摘要
目的探讨延续性护理在肾病综合征(NS)伴急性肾损伤患者中的应用效果。方法 150例NS伴急性肾损伤患者随机分为观察组和对照组,各75例。对照组实施常规护理,观察组给予延续性护理干预。对比2组临床疗效、血检和尿检指标改善情况,采用自我护理能力测定量表(ESCA)评价患者的自我护理能力。结果观察组临床疗效总有效率92.0%(69/75),高于对照组的78.7%(59/75),差异有统计学意义(P<0.05)。观察组总蛋白、白蛋白、尿量、血红蛋白水平高于对照组,尿素氮、血肌酐水平均低于对照组,差异有统计学意义(P<0.05)。观察组ESCA量表中自护技能、自护责任感、自护概念、健康知识4个维度评分显著高于对照组(P<0.01)。结论延续性护理能进一步改善NS伴急性肾损伤患者治疗效果,提高患者院外自我护理能力。
Objective To investigate the effect of continued nursing in patients with nephrot- ie syndrome （NS） and acute kidney injury. Methods A total of 150 NS patients with acute renal in- jury were randomly divided into observation group and control group, with 75 cases in each group. The control group was given conventional treatment and the observation group was applied with continued nursing. The clinical effective rate, outcomes of blood and urine test, as well as self-care ability as- sessed by determination of self- care ability scale （ESCA） , were compared between two groups. Re- sults The overall effective rate was 92.0% （69/75） in the observation group and 78.7% （59/75） in the control group, there was significant difference （ P 〈 0.05 ）. Observation group had higher serum level of total protein, albumin and hemoglobin, and higher amount of urine volume, and lower level of blood urea nitrogen and serum ereatinine compared with the control group （ P 〈 0.05 ）. The scores of skills, responsibility, concept and health knowledge in ESCA scale were higher in observation group than that in control group （ P 〈 0.01 ）. Conclusion Continued nursing is effective to enhance the therapeutic effect in NS patients with acute kidney injury, and to improve their self-care ability after discharge.
出处
《中西医结合护理（中英文）》
2015年第4期57-59,共3页
Journal of Clinical Nursing in Practice
关键词
延续护理
肾病综合征
急性肾损伤
自护能力
continued nursing
nephrotic syndrome
acute kidney injury
self-care ability
