Key result
Incentive nursing intervention significantly reduced the remission time of clinical symptoms such as convulsion and unconsciousness compared to routine nursing (P<0.05).
Why the study?
Severe viral encephalitis in children damages the central nervous system and can be life-threatening, motivating an evaluation of diffusion weighted MRI and nursing interventions.
Does incentive nursing intervention improve clinical symptom relief time and physiological indicators in children with severe viral encephalitis and myocarditis?
RCT (n=60)
Random number table method
No
Does incentive nursing intervention improve clinical symptom relief time and physiological indicators in children with severe viral encephalitis and myocarditis?
p-value: p=<0.05
Incentive nursing intervention may accelerate clinical symptom relief and improve physiological indicators in children with severe viral encephalitis and myocarditis compared to routine nursing.
Supports incorporating incentive nursing to expedite symptom relief in children with severe viral encephalitis and myocarditis; extends RCT evidence for adjunctive nursing strategies.
Background. Severe viral encephalitis in children causes a viral infection that damages their central nervous system. This situation arises the mental abnormalities, sudden rise in body temperature, disturbance of consciousness, and so forth in children, which can be life-threatening. Objective. This work aimed at exploring the effect of diffusion weighted MRI on children with severe viral encephalitis and myocarditis. Methods. This work presents a diffusion weighted MRI scanning method that involves scanning through a serial imaging device, axial scanning, and sagittal and coronal scanning. 60 children with severe viral encephalitis and myocarditis who admitted to Brain Hospital of Hunan Province from April 2017 to May 2020 were deemed as research subjects. All the children underwent CT and MRI examination, blood routine examination, and cerebrospinal fluid examination after admission. This work uses the random number table method to classify the subjects into control group and observation group, each consisting of 30 cases. Children in the control group were provided with the routine nursing intervention, whereas children in the observation group were subjected to incentive nursing intervention. The baseline data, ECG monitoring indicators, body abnormalities, and clinical symptom relief time of the two groups of children were compared and the results of diffusion weighted MRI scans were analyzed and the ADC values were counted. Results. The two groups of children were compared on the basis of baseline data, and the variation was not statistically substantial ( P > 0.05 ). The cases of children in the control group had higher heart rate and respiration, and physical dysfunction, language dysfunction, unconsciousness, and nervous dysfunction were more than those in the observation group. However, the cases of blood oxygen saturation were less than those of the observation group. After nursing intervention done for the control group, remission time of clinical symptoms such as convulsion, physical dysfunction, unconsciousness, and nerve dysfunction was longer relative to the observation group (all P < 0.05 are considered). Conclusion. The diffusion weighted MRI had diagnostic significance for severe viral encephalitis and myocarditis. For children with severe viral encephalitis and myocarditis, clinical incentive nursing intervention was particularly imperative. It can not only help children to relieve symptoms and control the deterioration of the disease in a short time but also help improve the quality of life of the children and the confidence of family members to cope with the disease.
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Ren et al. (2021) conducted an RCT in Severe viral encephalitis and myocarditis (n=60). Incentive nursing intervention vs. Routine nursing intervention was evaluated on Remission time of clinical symptoms (p=<0.05). Incentive nursing intervention significantly reduced the remission time of clinical symptoms such as convulsion and unconsciousness compared to routine nursing (P<0.05).
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