What is psychological care for patients with Kawasaki disease?

How to provide psychological care for patients with Kawasaki disease? In fact, patients with Kawasaki disease need not only psychological care, but other care is also very important. In daily life, many children will show symptoms of Kawasaki disease and be harmed by this disease. Therefore, everyone should pay attention to Kawasaki disease, especially during the period when the baby is ill, mothers should strengthen the care of some diseases. So what are the care measures for Kawasaki disease?

Body temperature: The first symptom of the child is fever. Fever is related to immune dysfunction. The child's body temperature is a remittent fever or a remittent fever, with a body temperature of 38℃~40℃. After admission to the hospital, the body temperature is measured 4 times/d until the body temperature is normal and then changed to 20 times/d. Because of the repeated high fever of this disease, the family members of the child are prone to irritability, anxiety, and emotional instability, and they should be patiently persuaded and explained. When a high fever occurs, you should not give the child antipyretics by yourself, and you should report to the doctor. It is recommended to use physical cooling for body temperatures below 38.5℃, such as warm water baths, ice packs for cooling, and drinking more warm water. If the body temperature does not drop and continues to rise to above 38.5℃, drug treatment such as Modinshu and Profit should be used to achieve the purpose of cooling.

Changes in the extremities: Children may experience hard swelling of fingers and toes, redness of the palm skin within 1 week. Some children may experience spindle-shaped swelling and tenderness in the finger and toe joints, peeling of the extremities, perianal area, trunk, etc., and nails falling off. Children should be given intensive care, pay attention to the cleaning of local skin and mucous membranes, avoid scratching the skin, and take care to prevent skin tears. Rash: Some children may develop erythema multiforme 1 to 5 days after onset, with scarlet fever-like rash being the most common, but without blisters and scabs, which may subside in about 1 week. During this period, attention should be paid to distinguishing from other infectious rashes and allergic rashes caused by drugs. At this time, parents should dress children in soft clothes to prevent them from scratching and reduce irritation.

The mouth and lips are flushed, dry, chapped, bleeding, and crusted. The oral and pharyngeal mucosa is diffusely congested, the tongue papillae are prominent and appear as bayberry tongue, and the tonsils are slightly or severely swollen. Parents should take good care of the children's oral cavity and pay attention to oral hygiene. Try to avoid eating raw and hard foods, and mainly eat liquid and soft foods. Lymph node changes Most children may have lymph node enlargement, mainly non-suppurative enlargement of cervical lymph nodes, the size of soybeans to broad beans, multiple on one side, tenderness, no fluctuation, and most of them can disappear on their own after 1 week. Eye changes, 1 to 6 days after the onset of the disease, children have conjunctival congestion or bulbar conjunctival congestion, without secretions and swelling, and can use chloramphenicol eye drops to avoid direct strong light stimulation and excessive fatigue.

Coronary artery changes: Some children have coronary artery dilatation and aneurysmal dilatation in cardiac ultrasound examinations, with a maximum inner diameter of 8mm (severe); coronary artery stenosis and thrombosis may cause sudden death in severe cases. It is necessary to reduce the cardiac load and closely observe vital signs. Malnutrition in children is closely related to increased metabolism and consumption of the body. It is necessary to strengthen digestive tract management, eat more high-nutrition and easily digestible foods, and advocate a high-calorie, high-protein, high-vitamin liquid or semi-liquid diet, such as egg cakes, fruit juice drinks, soy milk, etc. Avoid eating raw, hard, overheated, spicy and irritating foods. During the acute attack period, a small amount of liquid food and multiple meals are mainly used. If necessary, supplement nutrients such as fat emulsion and amino acids to ensure sufficient nutrition, improve their own disease resistance, and promote early recovery from the disease.

After learning the relevant knowledge, we have a very clear understanding of the care methods for Kawasaki disease. Kawasaki disease brings a lot of troubles and will bring a lot of pain to the children. Therefore, when Kawasaki disease comes, we must pay attention to treatment and strengthen the care of the disease, which should attract the attention of parents.