家庭护理干预在小儿肾病综合征中的临床效果

Clinical Effect of Family Nursing Intervention in Children with Nephrotic Syndrome

目的本次试验将针对小儿肾病综合征患者实施家庭护理支持,分析临床病情的改善效果,进一步提升患儿的生活质量。方法对78例患儿采用数字随机分法,以公平性为开展前提进行分组调查。对照组患儿采用常规护理措施,观察组采用家庭护理干预措施,分析两组治疗效果。结果从护理质量上看,观察组患儿的按时复诊率为92.31%(36/39),对照组为64.10%(25/39),组间对比差异较为显著,具有统计学意义(P<0.05)。与此同时,在遵医行为上,观察组的遵医率为94.87%(37/39),对照组为74.36%(29/39),组间对比差异较为显著,具有统计学意义(P<0.05)。此外,在生活质量(ISLQ)评估上,观察组患儿为(96.21±2.32)分,对照组则为(85.43±2.54)分,差异具有统计学差异。最后,在Conners儿童行为问卷调查中,两组患儿在品行、冲动-多动、焦虑因子的结果上有明显的差异,但是,学习因子则无显著差异。结论采用家庭护理干预措施有利于缓解小儿肾病综合征患者的病症,提升出院后生活质量,提醒患者按时复诊检查,具有病情的管理、控制意识,患儿的情绪状况也更为稳定,乐观和积极,该护理措施可以推广应用。

Objective This experiment will carry out family nursing support for children with nephrotic syndrome,analyze the improvement effect of clinical condition,remind the patients to go back to the hospital on time,and further improve the quality of life of children.Methods Seventy-eight patients were randomly divided into groups based on fairness.The patients in the control group were treated with routine nursing measures,while those in the observation group were treated with home nursing interventions.Results In terms of nursing quality,the rate of timely follow-up was 92.31%(36/39)in the observation group and 64.10%(25/39)in the control group.There was significant difference between the two groups(P<0.05).At the same time,the compliance rate of the observation group was 94.87%(37/39)and that of the control group was 74.36%(29/39),P<0.05.In the quality of life(ISLQ),the observation group was(96.21±2.32)points,the control group was(85.43±2.54)points the differene was satistically significant.Finally,in the Conners children's behavior questionnaire survey,there are significant differences in the results of conduct,impulsive hyperactivity and anxiety factors between the two groups,but there is no significant difference in learning factors.Conclusion The family nursing intervention measures can alleviate the disease of children with nephrotic syndrome,improve the quality of life after discharge,remind the patients to go back to the hospital on time,have the consciousness of disease management and control,and the emotional state of children is more stable,optimistic and positive.