护理程序指导下的强化护理对提高学龄期NS患儿临床治疗依从性及心理健康行为的效果

邓雯 郭莉

【摘要】目的：探讨护理程序指导下的强化护理对提高学龄期肾病综合征患儿临床治疗依从性及心理健康行为的应用效果。方法：选择我院2016年7月至2020年5月期间收治的50例学龄期肾病综合征患儿，根据随机数字表法分组标准分为两组，即观察组（25例）和对照组（25例），提供给对照组患儿常规护理服务，观察组患儿应用护理程序指导下强化护理，比较两组患儿临床治疗依从率以及干预前后的SDS评分与SAS评分改善情况。结果：最终观察组患儿完全依从15例，部分依从9例，不依从1例，依从率达到96%，高于对照组的76%，具有统计学意义（P<0.05）。两组患儿护理前焦虑抑郁评分接近的情况下，经过干预后评分均有所降低，而观察组患儿改善更明显（P<0.05）。结论：为学龄期肾病综合征患儿提供护理程序指导下的强化护理，有助于提高患儿治疗依从性，改善心理健康行为。

【关键词】护理程序指导；强化护理；学龄期患儿；肾病综合征；治疗依从性；心理健康行为

[中图分类号]R473 [文献标识码]A [文章编号]2096-5249（2021）05-0089-02

The effect of intensive nursing under the guidance of nursing procedures on improving clinical treatment compliance and mental health behaviors of school-age children with NS

DENG Wen， GUO Li （Shenzhen Hospital of Southern Medical University Pediatrics， Shenzhen Guangdong 518102， China）

[Abstract] Objective： To explore the effect of intensive nursing under the guidance of nursing procedures on improving clinical treatment compliance and mental health behaviors of school-age children with nephrotic syndrome. Methods： A total of 50 children with school-age nephrotic syndrome admitted to our hospital from July 2016 to May 2020 were selected. According to the random number table grouping standard， they were divided into two groups， namely observation group （25 cases） and The control group （25 cases） provided regular nursing services to the children in the control group. The children in the observation group applied intensive care under the guidance of nursing procedures， and compared the clinical treatment compliance rate and the improvement of SDS score and SAS score before and after the intervention. Results： In the end， 15 children in the observation group were completely compliant， 9 were partially compliant， and 1 were non-compliant. The compliance rate reached 96%， which was higher than 76% in the control group（P<0.05）. When the anxiety and depression scores of the two groups of children before nursing were close， and the scores were reduced after intervention， while the children in the observation group improved more significantly， （P<0.05）. Conclusion： Providing intensive care under the guidance of nursing procedures for school-age children with nephrotic syndrome can help improve their compliance with treatment and improve their mental health behavior.

[Key words] Nursing procedure guidance； intensive nursing； school-age children； nephrotic syndrome； treatment compliance； mental health behavior

治療临床上，小儿肾病综合征属于一种较为常见的疾病，表现为水肿、大量蛋白尿、低蛋白血症以及高脂血症综合征，患儿的病程很长，且发作频繁，治疗难度较大，还有着较多的并发症，严重影响患儿的身心健康，不利于患儿健康成长。临床治疗肾病综合征的主要方法为激素治疗，但对于学龄期患儿而言，该方法治疗的时长长，应用激素下还容易出现很多不良反应，患儿年龄过小难以按照医嘱配合治疗，导致身体对激素敏感度降低，又影响治疗疗效，因此对患儿采用有效的护理手段以保障疗效非常重要[1]。……