降温效果，促病程时间缩短，获得患儿家属高度认可，值得作为可靠护理依据推广应用。
关键词： 小儿外感发热；核心体温；中医综合护理；护理满意度
Abstract
Objective To further improve the efficacy of fever reduction in children with exogenous febrile diseases, this study focuses on evaluating the effectiveness of comprehensive TCM nursing interventions based on core temperature reduction, with a focus on their practical value. Methods The study period was from May 2024 to May 2025, during which 80 pediatric patients with exogenous febrile diseases were selected. Using random number tables and computer-generated sequence grouping methods, all children were divided into two groups: conventional care (control group, n=40) and comprehensive TCM nursing intervention based on core temperature reduction (observation group, n=40). The outcomes of different nursing approaches were compared using statistical analysis through the Statistical Software Package (SSPS), with differences in observation results analyzed. Results Statistical data showed no significant pre-intervention differences in rectal and axillary temperatures between groups. Post-intervention, the observation group demonstrated lower rectal and axillary temperatures compared to the control group. The observation group also exhibited better fever reduction effectiveness time, shorter disease duration, faster recovery achievement time, and higher nursing satisfaction rates than the control group, with all inter-group P values <0.05 indicating statistically significant differences. Conclusion Comprehensive TCM nursing intervention based on core temperature reduction significantly improves fever management efficacy for pediatric patients with exogenous febrile diseases, shortens disease duration, and has received high recognition from families. This approach is recommended as a reliable nursing protocol for clinical application and promotion.
Key words： Pediatric fever; Core body temperature; Comprehensive TCM nursing; Nursing satisfaction
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