RESUMO
By applying the PDCA model to the care of children with Henoch-Schonlein purpura, the nursing process can be divided into four stages: planning, execution, inspection, and treatment. According to the age characteristics and disease progression of pediatric patients, a complete nursing plan is formulated to efficiently implement the nursing content and improve the nursing effect. This paper studies the application of the PDCA nursing model in the nursing of children with Henoch-Schonlein purpura and statistically analyzes the disappearance of skin rash, joint pain relief, disappearance of urine protein, disappearance of gastrointestinal symptoms, etc. Finally, this paper combines the experiment to evaluate the intervention effect of this nursing model and provides reference for the follow-up care of children with Henoch-Schonlein purpura. From the results of experimental research, it can be known that PDCA nursing can improve the comfort of children with Henoch-Schonlein purpura, shorten the time for symptom disappearance, and speed up the recovery process.
Assuntos
Vasculite por IgA/enfermagem , Modelos de Enfermagem , Criança , China , Biologia Computacional , Enfermagem Baseada em Evidências/métodos , Enfermagem Baseada em Evidências/organização & administração , Humanos , Enfermagem Pediátrica/métodos , Enfermagem Pediátrica/organização & administraçãoRESUMO
Children with a petechial rash commonly present to emergency departments. The rash can be associated with serious illnesses, such as invasive meningococcal disease (IMD), but is usually associated with less severe conditions. This article discusses the common and important causes of petechial rash, including IMD, viral illnesses, trauma, Henoch-Schönlein purpura and idiopathic thrombocytopenic purpura. It also analyses the National Institute for Health and Care Excellence (NICE) ( 2014 ) pathway for management of petechial rash in children and examines treatment of the various causes. The article includes two relevant case studies and discusses the role of emergency nurses.
Assuntos
Enfermagem em Emergência/normas , Exantema/diagnóstico , Exantema/enfermagem , Papel do Profissional de Enfermagem , Guias de Prática Clínica como Assunto , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Vasculite por IgA/diagnóstico , Vasculite por IgA/enfermagem , Lactente , Recém-Nascido , Masculino , Infecções Meningocócicas/diagnóstico , Infecções Meningocócicas/enfermagem , Púrpura/diagnóstico , Púrpura/enfermagem , Púrpura Trombocitopênica Idiopática/diagnóstico , Púrpura Trombocitopênica Idiopática/enfermagemRESUMO
AIM: To describe the incidence of hospital admission among children in the Scottish population for Henoch-Schönlein purpura (HSP). METHOD: The annual, quarterly and monthly incidences of HSP were derived from routinely collected data for Scotland from 1995 to 2007. RESULTS: Annual incidences of childhood cases of HSP in Scotland ranged from 20.3 to 26.7 per 100,000 of the child population over 1995-2007. Quarterly rates were highest in winter and lowest in summer. Monthly rates were highest in the months between December and March and consistently low in July and August. CONCLUSION: The annual incidence of childhood HSP in Scotland appears high compared with rates reported in other countries, and the results demonstrate a seasonal pattern. Health professionals should be aware of the symptoms, and of the best treatments and care available. Further research is needed to gain a better understanding of this disease, as the aetiology remains unknown and there are no clear evidence-based treatments or interventions.
Assuntos
Vasculite por IgA/epidemiologia , Adulto , Humanos , Vasculite por IgA/enfermagem , Vasculite por IgA/fisiopatologia , Incidência , Estudos Retrospectivos , Escócia/epidemiologiaRESUMO
Henoch-Schonlein Purpura is best recognized by a characteristic petechial/purpuric skin rash. Clinical features arise from a widespread vasculitis, affecting many systems. Nursing interventions focus on family education and supportive measures to alleviate symptoms and prevent complications.
