肾病综合征患者临床治疗中临床护理路径的应用及对患者不良反应发生的影响  

Application of Clinical Nursing Pathway in Clinical Treatment of Patients with Nephrotic Syndrome and Its Influence on the Occurrence of Adverse Reactions in Patients

作　　者：谈迎[1] 甘敏玲 罗文霞[1] 曾活仪 TAN Ying;GAN Minling;LUO Wenxia;ZENG Huoyi(Hemodialysis Room,People's Hospital of Gaoming District,Foshan,Guangdong Province,528500 China)

机构地区：[1]佛山市高明区人民医院血透室,广东佛山528500

出　　处：《中外医疗》2022年第12期126-129,134,共5页China & Foreign Medical Treatment

摘　　要：目的探讨肾病综合征患者临床治疗中临床护理路径的应用及对患者不良反应发生的影响。方法方便选取2019年2月—2020年2月该院收治的136例肾病综合征患者,随机分为两组,对照组采取常规护理,研究组采取临床护理路径。观察分析两组患者生活质量、满意度、不良反应及住院费用和住院时间情况。结果研究组[身体功能(55.6±5.3)分、心理状态(42.4±6.9)分、社会功能(69.9±2.6)分及物质生活(46.8±3.4)分]高于对照组[身体功能(41.3±3.5)分、心理状态(33.6±5.4)分、社会功能(53.7±3.1)分及物质生活(41.4±2.8)分,差异有统计学意义(t=18.566、8.282、33.018、10.110,P<0.05)]。研究组满意度(95.6%)高于对照组(72.1%),差异有统计学意义(χ^(2)=4.083,P=0.008)。研究组不良反应(2.9%)低于对照组(29.4%),差异有统计学意义(χ^(2)=7.537,P=0.015);研究组住院费用[(2582.5±289.3)元]低于对照组(3651.6±356.7)元,差异有统计学意义(t=19.196,P<0.001);研究组住院时间[(9.7±2.1)d]短于对照组[(13.6±3.5)d],差异有统计学意义(t=7.879,P<0.001)。结论与常规护理干预相比,肾病综合征患者实施临床护理路径效果更为显著,可以减少不良反应的发生,显著提升其满意度,让生活质量得到明显改善,缓解护患关系,有利于患者早日康复,缩短住院时间,降低费用,缓解心理负担。Objective To explore the application of clinical nursing pathway in the clinical treatment of patients with nephrotic syndrome and its influence on the occurrence of adverse reactions in patients.Methods A total of 136 patients with nephrotic syndrome admitted to the hospital from February 2019 to February 2020 were conveniently selected and randomly divided into two groups.The control group received routine nursing,and the study group received clinical nursing.The quality of life,satisfaction,adverse reactions,hospitalization costs and length of stay in the two groups were observed and analyzed.Results The research group[physical function(55.6±5.3)points,psychological state(42.4±6.9)points,social function(69.9±2.6)points and material life(46.8±3.4)points]]were higher than the control group[physical function(41.3±3.5)points,psychological state(33.6±5.4)points,social function(53.7±3.1)points and material life(41.4±2.8)points,the differences were statistically significant(t=18.566,8.282,33.018,10.110,P<0.05).The satisfaction of the research group(95.6%)was higher than that of the control group(72.1%),and the difference was statistically significant(χ^(2)=4.083,P=0.008).The adverse reactions in the study group(2.9%)were lower than those in the control group(29.4%),and the difference was statistically significant(χ^(2)=7.537,P=0.015).The cost of hospitalization in the study group[(2582.5±289.3)yuan]was lower than that in the control group[(3651.6±356.7)yuan],and the difference was statistically significant(t=19.196,P<0.001);the length of hospital stay in the study group[(9.7±2.1)d]was shorter than that in the control group[(13.6±3.5)d],and the difference was statistically significant(t=7.879,P<0.001).Conclusion Compared with routine nursing intervention,the clinical nursing pathway is more effective in patients with nephrotic syndrome,which can reduce the occurrence of adverse reactions and significantly improve their satisfaction.It can significantly improve the quality of life and ease the relationshi

关 键 词：肾病综合征 临床护理路径 不良反应 生活质量 

分 类 号：R5[医药卫生—内科学]