延续性护理在肾病综合征患儿治疗中的应用探索

Application of Continuous Nursing in the Treatment of Children with Nephrotic Syndrome

目的探讨延续性护理在肾病综合征患儿治疗中的应用。方法方便选取该院2017年6月—2019年6月收治的肾病综合征患儿98例为研究对象。以2018年6月该科开展延续性护理探索为分界点,以2017年6月—2018年6月收治的46例患儿为对照组,行常规护理措施;2018年7月—2019年6月收治的52例患儿为观察组,在常规护理措施的基础上采用延续性护理方法。患者出院后6个月后通过电话或复查追踪,比较两组患儿的服药和饮食依从性、生存质量及并发症发生情况;患儿家长护理能力、心理状态及满意度。结果观察组患儿的服药治疗依从率为92.34%,饮食治疗依从率为95.31%,明显高于对照组,差异有统计学意义(χ^(2)=15.230、14.570,P<0.001);观察组患儿出院后SF-36评分(121.87±3.37)分明显高于对照组(106.01±3.29)分,差异有统计学意义(t=-25.630,P<0.001);观察组并发症发生率显著低于对照组,差异有统计学意义(χ^(2)=12.370,P=0.040);观察组患儿父母抑郁(31.13±1.10)分、焦虑(25.36±0.22)分及恐惧(12.71±2.04)分均低于对照组,差异有统计学意义(P<0.05);观察组患儿家长ESEA评分(133.54±2.83)分及满意度(98.2%)均显著高于对照组,差异有统计学意义(t=-17.370,χ^(2)=19.240,P<0.05)。结论在肾病综合征患儿治疗中采用延续性护理模式可以提高服药和饮食治疗依从率,提高患儿生存质量,降低并发症发生,同时还可以提高患儿父母的护理能力,改善患儿父母焦虑等不良情绪,提高患儿父母的护理满意度。

Objective To explore the application of continuous nursing in the treatment of children with nephrotic syndrome.Methods Convenient to select 98 children with nephrotic syndrome who were admitted to the hospital from June 2017 to June 2019 were selected as the research objects.Taking the continuous nursing exploration carried out by the department in June 2018 as the demarcation point,with 46 patients from June 2017 to June 2018 as the control group,routine care measures were taken;52 patients from July 2018 to June 2019 as the observation group,continuity was adopted on the basis of routine care measures of care.Six months after the patients were discharged from the hospital,they were followed up by telephone or follow-up to compare the medication and diet compliance,quality of life and complications of the two groups of children;the parents'nursing ability,mental state and satisfaction.Results The compliance rate of the observation group was 92.34%,and the compliance rate of diet treatment was 95.31%,which was significantly higher than that of the control group.The difference was statistically significant(χ^(2)=15.230,14.510,P<0.001);the SF-36 score(121.87±3.37)points of children in the observation group was significantly higher than that of the control group(106.01±3.29)points after discharge,and the difference was statistically significant(t=-25.630,P<0.001);the incidence of complications in the observation group was significantly lower than that in the control group.The difference was statistically significant(χ^(2)=12.370,P=0.040);the scores of depression(31.13±1.10)points,anxiety(25.36±0.22)points and fear(12.71±2.04)points of the children in the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).The ESEA score(133.54±2.83)points and satisfaction degree(98.2%)of the parents of the observation group were significantly higher than those of the control group,and the difference was statistically significant(t=-17.370,χ^(2)=19.240,P<0.05).Conclusion The use of continuous care in the treatment of children with nephrotic syndrome can improve the compliance rate of medication and diet therapy,can improve the quality of life of the children and reduce the occurrence of complications.At the same time,it can also improve the nursing ability of the parents of the children,improve the anxiety and other negative emotions of the parents of the children,and improve the nursing satisfaction of the parents of the children.