摘要
目的探讨以家庭为中心的护理模式在原发性肾病综合征(PNS)患儿护理中的应用效果。方法采用便利抽样法,选取2018年1月—2019年12月南京医科大学附属儿童医院收治的120例PNS患儿作为研究对象,按照住院顺序分为观察组和对照组,各60例。对照组采用常规护理模式,观察组在对照组基础上采用以家庭为中心的护理模式。比较两组患儿病情缓解率、复发率及护理总满意度,并采用儿少主观生活质量问卷对生活质量进行评价。结果干预后,观察组患儿病情复发率为5.00%(3/60),低于对照组的16.67%(10/60),差异有统计学意义(P<0.05);两组患儿病情缓解率比较差异无统计学意义(P>0.05)。干预后,观察组患儿认知水平、情感水平、总体水平评分均高于对照组,差异均有统计学意义(P<0.05)。观察组患儿护理满意度为95.00%(57/60),高于对照组的76.67%(46/60),差异有统计学意义(P<0.05)。结论以家庭为中心的护理模式能有效改善PNS患儿的生活质量,降低复发率,提高护理满意度,值得临床应用。
Objective To explore the effect of family-centered nursing model in the nursing of children with primary nephrotic syndrome(PNS).Methods From January 2018 to December 2019,convenience sampling was used to select 120 children with PNS admitted to the Children's Hospital of Nanjing Medical University as the research object.According to the order of hospitalization,children were divided into the observation group and the control group,each with 60 cases.The control group conducted the routine nursing,and the observation group carried out the family-centered nursing model on the basis of the control group.The remission rate,recurrence rate and overall satisfaction of nursing care were compared between the two groups of children,and the Inventory of Subjective Life Quality(ISLQ)was used to evaluate the quality of life.Results After intervention,the recurrence rate of children in the observation group was 5.00%(3/60),which was lower than 16.67%(10/60)in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the remission rate of the two groups of children(P>0.05).After the intervention,the cognition level,emotional level,and overall level scores of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of children in the observation group was 95.00%(57/60),which was higher than 76.67%(46/60)in the control group,and the difference was statistically significant(P<0.05).Conclusions Family-centered nursing can effectively improve the quality of life of children with PNS,reduce the recurrence rate,and improve nursing satisfaction.It is worthy of clinical application.
作者
倪丹红
刘静静
王莹
Ni Danhong;Liu Jingjing;Wang Ying(Department of Nephrology,Children's Hospital of Nanjing Medical University,Nanjing 210008,China)
出处
《中华现代护理杂志》
2022年第2期245-249,共5页
Chinese Journal of Modern Nursing
关键词
肾病综合征
儿童
家庭支持
护理满意度
Nephrotic syndrome
Child
Family support
Nursing satisfaction
