Analysis of risk factors and nursing about hand-foot-mouth disease children complicated with meningoencephalitis
10.3760/cma.j.issn.1674-2907.2015.20.013
- VernacularTitle:手足口病患儿并发脑膜脑炎的危险因素及护理
- Author:
Yanling ZHENG
1
;
Linfen LI
;
Guangyu LIN
;
Weijuan MA
Author Information
1. 515041 汕头大学医学院第二附属医院儿科
- Keywords:
Hand-foot-mouth disease;
Meningoencephalitis;
Risk factors;
Nursing
- From:
Chinese Journal of Modern Nursing
2015;(20):2401-2404
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the risk factors of meningoencephalitis with hand-foot-mouth disease (HFMD) for predictive evaluating and providing evidence for nursing measures. Methods According to the presence of meningoencephalitis, 998 cases with hand-foot-mouth disease were divided into the meningoencephalitis and non meningoencephalitis group. The difference of clinical manifestations, signs and laboratory test resultsbetween two groups were discussed by retrospective analyzing from the perspective of nursing, and we used single factor analysis method to reveal the risk factors of meningoencephalitis. Results The statistical analysis showed that there was a statistical significance in using frequently myoclonicjerk,limbjitter, vomiting,limb weakness, continued highfever, abnormal breathing, circulation dysfunction, blood WBC count and elevatedblood glucoseto predict meningoencephalitis with hand-foot-mouth disease ( P < 0. 05 ). The sensitivity respectively were frequently myoclonic jerk (95. 05% ),blood WBC count (90. 10% ),continued high fever (89. 11% ),abnormal breathing (77. 24% ), elevated blood glucose (63. 37% ),vomiting (42. 57% ), limb jitter (12. 38% ), circulation dysfunction ( 6. 93% ) and limb weakness ( 6. 93% ). The specificity respectively were circulation dysfunction (99. 87% ), limb weakness (99. 75% ), limb jitter (99. 75% ), frequently myoclonic jerk (99. 62% ),vomiting (91. 46% ),abnormal breathing (66. 33% ),continued high fever (65. 33% ), elevated blood glucose (47. 61% ) and blood WBC count (47. 24% ). Conclusions The nurses should strengthen the nursing observation on children with myoclonicjerk, limbjitter, vomiting, limbweakness, continued high fever, abnormal breathing, circulation dysfunction, blood WBC count and elevatedblood glucose. The corresponding nursing intervention measures are also formulated and timely finding meningoencephalitis with HFMD for reducing the developments of severe disease and the mortality.
