儿童痛的持续时间,过程和护理人员负担:两个观察队列
Candice Leigh Bjornson1,2, Alberto Nettel-Aguirre3, Janielee Williamson1
1Department of Pediatrics, University of Calgary, Calgary, Alberta, Canada.
BMJ open
|December 24, 2024
概括
形症状通常在到达急诊室时达到顶峰. 大多数儿童在1.5-2天内恢复,但护理人员在疾病期间经常经历严重的睡眠损失.
科学领域:
- 儿科急救医学 儿科急救医学
- 呼吸系统疾病 呼吸系统疾病
- 临床症状学 临床症状学
背景情况:
- 是常见的儿科呼吸道疾病,关于症状进展的公布数据有限.
- 了解症状持续时间和护理人员负担对于临床管理和家长支持至关重要.
研究的目的:
- 评估儿童的症状进展情况.
- 评估相关的护理人员负担,包括压力,睡眠不足和工作.
- 为了确定年龄,性别,季节或最初的疾病严重程度是否影响症状持续时间.
主要方法:
- 对加拿大两组被诊断患有的儿童 (0-16岁) 的二次分析.
- 每天通过电话从护理人员收集的数据,包括症状进展和心理社会影响.
- 基线数据包括人口统计,季节,皮质类固醇使用和临床严重性得分.
主要成果:
- 对于大多数儿童来说,croup症状在初始呈现时达到顶峰 (96%和77%在两个队列中).
- 吠声咳是最持久的症状,50%的儿童在34-47小时内消失,90%的儿童在78-119小时内消失.
- 在孩子患病期间,护理人员的睡眠损失平均为2.8-4.1小时;性别和初始严重程度与症状持续时间无关.
结论:
- 大多数患有的儿童在症状严重程度达到顶峰时寻求护理,90%的病例在3-5天内出现症状消失.
- 季节和年龄与一个队列的症状持续时间有关,突出了潜在的影响因素.
- 护理人员面临着严重的睡眠障碍,这强调了在病期间需要支持性护理策略的需要.
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