Application Effect of Medical Care Integration Combined with Family Intervention under the Evidence-Based Nursing Mode on Child Patients with Severe Hand-Foot-Mouth Disease and Its Influence on Intestinal Function.

Zhaofang Zhang,Hui Lin,Anying Li,Na Wang,Xia Zhang,Mei Dong,Yuejiao Han

doi:10.1155/2021/9599711

Abstract

Objective To explore the application effect of medical care integration combined with family intervention under the evidence-based nursing mode on child patients with severe hand-foot-mouth disease (HFMD) and its influence on intestinal function. Methods 120 child patients with severe HFMD admitted to Qilu Children's Hospital of Shandong University from January 2019 to January 2020 were selected as the research object and randomly divided into group A and group B, with 60 cases each. Conventional nursing was performed on patients in group B, and medical care integration combined with family intervention under the evidence-based nursing mode was performed on patients in group A. Patients were assessed after the intervention using the hospital-made treatment adherence scale, PedsQLTM 4.0 (Pediatric Quality of Life Inventory Version 4.0) scale, and the faces pain scale-revised (FPS-R). The levels of gastrointestinal function indicators such as serum endotoxin (ET), diamine oxidase (DAO), and d-lactic acid (D-LA) were measured before and after the intervention, and recovery such as time to clear fever and time to relief of oral pain were recorded in both groups. Results Children in group A had significantly higher compliance in diet, behaviour, exercise, and medication than group B (P < 0.05); the time to clear fever, time to relief of oral pain, time to healing of oral ulcers, time to relief of skin herpes, time to hospitalization, and time to eating were shorter in group A than those in group B (P < 0.001); all scores on the PedsQLTM 4.0 scale were higher in group A than those in group B after the intervention (P < 0.001); ET, DAO, and D-LA levels decreased in both groups after the intervention, with group A having lower levels than group B (P < 0.001), in addition, group A had lower eating pain scores after the intervention (P < 0.05). Conclusion Medical care integration combined with family intervention under the evidence-based nursing mode can effectively improve the treatment compliance of child patients with severe HFMD, accelerate their recovery progress, ensure a better prognostic quality of life and gastrointestinal tract function, and reduce the eating pain, indicating that such comprehensive nursing intervention mode should be promoted in practice.

Highlights

Hand-foot-mouth disease (HFMD) is mostly caused by enterovirus (EV) infection, so children with HFMD usually present with impaired intestinal function, and in the exacerbation phase, the symptoms such as fever and rash become more severe and some children experience intense pain, which significantly affect their daily life in an adverse way [1,2,3]
To explore the application effect of medical care integration combined with family intervention under the evidence-based nursing mode on critically ill children with HFMD and its influence on gastrointestinal tract function, 120 critically ill children with HFMD admitted to our hospital from January 2019 to January 2020 were selected for the study, with the results summarized as follows
(1) A medical care integration evidence-based nursing group was established, with the members being allocated according to their seniority, working competence, and other aspects, which was consistent with the allocation of group B; members of the group should establish the medical care integration and intervention log to comprehensively record the disease information, assay information, and appointment time of child patients, as well as their medical care intervention plan and execution status, so as to follow-up their recovery progress in detail

Summary

Objective

To explore the application effect of medical care integration combined with family intervention under the evidencebased nursing mode on child patients with severe hand-foot-mouth disease (HFMD) and its influence on intestinal function. Conventional nursing was performed on patients in group B, and medical care integration combined with family intervention under the evidence-based nursing mode was performed on patients in group A. Medical care integration combined with family intervention under the evidence-based nursing mode can effectively improve the treatment compliance of child patients with severe HFMD, accelerate their recovery progress, ensure a better prognostic quality of life and gastrointestinal tract function, and reduce the eating pain, indicating that such comprehensive nursing intervention mode should be promoted in practice

Introduction

Materials and Methods

Results

Discussion