Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 26, 2024; 12(21): 4518-4526
Published online Jul 26, 2024. doi: 10.12998/wjcc.v12.i21.4518
Value of combining targeted emergency nursing with psychological nursing in children with febrile convulsions
Qing Han, Feng-Ru Wu, Yun Hong, Li-Li Gu, Yu Zhu
Qing Han, Feng-Ru Wu, Yun Hong, Li-Li Gu, Yu Zhu, Department of Emergency, Nantong Maternal and Child Heath Care Hospital, Affiliated Maternity and Child Health Care Hospital of Nantong University, Nantong 226000, Jiangsu Province, China
Author contributions: Han Q designed the research and wrote the first manuscript; Han Q, Wu FR, Hong Y, Gu LL, Zhu Y contributed to conceiving the research and analyzing data; Han Q and Zhu Y conducted the analysis and provided guidance for the research; all authors reviewed and approved the final manuscript.
Institutional review board statement: This study was approved by the Ethic Committee of Nantong Maternal and Child Heath Care Hospital.
Informed consent statement: The data used in the study were not involved in the patients’ privacy information, and all patient data obtained, recorded, and managed only used for this study, without any harm to the patient. So the informed consent was waived by the Ethics Committee of Nantong Maternal and Child Heath Care Hospital.
Conflict-of-interest statement: All authors declare no conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yu Zhu, BSc, Nurse, Department of Emergency, Nantong Maternal and Child Heath Care Hospital, Affiliated Matemity and Child Health Care Hospital of Nantong University, No. 399 Century Avenue, Chongchuan District, Nantong 226000, Jiangsu Province, China. 15951892858@163.com
Received: March 5, 2024
Revised: May 8, 2024
Accepted: May 27, 2024
Published online: July 26, 2024
Processing time: 118 Days and 9.8 Hours
Abstract
BACKGROUND

Febrile convulsions are a common pediatric emergency that imposes significant psychological stress on children and their families. Targeted emergency care and psychological nursing are widely applied in clinical practice, but their value and impact on the management of pediatric febrile convulsions are unclear.

AIM

To determine the impact of targeted emergency nursing combined with psychological nursing on satisfaction in children with febrile convulsions.

METHODS

Data from 111 children with febrile convulsions who received treatment at Nantong Maternal and Child Health Care Hospital between June 2021 and October 2022 were analyzed. The control group consisted of 44 children who received conventional nursing care and the research group consisted of 67 children who received targeted emergency and psychological nursing. The time to fever resolution, time to resolution of convulsions, length of hospital stays, Pittsburgh Sleep Quality Index, patient compliance, nursing satisfaction of the parents, occurrence of complications during the nursing process, and parental anxiety and depression were compared between the control and research groups. Parental anxiety and depression were assessed using the Hamilton Rating Scale for Depression (HAMD) and the Hamilton Rating Scale for Anxiety (HAMA).

RESULTS

The fever resolution, convulsion disappearance, and hospitalization times were longer in the control group compared with the research group (P < 0.0001). The time to falling asleep, sleep time, sleep quality, sleep disturbance, sleep efficiency, and daytime status scores were significantly better in the research group compared with the control group (P < 0.0001). The HAMD and HAMA scores for parents of children in the research group were lower than the scores in the control group after nursing (P < 0.05). Compliance with treatment of children in the research group was higher than in the control group (P < 0.05). Parental satisfaction with nursing in the research group was higher than in the control group (P < 0.05). The total complication rate of children in the control group was higher than in the research group (P < 0.05).

CONCLUSION

Combining psychological nursing with targeted emergency nursing improved the satisfaction of children’s families and compliance with treatment and promoted early recovery of clinical symptoms and improvement of sleep quality.

Keywords: Targeted emergency nursing; Psychological nursing; Children with febrile convulsions; Satisfaction; Treatment compliance

Core Tip: Targeted emergency nursing combined with psychological nursing in children with febrile convulsions exhibited significant benefits, including shorter duration of fever and convulsions, reduced hospitalization time, improved sleep quality, increased treatment compliance, higher parental satisfaction, lower occurrence of complications, and decreased parental anxiety and depression. This study highlights the importance of implementing comprehensive nursing strategies that address both the physical and psychological needs of children with febrile convulsions. Healthcare professionals can enhance outcomes and promote a positive experience for both children and their families by providing individualized care and employing techniques such as distraction, storytelling, and tailored interventions.