46例慢性腎小球腎炎患者開展綜合護理干預的工作體會

董明+許微微+孫麗欣+魏佳

【摘要】 目的：探討慢性腎小球腎炎患者最佳的護理方法。方法：選取2015年7月-2016年12月在本院治療的92例慢性腎小球腎炎患者，隨機將患者分為對照組和觀察組，各46例。對照組患者采取傳統的護理方法，觀察組患者進行綜合護理干預，比較兩組患者的腎功能、心理情況、生活質量及康復效果。結果：護理后，觀察組患者的BUN、SCr均高于對照組，BUN/SCr低于對照組，差異均有統計學意義（P<0.05）。護理后，觀察組的SAS和SDS評分均低于對照組，差異均有統計學意義（P<0.05）。護理后，觀察組患者的軀體功能、心理功能、社會功能、物質生活狀態評分均高于對照組，差異均有統計學意義（P<0.05）。護理后，觀察組患者的總有效率明顯高于對照組，差異有統計學意義（P<0.05）。結論：對慢性腎小球腎炎患者采取綜合護理干預的方法，效果顯著，值得臨床推廣應用。

【關鍵詞】 慢性腎小球腎炎； 綜合護理； 中醫護理； 人文護理； 舒適護理； 健康教育

Experience of Carrying out Comprehensive Nursing in 46 Patients with Chronic Glomerulonephritis/DONG Ming，XU Wei-wei，SUN Li-xin，et al.//Medical Innovation of China，2017，14（12）：097-100

【Abstract】 Objective：To explore the best nursing methods for patients with chronic glomerulonephritis.Method：92 patients with chronic glomerulonephritis in our hospital from July 2015 to December 2016 were selected，they were randomly divided into control group and observation group，46 cases in each group.The control group was taken with the traditional nursing method，the observation group received comprehensive nursing intervention，the renal function， psychological status， quality of life and rehabilitation effect of the two groups were compared.Result：After nursing，the patients with the BUN，SCr of observation group were higher than those in control group，BUN/SCr was lower than that in control group，the differences were statistically significant（P<0.05）.After nursing，the SAS and SDS scores of the observation group were lower than those of the control group，the differences were statistically significant（P<0.05）.After nursing，the physical function， psychological function，social function，physical status scores of observation group were higher than those in the control group，the differences were statistically significant（P<0.05）.After nursing，the total effective rate of the observation group was significantly higher than that of the control group，the difference was statistically significant（P<0.05）.Conclusion：Comprehensive nursing intervention for patients with chronic glomerulonephritis，the effect is significant，worthy of clinical application.

【Key words】 Chronic glomerulonephritis； Comprehensive nursing； Traditional Chinese medicine nursing； Humanistic nursing； Comfortable nursing； Health education

First-authors address：Hongqi Hospital Affiliated to Mudanjiang Medical University，Mudanjiang 157011，China

doi：10.3969/j.issn.1674-4985.2017.12.027

慢性腎小球炎簡稱慢性腎炎，是我國的一種常見病和多發病，患者發病后，癥狀表現如水腫、高血壓、血尿及蛋白尿等[1-3]。隨著患者病情的惡化，腎功能隨之出現不同程度的減退，最終可發展為腎衰竭[4]，從而對患者的工作、生活甚至生命帶來巨大影響。由于受到目前醫療技術水平的制約，加之患者病情具有周期長和易反復的特點，給患者的治療帶來巨大難度，很多患者的康復效果并不理想。為了進一步提高患者的康復效果，本院對慢性腎小球腎炎患者采取綜合護理干預的方法，效果顯著，現報道如下。