摘要
目的探讨个体化健康宣教对肾病综合征(NS)患儿及家长对其疾病认知、并发症及饮食规律性的影响。方法纳入2017年1月—2020年3月确诊NS的118例患儿并且按照随机数字表法分成实验组(60例)与对照组(58例),两组均给予患儿使用低分子肝素联合泼尼松治疗,对照组给予患儿常规护理,实验组在常规护理基础上给予个体化健康宣教,比较两组干预效果。结果实验组掌握率明显高于对照组,差异有统计学意义(P<0.05)。实验组并发症发生率低于对照组,差异有统计学意义(P<0.05)。实验组低盐饮食、控制蛋白质摄入量、低脂饮食、进食蔬菜水果以及避免使用刺激食物比例比较,差异有统计学意义(P<0.05)。干预3个月后两组血浆内皮素、可溶性白细胞介素-2受体低于干预前,且实验组低于对照组,差异有统计学意义(P<0.05)。结论对小儿NS,对症治疗期间予以个体化健康宣教可取得满意效果,有效提高患儿及家属疾病认知度,降低并发症发生率,提高患儿饮食规律性。
Objective To explore the impact of individualized health education on disease cognition,complications and dietary regularity of children with nephrotic syndrome(NS)and their parents.Methods A total of 118 children diagnosed with NS from January 2017 to March 2020 were included and divided into experimental group(60 cases)and control group(58 cases)according to the random number table method.Children in both groups were treated with low-molecular-weight heparin combined with Prednisone.The control group was given regular care,and the experimental group was given individualized health education on the basis of regular care.The intervention effects of the two groups were compared.Results The mastery rate of the experimental group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).There were statistially significant difference in the proportion of low-salt diet,control of protein intake,low-fat diet,eating fruits and vegetables,and avoiding stimulating food between two groups(P<0.05).After three months of intervention,the endothelin and soluble interleukin-2 receptor of the two groups were lower than before the intervention,and the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion For children with NS,individualized health education during symptomatic treatment can achieve satisfactory results,effectively improve the disease awareness of children and their families,reduce the incidence of complications,and improve the regularity of children’s diet.
作者
潘瑞
张静静
相琼
PAN Rui;ZHANG Jingjing;XIANG Qiong(Department of Pediatrics,the First Affiliated Hospital of Air Force Military Medical University,Shaanxi Province,Xi’an710032,China)
出处
《中国医药导报》
CAS
2021年第11期189-192,共4页
China Medical Herald
关键词
个体化健康宣教
低分子肝素
泼尼松
肾病综合征
疾病认知程度
并发症
饮食规律性
Individualized health education
Low molecular weight heparin
Prednisone
Nephrotic syndrome
Disease awareness
Complications
Dietary regularity
