赵磊等

[摘要] 目的 探讨肾病综合征疾病患者不确定感的护理措施。 方法 选择2013年1月～2014年12月首都医科大学附属北京潞河医院肾内科收治的80例肾病综合征患者作为研究对象，根据不同护理方法将患者分为对照组与观察组，每组各40例。对照组给予常规护理，观察组在常规护理基础上增加不确定感护理干预，采用疾病不确定感量表测量并比较两组患者入院、出院时的不确定感。 结果 出院时观察组患者不确定感[（75.3±6.1）分]与入院时[（96.2±6.8）分]比较，差异有统计学意义（P < 0.05）；出院时观察组患者不确定感与对照组[（91.5±6.5）分]比较，差异亦有统计学意义（P < 0.05）。 结论 不确定感护理措施干预可以有效降低肾病综合征患者的不确定感，促进患者康复，临床应用效果理想，值得推广应用。

[关键词] 肾病综合征；不确定感；护理措施

[中图分类号] R473.5 [文献标识码] A [文章编号] 1673-7210（2015）06（b）-0124-05

Study on nursing intervention on uncertainty of patients with nephrotic syndrome

ZHAO Lei ZHANG Xiwei ZHANG Yang LI Jingjing GAO Jie

Department of Urology， Beijing Luhe Hospital， Capital Medical University， Beijing 101149， China

[Abstract] Objective To study the nursing intervention on uncertainty of patients with nephrotic syndrome. Methods From January 2013 to December 2014， in Department of Urology， Beijing Luhe Hospital， Capital Medical University， 80 cases of patients with nephrotic syndrome were chosen as the research object. According to different nursing methods， 80 patients were divided into control group and observation group， with 40 cases in each group. Control group was given conventional nursing intervention， based on which， the observation group was added up with nursing intervention of uncertainty. Medical uncertainty inventory scale was used to determine and compare the uncertainty at the time of admission and discharge of the two groups. Results At discharge， uncertainty of patients in the observation group [（75.3±6.1） scores] was compared with that at admission [（96.2±6.8） scores]， the difference was statistically significant （P < 0.05）； at discharge， uncertainty of patients in the observation group was compared with that in the control group [（91.5±6.5） scores]， the difference was statistically significant （P < 0.05）. Conclusion The nursing intervention of uncertainty can effectively reduce the uncertainty of patients with nephrotic syndrome， promote the rehabilitation of patients and the clinical application effect is ideal， which is worthy of clinical popularization and application.

[Key words] Nephrotic syndrome； Uncertainty； Nursing intervention

肾病综合征（nephrotic syndrome）是临床较为常见的疾病，由肾小球疾病组临床表现出大量蛋白尿、低蛋白血症、水肿、高脂血症等症候。当患者尿蛋白超出3.5 g/L，血浆蛋白少于30 g/L，就能确诊肾病综合征[1]。这一疾病包括原发性、继发性与先天性，以原发性居多。疾病不确定感指患者缺乏对疾病有关事物的确定能力。例如患者对疾病发展、预后、住院及治疗等问题都不具备确定能力，不能评估事件，也不能确定预知的结果。这种不确定感会影响患者心理调节能力与应对能力，导致患者心理适应能力与身体康复受到严重的不良影响。肾病综合征患者会出现蛋白尿等症状表现，所以肾病综合征患者大多存在不确定感，而且这种不确定感会伴随患者一生[2]。本研究中，选择首都医科大学附属北京潞河医院（以下简称“我院”）收治的肾病综合征患……