IKAP模式护理干预对慢性肾小球肾炎患儿生存质量及家属负性情绪的影响  

Effects of IKAP mode nursing intervention on quality of life and negative emotions of family members in children with chronic glomerulonephritis

作　　者：薛梦兰 陈云 朱亚冬 Xue Menglan;Chen Yun;Zhu Yadong(Department of Renal Rheumatology and Immunology,Hunan Children's Hospital,Changsha 410007,China)

机构地区：[1]湖南省儿童医院肾脏风湿免疫科,长沙410007

出　　处：《国际护理学杂志》2025年第5期857-862,共6页international journal of nursing

摘　　要：目的:探讨信息-知识-信念-行为(IKAP)模式护理干预对慢性肾小球肾炎患儿生存质量及家属负性情绪的影响。方法:选取湖南省儿童医院2020年1月至2022年12月收治的慢性肾小球肾炎患儿100例,按照随机数字表法将其分为试验组(n=50)及参照组(n=50)。参照组给予传统护理干预,试验组在参照组基础上给予IKAP模式护理干预。比较干预前后两组生存质量[生存质量测定量表简表(WHOQOL-BREF)评分]、睡眠质量[匹兹堡睡眠质量指数量表(PSQI)评分]、康复指标(尿素氮、肌酐、24 h尿蛋白定量)、家属护理满意度、家属负性情绪[汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分]及家属疾病认知水平评分。结果:与参照组相比,干预后试验组家属HAMA、HAMD评分均较低,基本疾病知识、心理指导、用药监督、饮食保健评分较高,差异有统计学意义(均P<0.05);与参照组比较,干预后试验组WHOQOL-BREF评分明显升高,PSQI评分明显降低,差异有统计学意义(P<0.05);干预后,试验组尿素氮、肌酐、24 h尿蛋白定量水平降低幅度大于参照组,差异有统计学意义(均P<0.05);试验组家属护理满意率为94.00%(47/50)高于参照组的72.00%(36/50),差异有统计学意义(P<0.05)。结论:在慢性肾小球肾炎患儿中应用IKAP模式护理,能改善患儿家属负性情绪,提升患儿睡眠质量、生存质量,促进患儿康复。Objectivee To expolre the effects of IKAP nursing intervention on quality of life and negative emotions of family members in children with chronic glomerulonephritis.Methods A total of 100 children with chronic glomerulonephritis treated in Hunan Children's Hospital from January 2020 to December 2022 were selected and divided into experimental group and reference group according to random number table method,with 50 cases in each group.The reference group was given traditional nursing intervention,while the experimental group was given IKAP mode nursing intervention on the basis of the reference group.The quality of life[The World Health Organization Quality of Life-BREF(WHOQOL-BREF score)],sleep quality[Pittsburgh Sleep Quality Index Scale(PSQI)score],rehabilitation indicators(urea nitrogen,creatinine,24 hours urinary protein quantitation),family nursing satisfaction,family members'negative emotions[Hamilton Anxiety Scale(HAMA)score and Hamilton Depression Scale(HAMD)score]and the cognitive level of the family members'disease before and after intervention were compared.Results Compared with the reference group,the HAMA and HAMD scores of family members of the experimental group were lower after intervention,and the scores of basic disease knowledge,psychological guidance,medication supervision and diet health care were higher,with statistical significance(P<0.05).Compared with the reference group,the WHOQOL-BREF score of the experimental group was significantly increased after intervention,and PSQI score was significantly decreased,with statistical significance(P<0.05).After intervention,the quantitative levels of urea nitrogen,creatinine and 24-hour urinary protein in the experimental group were reduced more than those in the reference group,and the differences were statistically significant(P<0.05).The nursing satisfaction rate of family members in the experimental group was 94.00%(47/50),higher than that in the reference group[72.00%(36/50)],and the difference was statistically significant(P<0.05).Conclusions

关 键 词：慢性肾小球肾炎 信息-知识-信念-行为模式 生存质量 睡眠质量 

分 类 号：R47[医药卫生—护理学]