以患者需求为导向的临床护理路径干预对慢性肾小球肾炎患者疾病知识掌握度及自我效能感的影响

Influence of Pat ient Demand-Oriented Clinical Nursing Pathway Intervention on Disease Knowledge Mastery Degree and Self Efficacy in Patients with Chronic Glomerulonephritis

目的探讨以患者需求为导向的临床护理路径干预对慢性肾小球肾炎患者疾病知识掌握度以及自我效能感的影响。方法选取我院收治的慢性肾小球肾炎患者77例,按入院顺序分为两组。参照组(38例)采取常规干预,试验组(39例)在参照组基础上采取以患者需求为导向的临床护理路径干预。比较两组患者的疾病知识掌握度及干预前后的SDS、SAS、GSES评分。结果试验组的疾病概念、并发症、致病原因、临床表现等疾病知识掌握度评分均高于参照组(P<0.05)。与参照组相比,试验组干预后的SDS、SAS评分较低,GSES评分较高(P<0.05)。结论对慢性肾小球肾炎患者采取以患者需求为导向的临床护理路径干预,能提升疾病知识掌握度,减轻抑郁、焦虑情绪,提高自我效能感。

Objective To explore the influence of patient demand-oriented clinical nursing pathway intervention on disease knowledge mastery degree and self efficacy in patients with chronic glomerulonephritis.Methods 77 cases of patients with chronic glomerulonephritis admitted to our hospital were selected and divided into two groups according to the admission order.The reference group(38 cases)was given routine intervention,and the experimental group(39 cases)was given patient demand-oriented clinical nursing pathway intervention based on the reference group.The disease knowledge mastery degree,and the SDS,SAS and GSES scores before and after intervention were compared between the two groups.Results The disease knowledge mastery degree scores of disease concept,complications,causative factors,and clinical features in the experimental group were higher than those in the reference group(P<0.05).Compared with reference group,the SDS and SAS scores after intervention of the experimental group were lower,and the GSES score was higher(P<0.05).Conclusions Patient demand-oriented clinical nursing pathway intervention for patients with chronic glomerulonephritis can improve the disease knowledge mastery degree,reduce the depression and anxiety,and improve the self efficacy.