循证护理对糖尿病肾病病人生活质量的影响

EFFECT OF EVIDENCE-BASED NURSING ON QUALITY OF LIFE IN PATIENTS WITH DIABETIC NEPHROPATHY

目的探讨循证护理对糖尿病肾病病人生活质量的影响。方法糖尿病肾病病人132例,随机分为对照组和观察组,各66例。对照组采用传统护理方法,观察组在此基础上采用循证护理方法。采用简明健康状况量表（SF-36量表）,分别对两组病人入院时和出院后45d生活质量情况进行评定。结果入院时两组病人SF-36量表中8个维度生理功能（PF）、生理职能（RP）、躯体疼痛（BP）、总体健康（GH）、活力（VT）、社会功能（SF）、情感职能（RE）和精神健康（MH）得分差异无显著性（P〉0.05）。出院后45d,观察组8个维度得分均高于对照组,差异有显著性（t=2.26~5.15,P〈0.05）。观察组出院后RP、GH、VT、SF、MH得分高于入院时,差异有显著性（t=2.34~5.26,P〈0.05）;对照组出院后BP、GH、VT、RE评分低于入院时,差异有显著性（t=2.86~5.63,P〈0.05）。结论在糖尿病肾病病人护理中,循证护理的综合效果优于传统护理,值得临床推广应用。

Objective To assess the influence of evidence-based nursing（EBN）on quality of life（QOL）in patients with diabetic nephropathy（DN）. Methods This study consisted of 132 DN patients who were evenly randomized to control group and observation group.Patients in the control group received conventional nursing,and those in the observation group were given EBN in addition to that conducted in the control group.Using condensed Health Status Scale（SF-36）,the QOL in patients of the two groups were assessed on admission and 45 dafter discharge. Results On admission,eight-dimension physiological functionphysiological function（PF）,role physical（RP）,bodily pain（BP）,general health（GH）,vitality（VT）,social function（SF）,role emotional（RE）and mental health（MH）-scores in SF-36 were not significantly different between the two groups（P〈0.05）.After 45 dof discharge,the scores of the above eight dimensions were higher in the observation group than that in the control（t=2.26-5.15,P〉0.05）.After discharge,the scores of RP,GH,VT,SF and MH were higher than on admission（t=2.34-5.26,P〈0.05）,and in the control group,the scores of BP,GH,VT and RE after discharge were lower than that on admission（t=2.86-5.63,P〈0.05）. Conclusion In nursing care of patients with diabetic nephropathy,comprehensive care of evidencebased nursing is better than traditional one and worthy of clinical promotion and application.