循证护理对慢性肾炎患者自护能力及遵医行为的影响

Influence of Evidence-Based Nursing on Self-Care Ability and Compliance Behavior of Patients with Chronic Nephritis

目的探讨循证护理对慢性肾炎患者自护能力及遵医行为的影响。方法选择2018年1月至2019年1月我院收治的慢性肾炎患者90例,随机分为对照组和观察组各45例。对照组采用常规护理,观察组在对照组基础上采用循证护理。对比两组患者的自护能力及遵医行为。结果护理前,两组患者的ESCA评分比较差异无统计学意义(P>0.05);护理1个月、3个月后,观察组的ESCA评分明显高于对照组(P<0.05)。护理过程中,观察组的总遵医率为93.33%,明显高于对照组的73.33%(P<0.05)。结论循证护理可有效提高慢性肾炎患者的自护能力和遵医行为,促进患者转归,值得临床推广。

Objective To explore the influence of evidence-based nursing on self-care ability and compliance behavior of patients with chronic nephritis.Methods 90 cases of patients with chronic nephritis admitted to our hospital from January 2018 to January 2019 were selected and randomly divided into control group and observation group,with 45 cases in each group.The control group received routine nursing,and the observation group received evidence-based nursing on the basis of the control group.The self-care ability and compliance behavior of the two groups were compared.Results Before nursing,no statistical difference was found in the ESCA score between the two groups(P>0.05).1 month and 3 months after nursing,the ESCA scores of the observation group were significantly higher than those of the control group(P<0.05).During the nursing process,the total compliance rate of the observation group was 93.33%,significantly higher than 73.33%of the control group(P<0.05).Conclusions Evidence-based nursing can effectively improve the self-care ability and compliance behavior of patients with chronic nephritis,and promote the outcome,which is worthy of clinical promotion.