護理結(jié)局理論模型在腎病綜合征患兒的應用

王艷芽　陸柳雪　王月華　麻鳳嬌　梁彩肅　許淑萍

【摘要】目的探討護理結(jié)局理論模型在腎病綜合征患兒的應用效果。方法按隨機數(shù)字表法將60例腎病綜合征患兒分為對照組和干預組各30例，對照組按整體護理模式進行護理，干預組構建護理結(jié)局理論模型并實施護理干預，采用《護理結(jié)局分類（NOC）》于出院時和出院6個月時分別對兩組患兒進行評分，比較兩組患兒生理健康、健康知識和行為、功能健康、心理社會健康4個領域護理結(jié)局評分。結(jié)果兩組患兒出院6個月生理健康、健康知識和行為、功能健康、心理社會健康4個領域內(nèi)容評分與出院時比較差異均有統(tǒng)計學意義（P<0.01），兩組評分均顯著改善，但干預組改善的程度大于對照組（P<0.01）。結(jié)論護理結(jié)局理論模型能有效提高腎病綜合征患兒的護理效果，提高患兒的生存質(zhì)量。

【關鍵詞】護理結(jié)局；護理結(jié)局分類系統(tǒng)；腎病綜合征；小兒；護理效果

中圖分類號：R473.72文獻標識碼：ADOI：10.3969/j.issn.10031383.2015.03.020

Application of nursing outcome theory model on children with nephrotic syndrome

WANG Yanya1，LU Liuxue2，WANG Yuehua1，MA Fengjiao1，LIANG Caisu1，XU Shuping1

（1. Maternal and Child Health Hospital of Debao，Debao 533700；2.Affiliated Hospital of

Youjiang Medical University for Nationalities，Baise 533700，Guangxi，China）

【Abstract】ObjectiveTo explore application effect of nursing outcome theory model in children with nephrotic syndrome.Methods60 children with nephrotic syndrome were divided into control group and intervention group according to random number table，with 30 cases in each group.Holistic nursing model was carried out to the control group，while the nursing outcome theory model was established and implemented in the intervention group.Nursing Outcomes Classification （NOC） was used to score both groups when patients discharged from hospital and 6 months after discharge，respectively.Nursing outcome scores of 4 areas which included physical health，health knowledge and behavior，functional health and sociopsychological health of the children were compared.Results Difference of scores of physical health，health knowledge and behavior，functional health and sociopsychological health 6 months after discharge and those on the time of discharge was statistically significant （P<0.01）.Scores of both groups significantly improved，but those of the intervention group improved more significantly than those of the control group（P<0.01）.ConclusionNursing outcome theory model can effectively improve the nursing effect of children with nephrotic syndrome and their quality of life.

【Key words】nursing outcome；Nursing Outcomes Classification Systems；nephrotic syndrome；children；nursing effect

腎病綜合征（Nephrotic Syndrome，NS）是一組以大量蛋白尿、水腫、低蛋白血癥為表現(xiàn)的臨床綜合征，是兒童常見的腎小球疾病[1～2]。護理結(jié)局是護理敏感性病人結(jié)局的簡稱，常與病人結(jié)局混用，是指可以測得連續(xù)變化的、應答于護理措施的個人、家庭或社區(qū)的狀態(tài)、行為和感知，護理結(jié)局可證實病人是否對所提供的護理措施有反應，幫助護士進行臨床決策[3～4]。以護理結(jié)局為導向，通過護理結(jié)局分類系統(tǒng)（Nursing Outcome Classification，NOC）測量病人結(jié)局，評價護理服務質(zhì)量的護理結(jié)局理論模型目前國內(nèi)已應用于部分研究中[5～6]。為提高護理效果，我院構建護理結(jié)局理論模型并應用于NS患兒的護理干預中，取得滿意的效果，現(xiàn)總結(jié)報告如下。1對象與方法1.1對象選取2012年1月至2014年6月我院兒科病房收治的NS患兒60例為研究對象，其中男33例，女27例；年齡7～13歲，平均（8.5±2.0）歲；病程1個月～12年，平均（6.2±2.0）年；疾病類型：腎炎型19例，單純型41例；獨生子女7例，非獨生子女53例；城鎮(zhèn)25例，農(nóng)村35例。按隨機數(shù)字表法將60例患兒分為對照組和干預組各30例，兩組患兒的年齡、性別、病程、疾病類型、居住地等一般情況比較差異無統(tǒng)計學意義（P>0.05），具有可比性。endprint