“多讲少替,多哄少碰”在肾病综合征患儿中的应用

The application of“talk more and replace less,coax more and touch less”in children with nephrotic syndrome

目的探讨“多讲少替,多哄少碰”干预方案对肾病综合征患儿护理质量、生活质量、家长满意度的影响。方法选取2020年10月至2022年6月浙江大学医学院附属第二医院临平院区儿科收治的154例肾病综合征患儿,按照随机数字表法分为常规组和干预组,每组各77例。常规组患儿予以常规护理,干预组患儿予以“多讲少替,多哄少碰”干预,比较两组患儿的缓解效果、慢性病儿童应对方式量表(coping with a disease,CODI)评分、少儿主观生活质量问卷(inventory of subjective life quality,ISLQ)评分及家长满意度。结果干预后,干预组患儿的总缓解率显著高于常规组(96.10%vs 85.71%,χ2=3.960,P=0.047);干预组患儿的CODI各维度评分及总分均显著高于常规组(P<0.05);干预组患儿ISLQ的情感成分、认知成分评分及总分均显著高于常规组(P<0.05);干预组患儿家长的总满意率显著高于常规组(96.10%vs 81.82%,χ2=5.986,P=0.014)。结论“多讲少替,多哄少碰”干预方案在肾病综合征患儿中的应用效果显著,可改善患儿的应对方式,提高生活质量,且可促进患儿家长的满意度提升。

Objective To explore the influence of intervention program of“talk more and replace less,coax more and touch less”on nursing quality,life quality and parents satisfaction of children with nephrotic syndrome.Methods A total of 154 children with nephrotic syndrome admitted to the Department of Pediatrics,Linping District,the Second Affiliated Hospital Zhejiang University School of Medicine from October 2020 to June 2022 were selected and divided into routine group and intervention group according to random number table method,with 77 cases in each group.The routine group was given routine nursing,and the intervention group was given“talk more and replace less,coaze more and touch less”intervention.The remission effect,coping with a disease(CODI)score,inventory of subjective life quality(ISLQ)score and parents satisfaction rate were compared between the two groups.Results After intervention,the total response rate of intervention group was higher than that of routine group(96.10%vs 85.71%,χ2=3.960,P=0.047).The scores of all dimensions and total scores of CODI in intervention group were significantly higher than those in routine group(P<0.05).The affective component,cognitive component score and total score of ISLQ in intervention group were significantly higher than those in routine group(P<0.05).The satisfaction rate of parents members in intervention group was higher than that in routine group(96.10%vs 81.82%,χ2=5.986,P=0.014).Conclusion The intervention program of“talk more and replace less,coax more and touch less”has a significant application effect in children with nephrotic syndrome,which can not only improve the coping style and quality of life of children,but also promote the satisfaction of children’s parents members.