家庭为中心的护理对肾病综合征患儿的影响

The Effect of family-centered care on children with nephritic syndrome

目的观察以家庭为中心的护理对肾病综合征患儿的影响。方法选取泸州市纳溪区人民医院收治的80例肾病综合征患儿,分成对照组和观察组,每组40例。对照组住院期间仅采取系统化整体护理,出院后无随机走访及教育指导;观察组在对照组基础上采取1年住院期间和出院后以家庭为中心的护理干预。观察两组患儿的治疗病程、复发率、并发症等。结果相比对照组,观察组患儿病情初次缓解时间较短,复发率、感染发生率较低,对有关知识掌握及对护理服务满意度也优于对照组,组间比较差异有统计学意义(P<0.05)。结论采用家庭为中心的护理干预可提升患者及家属的信任度,强化药物治疗依从性,缩短了患儿病程治疗时间,治愈率高,复发率低,降低因感染带来的并发症。

Objective To observe the effect of family-centered care on children with nephrotic syndrome. Methods 80 cases of nephrotic syndrome in People＇s Hospital of Luzhou Naxi District were divided into control group （40 cases） and observation group （40 cases） according to the odd or even numbers. The patients in control group were treated only with systematic holistic nursing without post-discharge randomly follow-up visits and educational guidance. The patients in observation group were taken 1 years centered nursing intervention in both hospital and family. Then to observe the course of treatment, recurrence rate, complications. Results The illness first remission time in observation was shorter than that in control group,the recurrence rate, infection rate in observation was significantly lower than that in control group, the knowledge master ability and satisfaction to the nursing service in control group were better than that in control group, the differences in two groups showed statistically significant （P〈0.05）. Conclusion The application of family-centered nursing intervention can improve patients and their families＂ trust degree, strengthen the compliance of medication, shorten the treatment time, showed high cure rate, low recurrence rate and reduced the complications caused by infection.