延续性护理在痛风患者中的应用效果  

The application effect of continuous nursing in gout patients

作　　者：杨洪喜[1] 赵瑞丽 张俊会[3] 王永芳[1] YANG Hongxi;ZHAO Ruili;ZHANG Junhu;WANG Yongfang(a.Department of physiology and Researh,1b.Department of Pathological Staff,Xingtai Medical College,Xingtai,Hebei 054000,China;Department of Rheumatoid,Xingtai People＇ s Hospital,Xingtai,Hebei 054000,China)

机构地区：[1]邢台医学高等专科学校生理教研室,河北邢台054000 [2]邢台市人民医院风湿免疫科,河北邢台054000 [3]邢台医学高等专科学校病理教研室,河北邢台054000

出　　处：《安徽医药》2018年第7期1416-1418,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的对延续性护理在痛风患者中的应用进行效果观察。方法将所有参与实验的患者按就诊的顺序号分两组,观察组的对象为单号的患者(n=63),对照组的对象为双号的患者(n=63)。观察组患者出院后即实施延续性护理,对照组患者在出院时进行出院指导,出院后无跟进措施。半年后调查患者对护理的满意度、遵医行为和痛风复发率,并比较其在两组中的差别。结果满意度调查包括服务态度、用药护理、疼痛护理、饮食护理、知识宣传等方面,观察组均显著高于对照组(P<0.05);观察组遵医总数比例为87.3%明显高于对照组遵医总数比例68.3%(P<0.0 5);痛风复发率方面,观察组为4.8%,对照组为22.2%,前者显著低于后者(P<0.05)。结论延续性护理使痛风患者对护理的满意度有了明显的提高,并形成良好的遵医行为,同时降低了痛风的复发率,这一护理模式值得在临床工作中进一步推广。Objective To observe the application effect of continuous nursing in gout patients. Methods According to the serial number of doctor,gout patients in the trials were divided into two groups,odd-numbered patients as observation group（ n = 63）,evennumbered？ patients as the control group（ n = 63）. After discharge,continuity nursing was implemented in patients of the observation group and only discharge instruction was implemented when discharged in patients of the control group. Degree of satisfaction,behavior of following doctor＇s instruction and gout recurrence rate were investigated and compared between the patients of two groups half a year later. Results Satisfaction survey including the service attitude,medication nursing,pain nursing,diet nursing,knowledge propaganda and so on,satisfaction of observation group was significantly higher than that of the control group（ P〈0. 05）; The proportion of gout patients who can follow doctor＇s instruction in observation group was 87. 3%,which was obviously higher than that（ 68. 3%） of the control group（ P〈0. 05）; The rate of gout recurrence of the observation group was 4. 8%,and was significantly lower than that of the control group（ 22. 2%,P〈0. 05）. Conclusions Continuity nursing can effectively improve satisfaction of nursing,behavior of following doctor＇s instruction and reduce gout recurrence rate among gout patients. The nursing mode deserves further promotion in clinical practice.

关 键 词：风 患者依从 患者满意度 护理实践模式 护理评价研究 

分 类 号：R473.5[医药卫生—护理学]