以家庭為中心的護(hù)理模式對(duì)腎病綜合征患兒治療依從性、生活質(zhì)量及復(fù)發(fā)的影響

薛珍 游榮楓 鄧菁

[摘要] 目的 探討以家庭為中心的護(hù)理模式對(duì)腎病綜合征患兒治療依從性、生活質(zhì)量及復(fù)發(fā)的影響。 方法 選擇2017年7月至2019年7月我院收治的腎病綜合征患兒82例為研究對(duì)象，按照隨機(jī)數(shù)字表法分為兩組，每組各41例。對(duì)照組采取常規(guī)護(hù)理干預(yù)，研究組采用以家庭為中心的護(hù)理模式，觀察6個(gè)月。比較兩組患兒治療依從性、并發(fā)癥發(fā)生率、生活質(zhì)量評(píng)分及復(fù)發(fā)率。 結(jié)果 研究組治療總依從率為95.12%，高于對(duì)照組的80.49%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;研究組并發(fā)癥總發(fā)生率、復(fù)發(fā)率為7.32%、9.76%，均低于對(duì)照組的24.39%、26.83%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;護(hù)理前兩組少兒主觀生活質(zhì)量問卷（ISLQ）評(píng)分比較，差異無統(tǒng)計(jì)學(xué)意義（P>0.05）;護(hù)理后研究組ISLQ評(píng)分為（172.75±14.90）分，高于對(duì)照組的（161.58±15.64）分，且兩組護(hù)理后均高于護(hù)理前，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。 結(jié)論 以家庭為中心的護(hù)理模式能夠提升腎病綜合征患兒治療依從性，降低并發(fā)癥發(fā)生率及復(fù)發(fā)率，改善患兒生活質(zhì)量。

[關(guān)鍵詞] 腎病綜合征;以家庭為中心的護(hù)理模式;治療依從性;生活質(zhì)量;復(fù)發(fā)

[中圖分類號(hào)] R47? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] B? ? ? ? ? [文章編號(hào)] 1673-9701（2021）24-0168-04

Effect of the family-centered nursing mode on treatment compliance， quality of life and recurrence in children with nephrotic syndrome

XUE Zhen? ?YOU Rongfeng? ?DENG Jing

Ganzhou Maternal and Child Health Hospital in Jiangxi Province， Ganzhou? ?341000， China

[Abstract] Objective To explore the effect of family-centered nursing mode on treatment compliance， quality of life， and recurrence in children with nephrotic syndrome. Methods Eighty-two children with nephrotic syndrome admitted to our hospital from July 2017 to July 2019 were selected as study subjects. According to the random number table method， they were divided into two groups， with 41 cases in each group. The control group received the routine nursing intervention， while the study group adopted the family-centered nursing mode. They were observed for six months. Treatment compliance， complication rate， quality of life， and recurrence rate were compared between the two groups. Results The total treatment compliance rate in the study group was 95.12%， which was higher than that of 80.49% in the control group， and the difference was statistically significant（P<0.05）. The total complication rate and recurrence rate in the study group were 7.32% and 9.76%， which were lower than those of 24.39% and 26.83% in the control group， and the differences were statistically significant（P<0.05）. There was no statistical difference in the inventory of subjective life quality （ISLQ） scores before nursing between the two groups （P>0.05）. The ISLQ score in the study group after nursing was（172.75±14.90）points， which was higher than that of （161.58±15.64）points in the control group， and the differences were statistically significant（P<0.05）. After nursing， the ISLQ scores of both groups were higher than those before nursing， with statistically significant difference（P<0.05）. Conclusion The family-centered nursing mode can improve the treatment compliance of children with nephrotic syndrome， reduce the incidence of complications and recurrence， and improve the quality of life of children.