宋静?杨琦?常轶盈?杨坤?张贺

[摘要]目的 探討远程网络对肾病综合征患者延续护理效果。方法 选取2015年1月～2016年8月在我院接受治疗的肾病综合征患者62例，按照随机数字表法随机分成观察组和对照组，每组各31例，对照组行常规延续护理，观察组利用远程网络进行延续护理，观察比较两组患者自我护理能力、健康知识掌握程度、用药依从性、焦虑抑郁评分、生活质量状况。结果 两组患者经延续性护理之后自我护理能力皆有提高，但观察组患者提高显著，差异具有统计学意义（P<0.05）；观察组实施护理后患者健康知识掌握程度（93.55%）和用药依从性明显高于对照组，差异具有统计学意义（P<0.05）；观察组实施护理后患者焦虑、抑郁评分）明显低于对照组，差异具有统计学意义（P<0.05）；观察组实施护理后患者生活质量状况评分明显高于对照组，差异有统计学意义（P<0.05）。结论 远程网络有利于肾病综合征患者的延续性护理，可有效促进患者身心健康。

[关键词]远程网络；肾病综合征；延续性护理；生活质量

[中图分类号] R473.5 [文献标识码] A [文章编号] 2095-0616（2017）09-123-04

Effect of remote network on continuing nursing of patients with nephrotic syndrome

SONG Jing1 YANG Qi2 CHANG Yiying3 YANG Kun1 ZHANG He4

1.Hemodialysis Room， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China； 2.Department of Endocrinology， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China； 3.Pharmacy Intravenous Admixture Service， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China；4.Supply Room， Hongqi Hospital Affiliated to Mudanjiang Medical University， Mudanjiang 157000， China

[Abstract] Objective To explore the effect of remote network on the continuation nursing of patients with nephrotic syndrome. Methods 62 patients with nephrotic syndrome who were treated in our hospital from January 2015 to August 2016 and they were divided into the observation group and the control group randomly according to the random number table， with 31 in each group. The control group was given routine continuing nursing while the observation group was given continuing nursing by remote network. Self-nursing ability， grasp degree for health knowledge， medication compliance， anxiety and depression scores and quality of life of patients in two groups were observed and compared. Results Self-nursing abilities after continuous nursing of patients in two groups were all improved but the improvement of the observation group was more significant. There was difference between two groups（P<0.05）. After nursing， grasp degree for health knowledge（93.55%） and medication compliance of patients in the observation group were significantly higher than those of the control group. There was difference when two groups were compared （P<0.05）. After nursing， anxiety and depression scores of patients in the observation group were significantly lower than those of the control group. There was difference between two groups（P<0.05）. After nursing， quality of life score of patients in the observation group was significantly lower than that of the control group. There was difference when two groups were compared（P<0.05）.Conclusion Remote network is helpful to the continuation nursing of patients with nephrotic syndrome and it can effectively promote the physical and mental health of patients.

[Key words] Remote network； Nephrotic syndrome； Continuing nursing； Quality of life

肾病综合征（nephrotil syndrome，NS）由于用药的长期性，患者很难在住院期间一次性完成疾病的全程治疗与康复，故大多数患者出院需继续服药治疗，患者自我护理依从性较差，易引起肾病综合征

的复发或者加重[1]。出院患者延续护理是利用信息化工具（电话、信函、电子邮件、登门造访等）进行的开放式、延伸式护理，延续护理可有效避免患者提早出院后的易感染问题和降低医疗费用，并且缩短了医患之间的时间和空间距离，对医疗知识的普及和社会资源的充分利用有着重要意义[2-3]。我院对出院后的肾病综合征患者利用远程网络进行延续性护理，现报道如下。

1 资料与方法

1.1 一般资料

选取2015年1月～2016年8月在我院接受治疗的肾病综合征患者62例，按照随机数字表法随机分成观察组和对照组，每组各31例。其中观察组男18例，女13例，年龄29～72岁，平均（48.7±9.3）岁；……