基于家庭为中心的护理观念在原发性肾病综合征患儿护理中的应用效果

Application of family-centered nursing concept in nursing of children with primary nephropathy sydrome

目的探讨基于家庭为中心的护理理念在原发性肾病综合征(PNS)患儿护理的应用效果。方法选择2015年3月至2016年2月我院儿科收治PNS患儿84例,随机数字表法分为对照组和观察组,各42例,对照组采取常规护理,观察组给予基于家庭为中心的护理模式进行护理。采用Conners儿童行为问卷比较2组患儿行为问题情况,比较2组家属护理满意度情况,随访6个月,采用少儿主观生活质量问卷(ISLQ)对2组患儿生活质量情况进行比较,并观察复发率情况。结果 6个月后,观察组患儿行为问题各维度评分均明显低于对照组(P<0.05);观察组住院时间明显比对照组缩短,费用比对照组明显降低,护理满意度明显高于对照组(P<0.05);6个月时观察组患儿生活质量评分明显高于对照组(P<0.05)。结论基于家庭为中心的护理理念对PNS患儿进行护理干预,可降低儿童行为问题的发生,改善其生活质量,缩短住院时间的同时提高家属满意度,临床值得推广。

Objective To explore the effect of family-centered nursing concept in nursing of children with primary nephropathy sydrome（PNS）.Methods From March 2015 to February 2016,84 children with PNS in our hospital were randomly divided into control group and observation group（n=42）.Children in control group were treated by routine care,and family-centered nursing concept was used in the nursing of children in observation group.The behavioral satisfaction of children in two groups was compared by the Conners Children＇s Behavior Questionnaire,and satisfaction rate of the two groups was compared,followed up for 6 months,living quality of children in two groups were compared with the children＇s inventory of subjective life quality（ISLQ）,recurrence rate of two groups were observed.Results After 6 months,the scores of behavioral problems in observation group were significantly lower than those in the control group（P 〈0.05）;The satisfaction rate of the nursing staff in observation group was significantly higher than that in control group（P 〈0.05）;The hospitalization time of the observation group was significantly shorter than that of the control group,and the cost was significantly lower than that of the control group,and the nursing satisfaction was significantly higher than that of the control group（P 〈0.05）;The recurrence rate of children in the observation group was significantly lower than that of the control group（P 〈0.05）.Conclusion Nursing intervention of children with PNS based on family-centered nursing concept can reduce children＇s behavior problems and recurrence rate,improve their living quality and family satisfaction.