循证护理与个体化护理在妊娠合并狼疮肾炎患者中的应用效果分析  

Application effect of evidence-based nursing and individual nursing in pregnancy patients with lupus nephritis

作　　者：陈婷[1] 何彦芳[1] 郑佩庄[1] 洪庆玲[1] 

机构地区：[1]南方医科大学南方医院肾内科,广州市440100

出　　处：《实用医学杂志》2014年第12期1996-1999,共4页The Journal of Practical Medicine

基　　金：广东省自然科学基金(编号:57-1653);省教育厅科学技术研究资助项目(编号:SQ2012-173)

摘　　要：目的:探讨分析循证护理与个体化护理在妊娠合并狼疮肾炎(lupus nephritis,LN)患者中的应用效果。方法:收集妊娠合并LN患者65例,随机分为对照组31例,采用个体化护理方案;观察组34例应用循证护理方法。比较两组患者并发症、妊娠结局以及患者生活质量。结果:两组患者肾功能衰竭、妊高症、子痫、心衰、HELLP综合征等并发症发生率及妊娠结局均无显著差异(P>0.05)。观察组的生理健康分数显著高于对照组(P<0.05),对照组心理健康分数显著高于观察组(P<0.05);两组社会健康和整体健康分数无显著差异(P>0.05)。结论:对妊娠合并LN患者实施循证护理和个体化护理,都能减少并发症的发生,降低早产、死胎的几率,提高患者对本病的认知及生活质量,但个体化护理在改善患者的心理健康方面效果较佳,而循证护理在改善患者的生理健康状况方面效果更佳。Objective To investigate the application effect of evidence-based nursing and individual nursing in pregnancy patients with lupus nephritis. Methods Sixty-five patients were randomly divided into control group and observation group. They were treated with routine care and evidence-based nursing respectively. The complications, pregnancy outcome and satisfaction of patients were compared between the two groups. Results There were not significant difference in renal failure, pregnancy induced hypertension, ecalampsia, heart failure, HELLP syndrome and other complications between observation group and normal group（P 〉 0.05）. The pregnancy outcome had no significant difference between two groups （P 〉 0.05）. In observation group, the health score was significantly higher than that of control group（P 〈 0.05）. The mental health score in control group was significantly higher than that of observation group （P 〈 0.05）. There werenot significant difference in social health and overall health score between the two groups （P 〉 0.05）. Conclusion The application of evidence-based nursing and individual nursing in pregnancy patients with LN not only reduce the incidence of complications, but also reduce the chance of premature birth, stillbirth. And it could improve the cognition on the nursing work of this disease and the satisfaction of patients. But individual nursing is better in improving the patient＇s mental health, while the evidence-based nursing is better in improving the health status.

关 键 词：狼疮肾炎 妊娠 循证护理 个体化护理 

分 类 号：R473.71[医药卫生—护理学]