护理干预对肾病综合征患者激素治疗依从性影响分析  

The Analysis of Influence on Nursing Intervention to the Treatment Compliance of Hormone Therapy in Nephrotic Syndrome

作　　者：李淑娟[1] 

机构地区：[1]广东省东莞市人民医院血液净化中心,广东东莞523000

出　　处：《按摩与康复医学》2013年第2期133-135,共3页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的：探讨护理干预对’肾病综合征患者激素治疗依从性的影响。方法：选取我院2010年2月～2012年5月收治的’肾病综合征患者180例，采用随机数字表分为对照组与实验组，每组各90例；其中对照组患者采用常规护理措施；实验组患者在对照组护理基础上，加用激素治疗专门护理干预措施；干预结束后比较两组患者的完全遵医率，并分析造成治疗依从性不佳的原因。结果：对照组患者完全遵医率为47．8％，实验组患者完全遵医率为78．9％，组间比较差异有显著性（P〈0．05）。结论：护理干预能够有效改善’肾病综合征患者激素治疗的依从性，具有临床推广使用价值。而激素治疗依从性不佳（不完全遵医及完全不遵医）的原因包括缺乏疾病相关知识，缺乏有效用药监督，对激素不良反应心存疑虑及治疗时间长、经济负担较重等。缺乏疾病相关知识及对激素不良反应心存疑虑是造成激素治疗依从性不佳的主原因。Objective： To explore the influence on nursing intervention to the treatment compli- ance of hormone therapy in nephrotic syndrome. Methods： 180 patients with nephrotic syndrome who treated in our hospital from February 2010 - May 2012 were divided into control group and ex- periment group by random number table. Each group had 90 cases. Control group were used routine nursing measures, on the basis of control group＇ s nursing, experience group were used intervening measure of hormone therapy special care. Compared the rate of obeying doctors＇ advice between two groups, and analyzed the reasons why patients＇ treatment compliance was not good. Results：The rate of obeying doctors＇ advice was 47.8% in control group, and 78.9% in experience group. The difference in comparison between groups was significance （P〈0.05）. Conclusion： Nursing inter- vention can improve the compliance in hormone therapy of patient with nephrotic syndrome, it is worthy of popularization and application. The reasons why patients＇ treatment compliance was not good are as follow： lacking of relevant knowledge of disease, lacking of effective supervision of drugs, doubting the untoward effect of hormone therapy, treatment for a long time, heavy economic burden, etc. Lacking of relevant knowledge of disease and doubting the untoward effect of hormone therapy are the primary cause the bad treatment compliance.

关 键 词：肾病综合征 激素治疗 护理干预 治疗依从性 影响 

分 类 号：R195[医药卫生—卫生统计学] R692[医药卫生—卫生事业管理]