针对性护理对慢性肾炎患者自我效能及遵医行为的影响

2016-08-18红枣庄矿业集团中心医院肾内科山东枣庄277000

中国现代医生 2016年15期

张　红枣庄矿业集团中心医院肾内科，山东枣庄　277000

张红
枣庄矿业集团中心医院肾内科，山东枣庄277000

目的分析针对性护理对慢性肾炎患者自我效能及遵医行为的影响。方法将我院2014年2月～2015年12月收治的104例慢性肾炎患者分为观察组与对照组，对照组52例行常规护理，观察组52例行针对性护理，比较两组治疗效果、自我效能及遵医行为。结果观察组遵医嘱用药、不滥用药物、不擅自停药、饮食控制评分为（1.55±0.24）分、（2.89±0.96）分、（1.55±0.28）分、（1.84±0.25）分，对照组为（3.48±1.16）分、（3.39±1.13）分、（3.09± 1.02）分、（3.27±1.09）分，两组之间差异有统计学意义（P＜0.05）。观察组自我效能评分为（34.36±7.73）分，对照组为（30.14±8.16）分，观察组优于对照组，差异有统计学意义（P＜0.05）。结论对慢性肾炎患者开展针对性护理可有效改善患者的自我效能及遵医行为，提高治疗效果，值得临床推广应用。

针对性护理；慢性肾炎；自我效能；遵医行为

［Abstract］Objective To discuss the influence of targeted nursing on self-efficacy and compliance of patients with chronic nephritis.M ethods 104 patientswith chronic nephritis treated in our hospital from February 2014 to December 2015 were selected and divided into observation group and control group，each with 52 cases.Patients in the control group were given routine nursing and patients in the observation group were given targeted nursing.The effect of treatment，self-efficacy，and compliance of patients were compared between two groups.Results The scores of prescribed medication，don't abuse drugs，don't stopped withoutmedicine，diet control compliance were（1.55±0.24）scores，（2.89± 0.96）scores，（1.55±0.28）scores，and（1.84±0.25）scores in the observation group，and were（3.48±1.16）scores，（3.39± 1.13）scores，（3.09±1.02）scores，and（3.27±1.09）scores in the control group，showed significant differences between two groups（P＜0.05）.The scores of self-efficacy were（34.36±7.73）scores in the observation group，and（30.14±8.16）scores in the control group，which were significantly higher in the observation group（P＜0.05）.Conclusion Targeted nursing can effectively improve the self-efficacy and compliance of patientswith chronic nephritis，thus improve the effect of treatmentand isworthy to be promoted.

［Key words］Targeted nursing；Chronic nephritis；Self-efficacy；Compliance

慢性肾炎又称慢性肾小球肾炎，是由多种因素引起的双侧肾脏局灶性或弥漫性免疫性炎症［1］。患者多需长时间治疗，但是容易因效果不理想、病情反复、迁延难愈导致患者失去治疗信心，进一步影响治疗效果［2］。临床研究指出［3］，对慢性肾炎患者开展科学、有效的护理干预，改善患者的自我效能及遵医行为，对提高治疗效果具有重要价值。为了对慢性肾炎患者的护理措施进行探讨，本研究对我院2014年2月～2015年12月收治的104例慢性肾炎患者进行对照研究，现报道如下。