基于医联体的中西医结合延续护理对肾病综合征患儿心理健康影响的研究  

Research on the impact of continuous nursing of integrated traditional Chinese and western medicine on mental health of children with nephrotic syndrome based on medical treatment combination

作　　者：罗小米 黄瑞洁 梁英 罗秀状[1] 王宁莉[3] 杨丽娟[1] LUO Xiaomi;HUANG Ruijie;LIANG Ying;LUO Xiuzhuang;WANG Ningli;YANG Lijuan(Department of Pediatric Medicine,Affiliated Hospital of Youjiang Medical University for Nationalities,Guangxi,Baise 533000,China;Office of Teaching and Research in Pediatric Nursing,Nursing School of Youjiang Medical University for Nationalities,Guangxi,Baise 533000,China;Department of Traditional Chinese Medicine,Affiliated Hospital of Youjiang Medical University for Nationalities,Guangxi,Baise 533000,China)

机构地区：[1]右江民族医学院附属医院儿内科,广西百色533000 [2]右江民族医学院护理学院儿科护理教研室,广西百色533000 [3]右江民族医学院附属医院中医科,广西百色533000

出　　处：《中国医药科学》2025年第5期136-140,共5页China Medicine And Pharmacy

基　　金：广西壮族自治区中医药管理局科研课题(GXZYZ20210416);广西壮族自治区卫生健康委科研课题(Z-L20230873);百色市科学研究与技术开发计划课题(百科20213232)。

摘　　要：目的探讨基于医联体的中西医结合延续护理对肾病综合征(NS)患儿心理健康的影响。方法选取2022年7月至2023年7月右江民族医学院附属医院和附属西南医院儿内科、肾内科的NS患儿100例,按照随机数表法分为试验组和对照组,每组各50例。对照组接受常规护理,试验组在对照组护理基础上接受基于医联体的中西医结合延续护理的干预,比较两组患儿心理健康水平、生命质量、自我管理、疾病复发率、并发感染发生率。结果干预6个月后,试验组心理韧性平均得分为(89.88±7.58)分,高于对照组的(73.44±4.06)分,生活质量得分为(92.24±6.09)分,高于对照组的(74.94±3.80)分,差异有统计学意义(P<0.05);试验组自我管理得分为105.50(95.75,115.00)分,高于对照组的84.50(75.00,93.25)分,差异有统计学意义(P<0.001);试验组疾病复发率(12.00%)低于对照组(32.00%),感染发生率(14.00%)低于对照组(38.00%),差异有统计学意义(P<0.05)。结论基于医联体的中西医结合延续护理可提高NS患儿心理健康水平、生命质量及自我管理能力,降低患儿疾病复发率和并发感染发生率。Objective To investigate the impact of continuous nursing of integrated traditional Chinese and western medicine on mental health of children with nephrotic syndrome(NS)based on medical treatment combination.Methods A total of 100 children with NS admitted to the Affiliated Hospital of Youjiang Medical University for Nationalities and the Departments of Pediatrics and Nephrology in the Affiliated Southwest Hospital from July 2022 to July 2023 were selected and divided into the experimental group(n=50)and the control(n=50)group according to the random number table method.The control group was treated with conventional nursing methods,while the experimental group was treated with the intervention of continuous nursing of integrated traditional Chinese and western medicine based on medical treatment combination on basis of the nursing of the control group.The mental health level,quality of life(QoL),self-management,disease relapse rate and incidence of concurrent infection of the two groups of children were compared.Results After 6 months of intervention,the psychological resilience score in the experimental group was(89.88±7.58)points,higher than(73.44±4.06)points in the control group,and the QoL score was(92.24±6.09)points,higher than(74.94±3.80)points in the control group,all with statistically significant differences(P<0.05).The self-management score of the experimental group was 105.50(95.75,115.00)points,higher than 84.50(75.00,93.25)points of the control group,all with statistically significant differences(P<0.001).The disease relapse rate was 12%in the experimental group,lower than 32%in the control group,and the infection rate was 14%in the experimental group,lower than 38%in the control group,all with statistically significant differences(P<0.05).Conclusion The continuous nursing of integrated traditional Chinese and western medicine based on medical treatment combination can improve the mental health level,QoL and self-management ability of children with NS,and reduce the relapse rate and the incidenc

关 键 词：肾病综合征 医联体 中西医结合 延续性护理 心理健康 

分 类 号：R743.72[医药卫生—神经病学与精神病学]