黄广玲

[摘要]目的 探讨综合护理干预在小儿肾病综合征（NS）中的应用效果。方法 选取2017年1月～2019年4月我院收治的50例NS患儿，按照随机数字表法分为对照组和观察组，每组各25例。对照组进行常规护理，观察组进行综合护理，比较两组的护理效果和总满意度。结果 观察组并发症发生率低于对照组，护理质量评分高于对照组，健康知识知晓率评分高于对照组，差异均有统计学意义（P<0.05）;观察组护理总满意度为96%，高于对照组的76%，差异有统计学意义（P<0.05）。结论 综合护理干预应用于小儿NS能降低并发症发生率，提高护士的护理质量、患者的健康知识知晓率及护理满意度，值得临床推广应用。

[关键词]护理干预;小儿肾病综合征;护理效果;综合护理

[中图分类号] R473          [文献标识码] A          [文章编号] 1674-4721（2020）3（c）-0247-03

Application effect of comprehensive nursing intervention in children with nephrotic syndrome

HUANG Guang-ling

Department of Pediatrics， Dongguan Maternal and Child Health Hospital， Guangdong Province， Dongguan   523000， China

[Abstract] Objective To investigate the effect of comprehensive nursing intervention in children with nephropathy syndrome （NS）. Methods Fifty children with NS treated in our hospital from January 2017 to April 2019 were selected and divided into control group （n=25） and observation group （n=25） according to random number table method. The patients in the control group were given routine nursing and the patients in the observation group were given comprehensive nursing. The nursing effect and total satisfaction of the two groups were compared. Results The incidence of complications in the observation group was lower than that in the control group， the score of nursing quality was higher than that in the control group， and the awareness rate of health knowledge was higher than that in the control group， the differences were statistically significant （P<0.05）. The total nursing satisfaction of the observation group was 96%， which was higher than that of the control group （76%）， the difference was statistically significant （P<0.05）. Conclusion The application of comprehensive nursing intervention in children with NS can reduce the incidence of complications， improve the nursing quality of nurses， the awareness rate of patients′ health knowledge and nursing satisfaction， which is worthy of clinical application.

[Key words] Nursing intervention; Pediatric nephrotic syndrome; Nursing effect; Comprehensive nursing

腎病综合征（nephrotic syndrome， NS）属于慢性疾病，疾病周期较长，且病情迁延不愈，临床治疗能缓解患儿的病情，但容易反复。翟喜凤等[1]研究表示，此疾病病情较长，治疗较为困难，病情反复，一般使用激素治疗。另外，除了对患者药物治疗，还要对患者进行针对性的护理措施。患儿的依从性较差，且自制力较弱，导致自我管理能力较弱，大部分家长对疾病认知水平有限，而导致治疗依从性较差，对治疗效果造成了一定影响。谢凤兰[2]研究表示，NS患儿和家长有情绪不稳定、内向的个性化倾向，心理上存在明显的焦虑、烦躁、抑郁等症状。所以要对患儿给予相应护理，提高治疗顺应性。为研究有效护理干预措施，提高患儿的遵医嘱性，本研究选择50例在我院治疗的NS患儿进行研究，现报道如下。

1资料与方法

1.1一般资料

选取2017年1月～2019年4月我院治疗的50例NS患儿，所有患儿均满足小儿NS诊断标准，患儿和家属均知情，签署知情同意书。……