| 陈文健,陆群峰,饶蔚,肖艳赏,朱玉利,董静安.对慢性肾脏病患儿开展延续性护理的效果评价[J].上海护理,2017,17(2): |
| 对慢性肾脏病患儿开展延续性护理的效果评价 |
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| DOI： |
| 中文关键词: 患儿 慢性肾脏疾病 延续性护理 |
| 英文关键词:In children Chronic kidney disease continuous-plan after discharged |
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| 中文摘要: |
| 【摘 要】目的：探讨慢性肾脏病患儿开展出院延续性护理的临床效果。方法：选取上海交通大学附属儿童医院2013年11月—2014年11月收治的50例慢性肾脏疾病患儿作为观察组，并以2012年10—至2013年10月接收的50例慢性肾脏疾病患儿为对照组。对照组采用常规护理方法，观察组在此基础上给予出院延续性护理服，内容包括展患儿情况评估、开展专题讲座及小讲课、开设出院后专科咨询服务等。比较两组患儿出院12个月后肾脏功能情况及其家属的疾病照护能力。结果：开展出院延续性护理服务后，观察组患儿的血尿素氮、血肌酐及24 h尿蛋白定量等肾功能指标均显著好于对照组（P <0.05）。同时，观察组患儿家长的自我护理能力评分明显优于对照组（P<0.05）。结论：出院延续性护理服务可促进慢性肾脏病患儿出院后肾功能改善，并对提高患儿家属照护能力有积极作用。 |
| 英文摘要: |
| 【Abstract】:Objective: To explore the clinical efficiency of the continuous-plan after discharged.
Methods: From November 2013 to November 2014, there were 50 patients with chronic kidney disease as experimental group. 50 patients with chronic kidney disease were treated in our hospital from October 2012 to October 2013 as control group. In control group, the patients were given general nursing intervention. In experimental group, the patients were given the nursing service of the continuous-plan after discharged. On the basis of conventional nurse, given the investigation and assessment, seminars, health education and specialized consulting services. And to compare the disease-awareness rate, self-nursing, the compliance of drugs, the therapeutic and outcomes and the condition of health of the patients and their parents between the two groups.
Results: The index of kidney function such as Bun, Scr and 24h-protenuia, the condition of healthand and the compliance of drugs of the patients in experimental group after getting the continuous-plan were better than that of the patients in control group, which had the significance difference with normal t-value test (P<0.05). The self-nursing score, the disease-awareness rate and the clinical satisfaction of the patients in experimental group were also better than that of the patients in control group, which also had the significance difference with normal t-value test (P<0.05).
Conclusion: The patients with chronic kidney disease should take the continuous-plan after discharged. It is helpful to promote the therapeutic and outcome of disease of patients with renal function test. The performance of questionnaire also can improve the disease-awareness rate, self-nursing and the nursing satisfaction of the patients and their parents. |
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