Gordon模式个案管理在老年肾病综合征患者治疗中的效果观察  

Observation on the effects of Gordon model case management in the treatment of elderly patients with nephrotic syndrome

作　　者：史芸 路中先 周楠 金莎莎 翟爽 李晓燕 李富娟 Shi Yun;Lu Zhongxian;Zhou Nan;Jin Shasha;Zhai Shuang;Li Xiaoyan;Li Fujuan(Department of Nephrology,Second Affiliated Hospital of Air Force Medical University,Xi an,Shaanxi,710068,P.R.China;Department of Emergency Medicine,Second Affiliated Hospital of Air Force Medical University,Xi an,Shaanxi,710068,P.R.China)

机构地区：[1]空军军医大学第二附属医院肾脏内科,陕西西安710068 [2]空军军医大学第二附属医院急诊科,陕西西安710068

出　　处：《老年医学与保健》2023年第3期575-578,584,共5页Geriatrics & Health Care

基　　金：陕西省重点研发计划项目(S2022-YF-YBSF-0330)。

摘　　要：目的观察Gordon模式个案管理在老年肾病综合征(NS)患者治疗中的应用效果,旨在为防治老年NS提供方法。方法选择2022年2月—2022年11月于空军军医大学第二附属医院收治的老年NS患者96例,根据数字表法随机分为Gordon组和对照组,每组48例。2组在采取相同的治疗措施的同时,Gordon组采取Gordon模式个案管理干预,对照组采取常规护理干预。观察并比较2组患者治疗前后心理痛苦程度、抗逆力水平、健康适能状况及生存质量水平变化。结果治疗前,2组各指标检测值差异均无统计学意义(P>0.05)。治疗后,2组心理痛苦程度各维度评分均较同组治疗前降低(P<0.05),Gordon组低于对照组(P<0.05);2组抗逆力各维度评分均较同组治疗前上升(P<0.05),Gordon组高于对照组(P<0.05);2组健康适能状况各维度评分均较同组治疗前升高(P<0.05),Gordon组显著高于对照组(P<0.05);2组生存质量各部分评分均较同组治疗前升高(P<0.05),Gordon组治疗后显著高于对照组(P<0.05)。结论Gordon模式个案管理可有效改善老年NS患者心理痛苦程度,增强抗逆力,促进患者健康行为养成,提高患者生存质量。Objective To observe the effects of Gordon model case management in the treatment of elderly patients with nephrotic syndrome(NS)and provide a method for the prevention and treatment of NS in the elderly.Methods 96 elderly NS patients admitted to Second Affiliated Hospital of Air Force Medical University from February 2022 to November 2022 were selected and randomly divided into control group and Gordon group according to the random number table method,with 48 cases in each group.Both groups received the same treatment measures.At the same time,the Gordon group received Gordon model case management intervention,while the control group received conventional nursing intervention.The psychological distress degree,resilience level,health fitness state and the quality of life of the two groups were observed and compared before and after treatment.Results Before treatment,there was no statistically significant difference in the detection values of each indicator between the two groups(P>0.05).After treatment,the scores of all dimensions of psychological distress degree in both groups decreased compared to the same group before treatment(P<0.05),while the Gordon group was lower than the control group(P<0.05);the scores of all dimensions of resilience in both groups increased compared to the same group before treatment(P<0.05),while the Gordon group was higher than the control group(P<0.05);the scores of all dimensions of health fitness status in both groups increased compared to the same group before treatment(P<0.05),while the Gordon group was higher than the control group(P<0.05);the scores of all parts of quality of life in both groups increased compared to the same group before treatment(P<0.05),while the Gordon group was higher than the control group(P<0.05).Conclusion Gordon model case management can effectively improve the psychological distress degree in elderly NS patients,enhance the resilience,promote the development of health behavior,and improve the quality of life of patients.

关 键 词：老年 肾病综合征 Gordon模式 个案管理 心理痛苦程度 抗逆力 健康行为 生存质量 

分 类 号：R692[医药卫生—泌尿科学]