王明秀　张秀梅

摘要 目的：分析优质护理对肾病综合征（NS）患儿中睡眠与生命质量的影响。方法：选取2019年2月至2020年2月厦门大学附属第一医院收治的NS患儿86例作为研究对象，随机分为对照组和观察组，每组43例。对照组按常规流程进行护理，观察组实施优质护理。比较2组护理前后的睡眠状况[匹兹堡睡眠质量指数（PSQI）]与生命质量。结果：干预后观察组的PSQI评分显著低于对照组，生命质量评分显著高于对照组，差异有统计学意义（P<0.05）。结论：优质护理可显著改善NS患儿的睡眠与生命质量，有利于促进患儿早日康复。

关键词 肾病综合征;儿科;护理;睡眠质量;生命质量

Explore on the Influence of High-quality Nursing for Sleep Quality and Life Quality of Children with Nephrotic Syndrome

WANG Mingxiu，ZHANG Xiumei

（First Affiliated Hospital of Xiamen University，Xiamen 361000，China）

Abstract Objective：To analyze the influence of high-quality nursing for sleep quality and quality of life of children with nephrotic syndrome（NS）.Methods：A total of 86 children with NS in First Affiliated Hospital of Xiamen University from February 2019 to February 2020 were randomly divided into control group and observation group with 43 cases.The control group were with nursing guided by routine procedure，the observation group were with high-quality care.The sleep status[Pittsburgh sleep quality index（PSQI）] and life quality of two groups before and after the intervention were compared.Results：The PSQI score of observation group after the intervention was significantly lower than that of control group，and the quality of life score was significantly higher than that of control group，there were statistically significant differences（P<0.05）.Conclusion：High-quality care can significantly improve the sleep and quality of life of children with NS，and promote the early recovery of children.

Keywords Nephrotic syndrome;Pediatrics;Nursing; Sleep quality;Quality of life

中圖分类号：R473.72文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.07.035

小儿肾病综合征（NS）病程长、治疗后容易复发，长期患病与治疗经历使患儿身心承受较大压力，容易出现恐惧、焦虑、抑郁等不良情绪，影响睡眠与生命质量[1]。在对本类患儿进行治疗的过程中应重视护理配合，以改善患儿的生命质量，提高临床效果[2]。本研究报道如下。

1 资料与方法

1.1 一般资料 选取2019年2月至2020年2月厦门大学附属第一医院的NS患儿86例作为研究对象，随机分为对照组和观察组，每组43例。观察组中男30例，女13例，年龄13个月至11岁，平均年龄（5.62±1.16）岁;病程4个月至3年，平均病程（0.68±0.16）年;体质量18～36 kg，平均体质量（20.62±3.67）kg;单纯型37例，肾炎性反应6例;对照组中男26例，女17例，年龄14个月至13岁，平均年龄（5.95±1.25）岁;病程6个月至4年，平均病程（0.72±0.21）年;体质量17～37 kg，平均体质量（20.93±3.49）kg;单纯型34例，肾炎性反应9例。一般资料经统计学分析，差异无统计学意义（P>0.05），具有可比性。

1.2 纳入标准 1）均符合儿科学第8版关于小儿NS诊断标准的患儿;2）病程≥3个月的患儿;3）家长知情同意，自愿参加研究本研究的患儿。