目标管理理论下个性化风险管理模式在原发性肾病综合征患儿中的应用效果  

Application Effect of Individualized Risk Management Model under Management by Objectives Theory in Children with Primary Nephrotic Syndrome

作　　者：蔡萍萍 CAI Pingping(Pediatric Department,Quanzhou First Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市第一医院儿科,福建泉州362000

出　　处：《中国医学创新》2024年第36期107-112,共6页Medical Innovation of China

摘　　要：目的:分析目标管理理论下个性化风险管理模式在原发性肾病综合征患儿中的应用效果。方法:选取2022年3月—2024年3月泉州市第一医院收治的80例原发性肾病综合征患儿,采用随机数字表法将其分为参照组与研究组,各40例。参照组实施常规管理干预,研究组实施目标管理理论下个性化风险管理模式。比较两组的心理韧性程度、治疗依从性、生活质量及并发症发生率。结果:干预前,两组治疗依从性评分、心理韧性程度、生活质量比较,差异均无统计学意义(P>0.05)。干预1、2、3个月后,研究组治疗依从性评分均高于参照组,差异均有统计学意义(P<0.05)。干预3个月后,研究组韧性程度评分均高于参照组,差异均有统计学意义(P<0.05)。研究组并发症总发生率低于参照组,差异有统计学意义(P<0.05)。干预3个月后,研究组生活质量评分均低于参照组,差异均有统计学意义(P<0.05)。结论:目标管理理论下个性化风险管理模式可有效改善患儿心理韧性程度,促进治疗依从行为转变,减少并发症发生,提高生活质量。Objective:To analyze the application effect of individualized risk management model under management by objectives theory in children with primary nephrotic syndrome.Method:A total of 80 children with primary nephrotic syndrome treated in Quanzhou First Hospital from March 2022 to March 2024 were selected and divided into reference group and study group by random number table method,with 40 cases in each group.The reference group implemented the conventional management intervention,and the study group implemented the individualized risk management model under management by objectives theory.The degree of mental toughness,treatment compliance,quality of life and complication rate of the two groups were compared.Result:Before intervention,there were no significant differences in treatment compliance score,mental toughness and quality of life between the two groups(P>0.05).After 1,2 and 3 months of intervention,the treatment compliance scores of the study group were higher than those of the reference group,the differences were statistically significant(P<0.05).After 3 months of intervention,the toughness scores of the study group were higher than those of the reference group,the differences were statistically significant(P<0.05).The total incidence of complications in the study group was lower than that in the reference group,the difference was statistically significant(P<0.05).After 3 months of intervention,the quality of life scores of the study group were lower than those of the reference group,the differences were statistically significant(P<0.05).Conclusion:Individualized risk management model under management by objectives theory can effectively improve the psychological toughness of children,promote the behavioral change of treatment compliance,reduce the occurrence of complications,and improve the quality of life.

关 键 词：原发性肾病综合征 目标管理理论 个性化风险管理模式 

分 类 号：R473.72[医药卫生—护理学]