延续性护理在肾病综合征伴急性肾损伤患者中的应用#br#

[摘要] Abstract：ObjectiveTo investigate the effect of continued nursing in patients with nephrotic syndrome (NS) and acute kidney injury.  MethodsA total of 150 NS patients with acute renal injury were randomly divided into observation group and control group, with 75 cases in each group. The control group was given conventional treatment and the observation group was applied with continued nursing. The clinical effective rate, outcomes of blood and urine test, as well as selfcare ability assessed by determination of self-care ability scale (ESCA), were compared between two groups. ResultsThe overall effective rate was 92.0%(69/75) in the observation group and 78.7% (59/75) in the control group, there was significant difference (P<0.05). Observation group had higher serum level of total protein, albumin and hemoglobin, and higher amount of urine volume, and lower level of blood urea nitrogen and serum creatinine compared with the control group (P<0.05). The scores of skills, responsibility, concept and health knowledge in ESCA scale were higher in observation group than that in control group (P<0.01). ConclusionContinued nursing is effective to enhance the therapeutic effect in NS patients with acute kidney injury, and to improve their selfcare ability after discharge.

[学科分类] 护理学

[关键词] 延续护理;肾病综合征;急性肾损伤;自护能力