| 唐静，周满▲，张晶.基于跨理论模型的健康教育在儿童高热惊厥输液护理中的应用[J].中国医药科学,2025,(6):61-64 基金项目:江苏省卫生健康委员会科研项目（JSZ2023174） |
| 基于跨理论模型的健康教育在儿童高热惊厥输液护理中的应用 |
| Application of health education based on trans-theoretical modeling in the infusion care of children with febrile convulsions |
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| DOI： |
| 中文关键词: 高热惊厥；输液；跨理论模型；健康教育；并发症 |
| 英文关键词:Febrile convulsion; Infusion; Trans-theoretical modeling; Health education; Complications |
| 作者 | 单位 | | 唐静，周满▲，张晶 | 南京医科大学附属妇产医院 南京市妇幼保健院急诊科，江苏南京 210000 |
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| 中文摘要: |
| [摘要] 目的 探讨基于跨理论模型的健康教育在儿童高热惊厥输液护理中的应用效果。 方法 对南京医科大学附属妇产医院2018年1月至2023年12月收治的78例高热惊厥患儿的临床资料进行回顾性分析，按照患儿实施护理方法的不同，将实施常规护理干预的患儿纳入对照组（n=39），联合实施基于跨理论模型的健康教育的纳入观察组（n=39），比较两组家属的疾病认知水平，比较两组患儿的恢复时间、炎症反应、并发症发生情况。 结果 从家属的预防信念、预防行为、预防知识方面来看，护理之后，与对照组患儿家属相比，观察组患儿家属相关指标的得分以及总分显著更高，差异有统计学意义（P < 0.05）。从惊厥、高热、体温等恢复时间以及住院时间来看，与对照组相比，观察组各方面时间均更短，差异有统计学意义（P < 0.05）。护理后，观察组患儿白细胞介素-6、肿瘤坏死因子-α、C反应蛋白较对照组明显更低，差异有统计学意义（P < 0.05）。从并发症统计情况来看，观察组为5.13%，显著低于对照组的25.64%，差异有统计学意义（P < 0.05）。 结论 儿童高热惊厥输液护理中实施基于跨理论模型的健康教育可提高家属对疾病的认知水平，促使患儿快速恢复，控制炎症反应，值得推广。 |
| 英文摘要: |
| [Abstract] Objective To explore the application effect of health education based on trans-theoretical modeling in the infusion care of children with febrile convulsions. Methods The clinical data of 78 children with febrile convulsions received by the Women’s Hospital of Nanjing Medical University between January 2018 and December 2023 were retrospectively analyzed, and according to the different methods of nursing care implemented by the children, the children who implemented routine nursing interventions were included in the control group (n=39), and the ones who jointly implemented health education based on the trans-theoretical model were included in the observation group (n=39). The disease awareness level of the families, and the recovery time, inflammatory response, complications of the children in the two groups were compared. Results After care, the prevention knowledge, prevention beliefs, prevention behaviors and total scores of the families of the children in the observation group were higher than those of the control group, and the difference was statistically significant (P < 0.05). The time for the convulsions to subside, the time for the hyperthermia to subside, the time for the temperature to recover, and the hospitalization time of the observation group were significantly lower than those of the control group, and the difference was statistically significant (P < 0.05). After care, interleukin-6, tumor necrosis factor-α, and C-reactive protein levels in the observation group were significantly lower than those in the control group, and the difference was statistically significant (P < 0.05). The complication incidence rate in the observation group was 5.13%, significantly lower than the 25.64% in the control group, and the difference was statistically significant (P < 0.05). Conclusion The implementation of health education based on the trans-theoretical model in the infusion care of children with febrile convulsions can improve the family’s knowledge of the disease, promote the rapid recovery of the children, control theinflammatory response, which is worth promoting. |
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