“互联网+体质量自我管理”对肾病综合征水肿患者肾功能水平及生活质量相关影响  

"Internet+body mass self-management"related effects on renal function and quality of life in patients with nephrotic syndrome and edema

作　　者：王明莉 WANG Ming-li(Department of Nephrology,Lianyungang City Donghai County People's Hospital,Jiangsu Donghai 222300,China)

机构地区：[1]连云港市东海县人民医院肾内科,江苏东海222300

出　　处：《临床医药文献电子杂志》2020年第71期9-11,共3页Electronic Journal of Clinical Medical Literature

摘　　要：目的探讨“互联网+体质量自我管理”对肾病综合征水肿患者肾功能水平相关实验室监测指标及生活质量的影响结果。方法选取我院肾内科2017年1月~2020年1月间收治的肾病综合征水肿患者56例,随机均分为对照组和观察组,每组28例。对照组接受肾病常规护理,观察组患者在常规护理基础上接受“互联网+体质量自我管理”护理干预模式。干预周期6个月,对比两组干预前后体质量管理能力评分、肾功能水平相关实验室监测指标(ALB、BUN、Scr、24hPro)及生活质量(SF-36)评分。结果入院1周时,两组患者体质量管理能力评分、ALB、BUN、Scr、24hPro水平及SF-36评分均无明显差异(P>0.05);干预6个月时,观察组体质量管理能力评分、ALB水平SF-36各维度评分均明显优于对照组(P<0.05);观察组BUN、Scr及24hPro水平明显低于对照组(P<0.05)。结论“互联网+体质量自我管理”护理干预模式,可明显提高肾病综合征水肿患者自我体质量管理能力,患者肾功能水平相关实验室监测指标及生活质量均有明显改善。Objective To explore the effect of"Internet+self-management of body weight"on the related laboratory monitoring indicators and quality of life of patients with nephrotic syndrome and edema.Methods A total of 56 patients with nephrotic syndrome and edema who were admitted to the Department of Nephrology in our hospital between January 2017 and January 2020 were selected and randomly divided into control and observation groups,with 28 cases in each group.The control group received routine care for nephropathy,and the observation group received the"Internet+self-management"nursing intervention model on the basis of routine care.The intervention period was 6 months,and the scores of body quality management ability,renal function level related laboratory monitoring indicators(ALB,BUN,Scr,24hPro)and quality of life(SF-36)scores were compared between the two groups before and after the intervention.Results At 1 week after admission,there was no significant difference in the body mass management ability scores,ALB,BUN,Scr,24hPro levels and SF-36 scores of the two groups of patients(P>0.05);at 6 months of intervention,the observation group's body quality management ability scores,ALB level SF-36 each dimension score was significantly better than the control group(P<0.05);the observation group BUN,Scr and 24hPro levels were significantly lower than the control group(P<0.05).Conclusion The"Internet+body quality self-management"nursing intervention model can significantly improve the self-body quality management ability of patients with nephrotic syndrome and edema,and the laboratory monitoring indicators and quality of life related to the patient's renal function level have been significantly improved.

关 键 词：肾病综合征 水肿 互联网+ 体质量 自我管理 肾功能 生活质量 

分 类 号：R473.5[医药卫生—护理学]