首页|家庭照顾者参与的延续性护理在原发性肾病综合征患者中的应用效果

家庭照顾者参与的延续性护理在原发性肾病综合征患者中的应用效果

扫码查看
目的:观察家庭照顾者参与的延续性护理在原发性肾病综合征患者中的应用效果.方法:选取 2022 年 1 月至 2023 年 1 月该院收治的 64 例原发性肾病综合征患者进行前瞻性研究,按照随机数字表法将其分为研究组(n=32)与对照组(n=32).对照组采用常规护理,研究组在对照组基础上采用家庭照顾者参与的延续性护理.比较两组护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、自护能力[自我护理能力测量表(ESCA)]评分、生命质量[生活质量综合评定问卷-74(GQOLI-74)]评分和肾功能指标[血尿素氮(BUN)、血肌酐(Scr)、肾小球滤过率(GFR)]水平.结果:护理后,两组SAS、SDS评分均低于护理前,且研究组低于对照组,差异有统计学意义(P<0.05);两组ESCA、GQOLI-74 评分均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05);两组BUN、Scr水平均低于护理前,且研究组低于对照组,两组GFR水平均高于护理前,且研究组高于对照组,差异有统计学意义(P<0.05).结论:在常规护理基础上采用家庭照顾者参与的延续性护理可提高原发性肾病综合征患者自护能力和生命质量评分,改善肾功能指标水平,降低负性情绪评分,其效果优于单纯常规护理.
Application effects of continuous nursing of family caregivers in patients with primary nephrotic syndrome
Objective:To observe application effects of continuous nursing of family caregivers in patients with primary nephrotic syndrome.Methods:A prospective study was conducted on 64 patients with primary nephrotic syndrome admitted to this hospital from January 2022 to January 2023.According to the random number table method,they were divided into study group(n=32)and control group(n=32).The control group was given routine nursing,while the study group was given the continuous nursing of family caregivers on the basis of that of the control group.The scores of negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],self-care ability[exercise of self-care agency scale(ESCA)],quality of life[generic quality of life inventory-74(GQOLI-74)],and the renal function indexes[blood urea nitrogen(BUN),serum creatinine(Scr),glomerular filtration rate(GFR)]levels were compared between the two groups before and after the nursing.Results:After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the ESCA and GQOLI-74 scores of the two groups were higher than those before the nursing,those in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).Further,after the nursing,the levels of BUN and Scr in the two groups were lower than those before the nursing,and those in the study group were lower than those in the control group;the GFR levels of the two groups were higher than those before the nursing,and that in the study group was higher than that in the control group;and the differences were statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the continuous nursing of the family caregivers can improve the self-care ability and quality of life scores of the patients with primary nephrotic syndrome,improve the levels of renal function indexes,and reduce the negative emotion scores.Moreover,it is superior to simple routine nursing.

Family caregiversContinuous nursingPrimary nephrotic syndromeNegative emotionSelf-care abilityQuality of lifeRenal function

董莎莎

展开 >

驻马店市中心医院肾脏内科,河南 驻马店 463000

家庭照顾者 延续性护理 原发性肾病综合征 负性情绪 自护能力 生命质量 肾功能

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(16)
  • 11