KẾT QUẢ CHĂM SÓC, ĐIỀU TRỊ BỆNH NHI TIÊU CHẢY CẤP DƯỚI 5 TUỔI VÀ MỘT SỐ YẾU TỐ LIÊN QUAN TẠI KHOA NỘI TIÊU HÓA BỆNH VIỆN NHI ĐỒNG CẦN THƠ NĂM 2020 - 2021

Abstract

Background: Acute diarrhea is an important disease in children, because it has a high morbidity and mortality rate. Objectives: To describe the clinical and subclinical characteristics of children with acute diarrhea under 5 years old, to analyze the results of caring for sick children and related factors at Can Tho Children Hospital. Materials and methods: Descriptive prospective analytic study on 200 children under 5 years old at Can Tho Children Hospital by convenient sampling method. Results: On the first day of hospital admission, the rate of children with fever was 88.5%, 36.5% had dehydration, 69% had abdominal pain and 66.5% had vomiting. The average white blood cell count was 12.1x109 elevated, red blood cells were normal and Hct was 0.38. E.Coli agent causes most acute diarrhea with 80%. After a period of care and treatment, 99.5% of children stopped losing water, 66.5% of children stopped having loose stools, 96.5% of children stopped having fever, 89.5% of children stopped vomiting, 98.5% of children stopped having fever and 92.5% of children stop anorexia. There was a relationship between: the non-malnourished group had a good care rate of 57.5%, a parent with good knowledge and practice had a good care result of 76%, and occupation as a mental worker. and education from high school and above have higher rates of good care (85.7%), respectively (80.6%).Conclusions: High good care results, 100% of children were discharged from hospital, however, due to the impact of many objective factors, it is necessary to strengthen appropriate communication measures to improve care outcomes.