前馈控制在手足口病突发性流行期护理管理中的应用

摘要

目的：研究前馈控制在手足口病(HFMD)突发性流行期护理管理中的应用效果。方法：2011年4月-2014年4月收治突发性流行期手足口病重症患儿120例，根据护理方法不同随机分为观察组和对照组，各60例，观察组给予前馈控制指导下的护理管理，对照组给予常规护理，比较两组患儿的整体疗效、免疫功能。结果：①整体疗效：观察组的住院时间短于对照组(4.82±0.62 vs 8.18±0.98)d，整体疗效优于对照组(97.06% vs 79.79%)；②免疫功能指标：观察组的IgG、IgM、IgA水平高于对照组(13.42±1.69 vs 7.92±0.95，2.55±0.34 vs 1.81±0.23，1.21±0.16 vs 0.55±0.08)g/L。结论：前馈控制指导下的护理管理有助于缩短住院时间、改善整体疗效、提高免疫功能、减少心肌损伤，是手足口病突发性流行期理想的护理方法。%Objective:To explore the application effect of feedforward control in nursing management of hand foot and mouth disease at sudden epidemic period.Methods:120cases of children with severe hand foot and mouth disease at sudden epidemic period were selected from April 2011 to April 2014.According to the different methods of care,they were randomly divided into the observation group and the control group with 60 cases in each group.The observation group was given nursing management under the guidance of the feedforward control,and the control group was given conventional nursing.We compared the overall effect,immune function of the two groups.Results:①The overall effect:in the observation group,the hospitalization time was shorter than that in control group(4.82±0.62 vs 8.18±0.98)days,the overall effect was better than that of the control group (97.06% vs 79.79%);②Immune function indexes:in the observation group,IgG,IgM,IgA level was higher than that of the control group(13.42± 1.69 vs 7.92 ± 0.95,2.55 ± 0.34 vs 1.81 ± 0.23,1.21 ± 0.16 vs 0.55 ± 0.08)g/L.Conclusion:Nursing management under the guidance of the feedforward control can help to shorten the hospitalization time,improve the overall efficacy,improve immune function,and reduce myocardial injury.It is ideal nursing methods of hand foot and mouth disease at sudden epidemic period.