多维协同延续性护理在肾病综合征患儿中的应用

Application of multi-dimensional collaborative continuous nursing in children with nephrotic syndrome

  • 摘要:
    目的 观察多维协同延续性护理模式在肾病综合征患儿中的应用效果。
    方法 选取收治的肾病综合征患儿110例为研究对象,随机分为对照组(n=54)与研究组(n=56)。对照组给予常规干预,研究组给予多维协同延续性护理干预。采用少儿主观生活质量问卷(ISLQ)、儿童自尊量表(CSES)评估2组干预前后的生活质量和自尊水平,并比较2组遵医行为及预后情况。
    结果 干预后,研究组患儿情感水平、认知水平以及总体水平评分高于对照组,差异有统计学意义(P < 0.05)。研究组患儿遵医服药率、遵医复诊率高于对照组,差异有统计学意义(P < 0.05)。研究组体育运动、能力、成就感维度评分及总分高于对照组,差异有统计学意义(P < 0.05)。研究组患儿复发率为12.50%, 低于对照组的29.63%, 差异有统计学意义(P < 0.05)。
    结论 多维协同延续性护理模式应用于肾病综合征患儿,能够改善其遵医行为、自尊水平和生活质量,降低患儿复发率。

     

    Abstract:
    Objective To observe the application effect of multi-dimensional collaborative continuous nursing model in children with nephrotic syndrome.
    Methods A total of 110 children with nephrotic syndrome were selected and randomly divided into control group (n=54) and study group (n=56). The control group received routine intervention, and the study group received multi-dimensional collaborative continuous nursing intervention. Inventory of Subjective Life Quality (ISLQ) and Children's Self-esteem Scale (CSES) were used to evaluate the quality of life and self-esteem level of the two groups before and after intervention; the compliance behavior and prognosis of the two groups were compared.
    Results After intervention, the emotional level, cognitive level and overall level scores of the study group were significantly higher than those of the control group (P < 0.05). The rate of taking medicine compliance and the rate of follow-up visits in the study group were significantly higher than those in the control group (P < 0.05). The scores of physical activity, ability as well as sense of achievement and total score in the study group were significantly higher than those in the control group (P < 0.05). The recurrence rate of the study group was 12.50%, which was significantly lower than 29.63% of the control group (P < 0.05).
    Conclusion The application of multi-dimensional collaborative continuous nursing model in children with nephrotic syndrome can improve their compliance behavior, self-esteem level and quality of life, and reduce the recurrence rate of children.

     

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