循证护理在慢性肾炎中的应用分析  

Analysis of application of evidence-based nursing in patients with chronic nephritis

作　　者：陈小荷[1] 郭焕开[1] 郑少莉[1] 龙瑞音 曾令玲[1] 

机构地区：[1]广东省江门市中心医院肾内科,广东江门529000

出　　处：《中国当代医药》2017年第14期194-196,共3页China Modern Medicine

摘　　要：目的研究循证护理在慢性肾炎患者中的应用效果。方法选择2015年2~8月我院收治的43例慢性肾炎患者作为对照组,实施常规治疗及护理;选择2015年9月~2016年3月我院收治的43例慢性肾炎患者作为观察组,在常规护理基础上实施循证护理。比较两组患者对护理措施的满意度、生活质量及24 h尿蛋白、血尿素氮(BUN)、血清肌酐(SCr)。结果观察组满意度为95.35%,高于对照组(65.12%)(P<0.05)。观察组患者遵医意识及行为评分为(90.08±1.02)分,日常活动度为(91.45±1.06)分,家庭成员相处为(92.30±1.04)分,心理情绪为(91.48±1.05)分,均高于对照组[(75.26±1.40)、(76.80±1.02)、(74.10±1.01)、(73.56±1.07)分](P<0.05);干预前,两组患者24h尿蛋白、BUN、SCr比较,差异无统计学意义(P>0.05);干预后,观察组患者24 h尿蛋白、BUN、SCr均低于对照组(P<0.05)。结论为慢性肾炎患者提供循证护理干预措施,可明显改善患者24 h尿蛋白、BUN、SCr等指标,提高患者满意度及生活质量。Objective To study the application effect of evidence-based nursing on patients with chronic nephritis. Methods Altogether 43 cases of chronic nephritis patients who were treated in our hospital from February to August 2015 were selected as control group and provided with routine treatment and nursing service;another 43 cases of chronic nephritis patients who were treated in our hospital from September 2015 to March 2016 were selected as observation group and provided with evidence-based nursing services on the basis of conventional nursing;the nursing satisfaction, quality of life,24-hour urine protein,BUN,SCr of two groups were evaluated,summarized and compared.Results The satisfaction rate of observation group was 95.35%,was higher than that of control group （65.12%）（P〈0.05）.The compliance consciousness and behavior score,daily activities,harmonious relationship between family members and psychological emotion of patients in the observation group was （90.08±1.02）,（91.45±1.06）,（92.30±1.04） and （91.48±.05） scores respectively,was higher than that of the control group [（75.26±1.40）,（76.80±1.02）,（74.10±.01）,（73.56±.07） scores] （P〈0.05）. Before intervention,there was no statistically significant difference in 24-hour urine protein,BUN and SCr betwee two groups （P〉0.05）;after intervention,24-hour urine protein,BUN and SCr of the observation group was lower than that of the control group （P〈0.05）.Conclusion Providing clinical nursing service to patients with chronic nephritis,can improve the 24-hour urine protein,BUN and SCr,and with high nursing satisfaction degree and quality of life.

关 键 词：循证护理 慢性肾炎 护理干预 生活质量 满意度 

分 类 号：R471[医药卫生—护理学]