全程护理干预对原发性肾病综合征糖皮质激素性骨质疏松的影响研究  

The impact of whole-process nursing intervention on primary nephrotic syndrome glucocorticoid-induced osteoporosis

作　　者：杨海娟[1] 高丛斌 宋芬[1] 

机构地区：[1]广东医学院附属医院肾内科 [2]海军92854部队医院

出　　处：《当代护士（中旬刊）》2012年第4期1-3,共3页Modern Nurse

摘　　要：目的探讨护理干预对原发性肾病综合征应用糖皮质激素患者骨质疏松的影响。方法将110例使用激素治疗的原发性肾病综合征患者随机分成实验组55例和对照组55例。对照组采用常规护理,实验组除常规护理外,对患者进行为期12个月的饮食、运动、服药、安全等方面的护理干预,于干预前和干预后第3、6、12个月检测患者的腰椎(L1～L4)骨密度,并由专人跟踪调查患者骨折的发生率。结果经护理干预后,2组患者在第12个月检测的骨密度及骨质疏松发生率差异有统计学意义,实验组各指标优于对照组(P均<0.05)。结论有效的护理干预可以提高患者的治疗依从性,降低骨质疏松的危险因素,减少骨量的丢失和骨质疏松的发生。Objective To discuss the influence of nursing intervention on primary nephrotic syndrome in patients with glucocorticoid osteoporosis.Methods 110 primary nephrotic syndrome cases using hormone therapy were randomly divided into experimental group containing 55 cases and control group consisting of 55 cases.The control group patients were treated with conventional care.Meanwhile,the experimental group patients were treated with the interventions concluding diet,exercise,medication,security and other aspects of care in 12month besides the intervention care.Patient＇s bone density of lumbar vertebra（L1~L4） were examined before and after the intervention at 3rd,6th and 12nd months.A follow-up survey was made to investigate the incidence of fractures.Results After nursing intervention,the differences of the two groups at the 12 month at bone mineral density and the incidence of osteoporosis were significant.Indicators of the experimental group were better than the control group（P0.05）.Conclusions Effective nursing intervention can improve the compliance of patients with treatment and reduce osteoporosis risk factors,bone loss and osteoporosis occurring.

关 键 词：肾病综合征 糖皮质激素性骨质疏松 骨密度 护理干预 

分 类 号：R473.5[医药卫生—护理学]