黄则勇 沈如芬 张萍 程艳 方凯

[摘要] 目的 探讨对肾移植患者使用“互联网+”延续护理的效果。 方法 收集2017年1月至2020年8月42例肾移植患者，根据编号分组，研究组21例，采用“互联网+”延续护理，对照组21例，采用传统护理，对两组患者依从性、术后生活质量、并发症、SAS、SDS评分进行对比，以及评价两组护理满意度，肌酐、尿素氮水平。 结果 研究组依从性（90.48%）高于对照组（P<0.05），术后生活质量优于对照组（P<0.05），并发症、SAS（23.37±4.12）分和SDS（26.98±5.12）分均降低（P<0.05），护理满意度（95.24%）高于对照组（P<0.05），肌酐（102.36±25.53）μmol /L、尿素氮（4.06±1.14）mmol/L改善均优于对照组（P<0.05）。 结论 对肾移植患者使用“互联网+”延续护理可以改善患者肾脏功能，改善患者术后的不良情绪，提高患者用药、治疗、护理的依从性，降低患者移植后的并发症，提高患者的生活质量，护理效果显著，进而通过优质的服务，患者对护理得满意度提高，医患关系友好，具有临床应用的价值。

[关键词] 肾移植;“互联网+”延续护理;肌酐;尿素氮;护理满意度;生活质量

[中图分类号] R473.6          [文献标识码] B          [文章编号] 1673-9701（2021）31-0161-04

[Abstract] Objective To explore the effect of "Internet +" continuous nursing for the patients undergoing kidney transplant. Methods From January 2017 to August 2020，a total of 42 patients undergoing kidney transplant were collected， numbered and grouped. 21 cases in the study group were given "Internet +" continuous nursing， and 21 cases in the control group was given conventional nursing. The patients′ compliance， postoperative quality of life， complications， SAS and SDS scores were compared between the two groups， and the nursing satisfaction， creatinine and urea nitrogen levels were evaluated in both groups. Results Compared with the control group， in the study group， the compliance was 90.48%（P<0.05），the postoperative quality of life was excellent（P<0.05），complications，SAS （23.37±4.12）points， and SDS （26.98±5.12）points were reduced（P<0.05）， nursing satisfaction was 95.24%（P<0.05）， and creatinine （102.36±25.53）μmol/L and urea nitrogen （4.06±1.14） mmol/L were improved （P<0.05）. Conclusion The use of "Internet +" continuous nursing for patients undergoing kidney transplant can improve patients' kidney function， improve the patient′s postoperative negative mood， and improve the patient′s compliance with medication， treatment，and nursing.It can also reduce the complications of patients after transplantation， improve the quality of life，and has significant nursing effects. Furthermore，through high-quality services，patients′ satisfaction with nursing care is improved，and the doctor-patient relationship is friendly. Therefore， this method has a clinical application value.

[Key words] Kidney transplant; "Internet +" continuous nursing; Creatinine; Urea nitrogen; Nursing satisfaction; Quality of life

肾脏移植是对于治疗终末期肾病的治疗方法[1]。终末期肾病就是因为肾脏的各种原因引起的疾病导致肾功能衰竭以后，是一个替代的疗法[2]，最容易引起肾脏功能衰竭的应该是内科的慢性肾炎、糖尿病代谢性疾病、多囊肾，还有免疫性疾病如系统性红斑狼疮、过敏性紫癜[3]。这些疾病导致肾功能衰竭以后，到了慢性肾功能不全尿毒症期，它的治疗方式是血液透析治疗，另一个方式就是肾脏移植[4]，肾脏移植后需要进行免疫治疗，出院后由于各种原因导致依从性低，不配合后续的治疗护理，进而导致并发症的发生等各种问题，影响生活质量和生存率[5]，本研究探讨对肾移植患者使用“互联网+”延續护理的效果，现报道如下。……