单病种护理质量控制在小儿肾病综合征康复中的应用

Application of single-disease nursing quality control in the recovery of children with nephrotic syndrome

目的探讨单病种护理质量控制在小儿肾病综合征(NS)康复中的应用效果,以期为NS患儿的康复干预提供参考。方法选取2018年9月—2022年9月南京医科大学附属儿童医院收治的122例NS患儿为研究对象,以实施单病种护理质量控制的时间分组,将2018年9月—2020年9月接受传统护理模式干预的61例患儿设为对照组,将2020年10月—2022年9月接受单病种护理质量控制干预的患儿61例设为观察组。比较2组患儿干预前后的心理状况[儿童焦虑情绪障碍筛查量表(SCARED)评分、儿童抑郁量表(CDI)评分]、生活质量[儿童主观生活质量问卷(ISLQ)评分],干预后的遵医行为状况,干预期间的并发症发生情况及患儿家长满意度。结果干预前,2组患儿SCARED及CDI评分比较,差异均无统计学意义(P>0.05);干预后,2组患儿SCARED及CDI评分均低于干预前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。观察组患儿遵医率为98.36%(60/61),高于对照组的81.97%(50/61),差异有统计学意义(χ^(2)=9.242,P=0.002)。干预前,2组患儿ISLQ评分比较,差异无统计学意义(P>0.05);干预后,2组患儿ISLQ评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组患儿干预期间并发症发生率为4.92%(3/61),低于对照组的19.68%(12/61),差异有统计学意义(χ^(2)=6.157,P=0.013)。观察组患儿家长满意度为96.72%(59/61),高于对照组的80.33%(49/61),差异有统计学意义(χ^(2)=8.069,P=0.005)。结论在NS患儿康复治疗中实施单病种护理质量控制,可有效改善患儿的不良情绪,增强患儿的遵医行为,提高患儿生活质量及家长满意度,同时有助于降低并发症发生风险,促进患儿康复。

Objective To explore the effectiveness of single-disease nursing quality control in the recovery of children with nephrotic syndrome(NS),to provide a reference for the rehabilitation intervention of these children.Methods A total of 122 children with NS admitted to the Children's Hospital of Nanjing Medical University from September 2018 to September 2022 were selected as the research participants.They were grouped based on the implementation time of single-disease nursing quality control,with 61 children who received conventional nursing mode intervention from September 2018 to September 2020 set as the control group,and 61 patients who received single-disease nursing quality control intervention from October 2020 to September 2022 as the observation group.The psychological status of the children before and after the intervention[Screen for Child Anxiety Related Disorders(SCARED)score,Children's Depression Inventory(CDI)score],quality of life[Subjective Life Quality for Child and Adolescent(ISLQ)score],compliance with medical advice after intervention,the occurrence of complications during the intervention period,and the degree of satisfaction of the children's parents were compared between the two groups.Results Before intervention,no statistically significant difference was noted in SCARED and CDI scores between the two groups(P>0.05).After intervention,the SCARED and CDI scores of both groups were lower than before the intervention,and the observation group was lower than the control group,with statistically significant differences(P<0.05).The compliance rate of the children in the observation group was significantly higher than that in the control group[98.36%(60/61)vs.81.97%(50/61);χ^(2)=9.242,P=0.002].Before intervention,no significant difference was found in ISLQ scores between the two groups(P>0.05);after intervention,the ISLQ scores of both groups were significantly higher than before the intervention,and the observation group was significantly higher than the control group(P<0.05).The incidence of complications during the intervention period for children in the observation group was significantly lower than that in the control group[4.92%(3/61)vs.19.68%(12/61);χ^(2)=6.157,P=0.013].The degree of satisfaction of the children's parents in the observation group was significantly higher than that in the control group[96.72%(59/61)vs.80.33%(49/61);χ^(2)=8.069,P=0.005].Conclusion The implementation of single-disease nursing quality control in the rehabilitation treatment of children with NS can effectively potentiate the children's adverse emotional status,strengthen the children's compliance with medical advice,increase the children's quality of life and parental satisfaction,reduce the risk of complications and promote the recovery of the children.