莫筱玮

[摘要] 目的 探讨健康教育在小儿科肾病综合征护理中的应用及对小儿治疗依从性的影响。 方法 选取2017年7月～2019年8月我院门诊治疗的小儿肾病综合征患者64例，分成研究组和对照组，每组32例，对照组给予常规护理，研究组在对照组基础上给予健康教育。观察分析两组患者护理满意度、并发症发生率、治疗依从性以及健康知识知晓评分。 结果 对照组护理满意度为71.9%，明显低于研究组的93.7%（P<0.05）;对照组并发症发生率为18.8%，明显高于研究组的9.4%（P<0.05）;对照组依从性为68.7%，明显低于研究组的90.6%（P<0.05）;对照组治疗知识为（46.7±9.3）分、疾病知识为（51.2±7.9）分、饮食知识为（54.6±8.4）分及用藥知识为（60.9±5.1）分等均明显低于研究组治疗知识（74.6±14.2）分、疾病知识（76.8±13.7）分、饮食知识（81.1±11.2）分及用药知识（86.4±8.5）分等（P<0.05）。 结论 小儿肾病综合征患者采用健康教育效果比较理想，可有效促进患者病情的改善，提高患者对疾病的了解，增强患者对治疗的依从性，临床可推广使用。

[关键词] 健康教育;小儿科;肾病综合征;治疗依从性

[中图分类号] R473.5          [文献标识码] B          [文章编号] 1673-9701（2020）17-0165-04

Application of health education in nursing of pediatric nephrotic syndrome and its impact on pediatric treatment compliance

MO Xiaowei

Outpatients in VIP Clinic， Guangzhou First People's Hospital， Guangzhou   510180， China

[Abstract] Objective To explore the application of health education in the nursing of pediatric nephrotic syndrome and its effect on the compliance of pediatric treatment. Methods 64 patients with pediatric nephrotic syndrome treated in our hospital from July 2017 to August 2019 were selected and divided into study group and control group， with 32 cases in each group. The control group was given routine nursing， and the study group was given health education on the basis of treatment in the control group. The nursing satisfaction， complication rate， treatment compliance， and health knowledge awareness scores in the two groups were observed and analyzed. Results The nursing satisfaction of the control group was 71.9%， which was significantly lower than 93.7% of the study groups（P<0.05）. The incidence of complications in the control group was 18.8%， which was significantly higher than that（9.4%） of the study group（P<0.05）. The compliance of the control group was 68.7%， significantly lower than 90.6% in the study group（P<0.05）. The scores of treatment knowledge（46.7±9.3） points， disease knowledge （51.2±7.9） points， diet knowledge （54.6±8.4） points， and medication knowledge（60.9±5.1） points in the control group were significantly lower than treatment knowledge（74.6±14.2） points， disease knowledge（76.8±13.7） points， diet knowledge（81.1±11.2） points， and medication knowledge（86.4±8.5） points in study group（P<0.05）. Conclusion Health education in children with nephrotic syndrome has ideal effect， which can effectively promote the improvement of the patient's condition， improve the patient's understanding of the disease， enhance the patient's compliance with treatment， and can be promoted for clinical use.

[Key words] Health education; Pediatrics; Nephrotic syndrome; Treatment compliance

肾病综合征属于小儿肾脏疾病中发病率比较高的一种疾病类型，这类疾病是由多种原因导致的人体肾小球基膜通透性升高，且肾小球的过滤性降低，进而使肾小球发生病变，严重威胁患者的身体健康。当前，临床上多应用药物对小儿肾病综合征进行有效治疗，主要目的为促进患者排尿及降低蛋白尿发生率，但是因为这类疾病患病时间长，且在治疗时极易复发，会影响患者的康复进程。因而，患者在接受药物治疗的同时，需要给予科学的健康教育指导，提高患者对疾病的正确认识，增强患者对治疗的主动性，对促进患者早日康复具有关键意义[1-2]。本研究剖析健康教育在小兒科肾病综合征护理中的应用及对小儿治疗依从性的影响，现报道如下。

1 资料与方法

1.1 一般资料

选取2017年7月～2019年8月我院门诊治疗的小儿肾病综合征患者64例，分成研究组和对照组。纳入标准：①患者及其家属均知情且同意;②精神状况不存在任何异常且能主动配合治疗者;③病情符合小儿肾病综合征相关诊断标准者[3]。……