延续性护理在系统性红斑狼疮合并急性肾损伤患者中的应用分析  

Analysis of the use of continuum of care in patients with systemic lupus erythematosus and acute kidney injury

作　　者：兰三荣 杨帆[4] 吴艳 欧蕊[1,2,3] 陈秀敏 张胜利[1,2] LAN Sanrong;YANG Fan;WU Yan;OU Rui;CHEN Xiumin;ZHANG Shengli(Fuzhou University Affiliated Provincial Hospital Rheumatology and Immunology Department,Fuzhou 350001,China;fujian provincial hospital,Fuzhou 350001,China;Fujian Medical University Provincial College of Clinical Medicine,Fuzhou 350001,China;The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]福州大学附属省立医院风湿免疫科,福建福州350001 [2]福建省立医院,福建福州350001 [3]福建医科大学省立临床医学院,福建福州350001 [4]厦门大学附属第一医院,福建厦门361000

出　　处：《中华灾害救援医学》2024年第9期1110-1112,共3页Chinese Journal of Disaster Medicine

基　　金：福建省科技创新联合基金资助项目(2023Y9317)。

摘　　要：目的分析延续性护理模式在系统性红斑狼疮合并急性肾损伤患者中的应用价值。方法选取2022年10月至2024年4月在福建省立医院就诊的86例系统性红斑狼疮合并急性肾损伤患者,根据随机数字表法分为观察组(延续性护理组)和对照组(常规护理组),每组各43例。对比两组患者不同时间段的临床生化指标和自我管理能力。结果出院前1 d,两组患者临床生化指标、自我管理能力均无显著差异(P>0.05)。出院后3个月,两组患者临床生化指标和自我管理能力均改善(P<0.05);且观察组患者的血肌酐和尿素氮水平显著低于对照组(P<0.05),尿量、总蛋白、白蛋白水平显著高于对照组(P<0.05);观察组患者自我管理能力4个方面的评分和总分显著高于对照组(P<0.05)。结论延续性护理模式有利于系统性红斑狼疮合并急性肾损伤患者临床生化指标的恢复,以及自我管理能力的提升。Objective To analyze the application value of a continuous care model in patients with systemic lupus erythematosus(SLE)complicated by acute kidney injury(AKI).Methods A total of 86 patients with SLE and AKI treated at Fujian Provincial Hospital from October 2022 to April 2024 were included in the study.Patients were randomly divided into a continuous care group(observation group,n=43)and a conventional care group(control group,n=43).Clinical biochemical indicators and self-management abilities were compared between the two groups at different time points.Results One day before discharge,there were no significant differences between the two groups in clinical biochemical indicators or self-management abilities(P>0.05).Three months after discharge,both groups showed improvements in clinical biochemical indicators and self-management abilities(P<0.05).The observation group had significantly lower levels of serum creatinine and blood urea nitrogen compared to the control group(P<0.05),while urine output,total protein,and albumin levels were significantly higher(P<0.05).Additionally,the observation group scored significantly higher in all four aspects of self-management abilities and total score compared to the control group(P<0.05).Conclusion The continuous care model is beneficial for improving the recovery of clinical biochemical indicators and enhancing self-management abilities in patients with SLE complicated by AKI.

关 键 词：护理 红斑狼疮 系统性 肾疾病 血尿素氮 

分 类 号：R593.24[医药卫生—内科学]