護(hù)理結(jié)局理論模型在腎病綜合征患兒的應(yīng)用

王艷芽　陸柳雪　王月華　麻鳳嬌　梁彩肅　許淑萍

【摘要】目的探討護(hù)理結(jié)局理論模型在腎病綜合征患兒的應(yīng)用效果。方法按隨機(jī)數(shù)字表法將60例腎病綜合征患兒分為對(duì)照組和干預(yù)組各30例，對(duì)照組按整體護(hù)理模式進(jìn)行護(hù)理，干預(yù)組構(gòu)建護(hù)理結(jié)局理論模型并實(shí)施護(hù)理干預(yù)，采用《護(hù)理結(jié)局分類（NOC）》于出院時(shí)和出院6個(gè)月時(shí)分別對(duì)兩組患兒進(jìn)行評(píng)分，比較兩組患兒生理健康、健康知識(shí)和行為、功能健康、心理社會(huì)健康4個(gè)領(lǐng)域護(hù)理結(jié)局評(píng)分。結(jié)果兩組患兒出院6個(gè)月生理健康、健康知識(shí)和行為、功能健康、心理社會(huì)健康4個(gè)領(lǐng)域內(nèi)容評(píng)分與出院時(shí)比較差異均有統(tǒng)計(jì)學(xué)意義（P<0.01），兩組評(píng)分均顯著改善，但干預(yù)組改善的程度大于對(duì)照組（P<0.01）。結(jié)論護(hù)理結(jié)局理論模型能有效提高腎病綜合征患兒的護(hù)理效果，提高患兒的生存質(zhì)量。

【關(guān)鍵詞】護(hù)理結(jié)局；護(hù)理結(jié)局分類系統(tǒng)；腎病綜合征；小兒；護(hù)理效果

中圖分類號(hào)：R473.72文獻(xiàn)標(biāo)識(shí)碼：ADOI：10.3969/j.issn.10031383.2015.03.020

Application of nursing outcome theory model on children with nephrotic syndrome

WANG Yanya1，LU Liuxue2，WANG Yuehua1，MA Fengjiao1，LIANG Caisu1，XU Shuping1

（1. Maternal and Child Health Hospital of Debao，Debao 533700；2.Affiliated Hospital of

Youjiang Medical University for Nationalities，Baise 533700，Guangxi，China）

【Abstract】ObjectiveTo explore application effect of nursing outcome theory model in children with nephrotic syndrome.Methods60 children with nephrotic syndrome were divided into control group and intervention group according to random number table，with 30 cases in each group.Holistic nursing model was carried out to the control group，while the nursing outcome theory model was established and implemented in the intervention group.Nursing Outcomes Classification （NOC） was used to score both groups when patients discharged from hospital and 6 months after discharge，respectively.Nursing outcome scores of 4 areas which included physical health，health knowledge and behavior，functional health and sociopsychological health of the children were compared.Results Difference of scores of physical health，health knowledge and behavior，functional health and sociopsychological health 6 months after discharge and those on the time of discharge was statistically significant （P<0.01）.Scores of both groups significantly improved，but those of the intervention group improved more significantly than those of the control group（P<0.01）.ConclusionNursing outcome theory model can effectively improve the nursing effect of children with nephrotic syndrome and their quality of life.

【Key words】nursing outcome；Nursing Outcomes Classification Systems；nephrotic syndrome；children；nursing effect

腎病綜合征（Nephrotic Syndrome，NS）是一組以大量蛋白尿、水腫、低蛋白血癥為表現(xiàn)的臨床綜合征，是兒童常見的腎小球疾病[1～2]。護(hù)理結(jié)局是護(hù)理敏感性病人結(jié)局的簡(jiǎn)稱，常與病人結(jié)局混用，是指可以測(cè)得連續(xù)變化的、應(yīng)答于護(hù)理措施的個(gè)人、家庭或社區(qū)的狀態(tài)、行為和感知，護(hù)理結(jié)局可證實(shí)病人是否對(duì)所提供的護(hù)理措施有反應(yīng)，幫助護(hù)士進(jìn)行臨床決策[3～4]。以護(hù)理結(jié)局為導(dǎo)向，通過護(hù)理結(jié)局分類系統(tǒng)（Nursing Outcome Classification，NOC）測(cè)量病人結(jié)局，評(píng)價(jià)護(hù)理服務(wù)質(zhì)量的護(hù)理結(jié)局理論模型目前國內(nèi)已應(yīng)用于部分研究中[5～6]。為提高護(hù)理效果，我院構(gòu)建護(hù)理結(jié)局理論模型并應(yīng)用于NS患兒的護(hù)理干預(yù)中，取得滿意的效果，現(xiàn)總結(jié)報(bào)告如下。1對(duì)象與方法1.1對(duì)象選取2012年1月至2014年6月我院兒科病房收治的NS患兒60例為研究對(duì)象，其中男33例，女27例；年齡7～13歲，平均（8.5±2.0）歲；病程1個(gè)月～12年，平均（6.2±2.0）年；疾病類型：腎炎型19例，單純型41例；獨(dú)生子女7例，非獨(dú)生子女53例；城鎮(zhèn)25例，農(nóng)村35例。按隨機(jī)數(shù)字表法將60例患兒分為對(duì)照組和干預(yù)組各30例，兩組患兒的年齡、性別、病程、疾病類型、居住地等一般情況比較差異無統(tǒng)計(jì)學(xué)意義（P>0.05），具有可比性。endprint