李雅楠　刘永恒　李玥

[摘要] 目的 探讨综合护理干预对狼疮性肾炎儿童自我效能感的影响效果并作分析。 方法 将就诊于2015年3月～2017年3月期间的100例狼疮性肾炎儿童患者纳入研究。根据患者的就诊时间分为对照组（单月就诊，n=50）与研究组（双月就诊，n=50）。对照组行常规护理，研究组行综合护理干预措施。比较两组护理效果。 结果 护理前两组的自我效能感评分比较，差异无统计学意义（P>0.05）；护理后，研究组自我效能感评分、自我管理效果及护理满意度高于对照组，而并发症发生率低于对照组（P<0.05）。 结论 对狼疮性肾炎儿童施行综合护理干预可以明显改善儿童自我效能感，提高自我管理效果及护理满意度，降低并发症发生率，有重要意义。

[关键词] 综合护理干预；狼疮性肾炎；儿童；自我效能感；影响效果

[中图分类号] R473.7 [文献标识码] B [文章编号] 1673-9701（2018）09-0159-03

Effect analysis of comprehensive nursing intervention on self-efficacy of children with lupus nephritis

LI Ya'nan1 LIU Yongheng2 LI Yue1 XU Ying1 YE Jiawen1 WANG Chengyuan3

1.Department of Nephrology， Hongqi Hospital Affiliated to Mudanjiang Medical College， Mudanjiang 157000， China； 2.Department of Emergency， Hongqi Hospital Affiliated to Mudanjiang Medical College， Mudanjiang 157000， China； 3.Department of Physical Examination， Hongqi Hospital Affiliated to Mudanjiang Medical College， Mudanjiang 157000， China

[Abstract] Objective To investigate the effect of comprehensive nursing intervention on the self-efficacy of children with lupus nephritis. Methods 100 children with lupus nephritis from March 2015 to March 2017 were enrolled in the study. Patients were divided into control group（single-month treatment， n=50） and study group （bi-month treatment， n=50） according to the patient's visiting time. The control group was treated with routine care， and the study group was given comprehensive nursing intervention. The nursing effect between two groups was comparatively analyzed. Results There was no difference in self-efficacy scores between the two groups before nursing（P>0.05）. After nursing， the scores of self-efficacy， self-management effect and nursing satisfaction of the study group were higher than those of the control group， while the incidence of complications in the study group was lower than that of the control group（P<0.05）. Conclusion Comprehensive nursing intervention for children with lupus nephritis can significantly improve children's self-efficacy， improve self-management effect and nursing satisfaction， reduce the incidence of complications， which is of great significance.

[Key words] Comprehensive nursing intervention； Lupus nephritis； Children； Self-efficacy； Influence effect

狼瘡性肾炎是临床常见急重症，确诊为狼疮性肾炎患者其15年存活率约为80.00%。狼疮性肾炎患者中，10～14岁年龄段的儿童发生率较高，对其生长发育、生活质量及生命质量均造成严重威胁。而且在漫长治疗过程中，狼疮性肾炎儿童患者以及家属均会产生较严重的负性情绪，进而发生角色行为缺失或者角色行为强化，治疗依从性降低，导致病情转归以及生活质量造成严重影响[1]。本研究旨在探讨综合护理干预对狼疮性肾炎儿童自我效能感的影响效果，现报道如下。

1 资料与方法

1.1 一般资料

选取自2015年3月～2017年3月期间收治的狼疮性肾炎儿童患者中挑选100例征得同意并积极配合研究工作的患者纳入研究。根据患者的就诊时间分为对照组（单月就诊，n=50）与研究组（双月就诊，n=50）。对照组：50例，男21例，女29例；年……