摘要
目的观察自我管理教育联合延续护理是否能够有效降低小儿原发性肾病综合症(primary nephrotic syndrome,PNS)的复发率。方法选取2010年6月至2012年4月我院肾内科收治的小儿PNS患者70例按照随机数字表法随机分为试验组(E组)和对照组(C组),每组各35例。E组住院期间根据患儿的病情特点及家长对预防NS复发的知识的了解情况制定自我管理教育计划,以增进患儿家长对预防PNS复发相关知识的了解,提高自我护理水平。出院后继续给予延续护理,进一步加强患儿在家的治疗及护理,以预防PNS的复发。而C组患儿按照常规的护理方式护理。分别于住院后1d,出院前1 d,出院后3个月,采用PNS相关知识掌握情况调查表测试患儿家长对预防PNS复发相关知识掌握的程度。记录出院后3个月内PNS的复发情况。结果两组患儿在年龄、性别构成,临床分型及治疗措施等一般情况差异无统计学意义。预防PNS复发相关知识掌握情况方面,E组患儿家长在出院前1d及出院后3个月,与入院时比较有明显提高。同期与C组比较有显著性差异。出院后3个月内PNS复发率E组明显低于C组。结论自我管理教育联合延续护理可有效预防原发性小儿肾病综合症的复发。
Objective： To explore the effect of self-management education combined transitional care on the relapse of primary nephrotic syndrome（PNS） in children.Methods： Seventy children with primary nephrotic syndrome in our department from June in 2010 to April in 2012 were randomized into treatment group and control group,with 35 cases in each group.In the treatment group,the parents of children with PNS were educated about how to prevent the relapse of PNS and transitional care continued after discharge from hospital.In contrast,in the control group,children were nursed in a routine way.The understanding of parents of children with PNS about PNS-related knowledge was investigated at one day after admission to hospital,one day before discharge or three months after discharge.The relapse of primary nephrotic syndrome was investigated three months after discharge.Results： Two groups of children were not statistically significant in the age,sex composition,clinical classification and treatment measures.The understanding of parents of children with PNS about PNS-related knowledge was significantly improved through self-management education.The rate of relapse in Group E was significantly lower than that in Group C three months after discharge.Conclusion： Self-management education combined transitional care has a significant effect on the preventing relapse of primary nephritic syndrome in children.
出处
《泰山医学院学报》
CAS
2012年第6期453-456,共4页
Journal of Taishan Medical College
