摘要
目的 探讨思维导图引导康复护理对肾病综合征患者治疗依从性及心理健康行为的影响。方法 选取2017年5月至2019年4月于深圳市人民医院治疗的126例肾病综合征患者为研究对象,依据随机数表法分为对照组和研究组各63例。对照组患者实施常规护理,研究组患者实施思维导图引导的康复护理。出院前,比较两组患者的临床疗效、治疗依从性、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、慢性病韧性量表(CICRS)评分和并发症发生情况。结果 研究组患者的缓解率为95.24%,明显高于对照组的76.19%,差异有统计学意义(P<0.05);研究组患者的服药、饮食、生活方式依从率分别为96.83%、92.06%、93.65%,明显高于对照组的84.13%、77.78%、80.95%,差异均有统计学意义(P<0.05);护理前,两组患者的SAS、SDS及CICRS评分比较差异均无统计学意义(P>0.05);护理后,研究组患者的SAS、SDS评分分别为(48.27±5.63)分、(50.54±5.32)分,明显低于对照组的(55.38±6.28)分、(57.82±5.98)分,CICRS评分为(116.27±12.48)分,明显高于对照组的(95.85±11.56)分,差异均有统计学意义(P<0.05);护理后,研究组患者的并发症发生率为11.11%,明显低于对照组的31.75%,差异均有统计学意义(P<0.05)。结论 思维导图引导康复护理应用于肾病综合征能提高患者的治疗依从性,改善患者心理健康状态,值得推广应用。
Objective To explore the influence of mind map-guided rehabilitation nursing on treatment compliance and mental health behaviors of patients with nephrotic syndrome.Methods A total of 126 patients with nephrotic syndrome treated in Shenzhen People's Hospital from May 2017 to April 2019 were selected as the research objects.According to the random number table method,all patients were divided into a control group and the study group,with 63 patients in each group.The patients in the control group were given routine nursing,and the patients in the study group were given the rehabilitation nursing guided by mind map.Before discharge,the clinical efficacy,treatment compliance,Self-rating Anxiety Scale(SAS)score,Self-rating Depression Scale(SDS)score,Chronic Disease Resilience Scale(CICRS)score,and complications were compared between the two groups.Results The remission rate of the patients in the study group was 95.24%,which was significantly higher than 76.19%in the control group(P<0.05).The medication,diet,and lifestyle compliance rates of the study group were 96.83%,92.06%,and 93.65%,respectively,which were significantly higher than 84.13%,77.78%,and 80.95%of the control group(P<0.05).Before nursing,there were no significant difference in the SAS,SDS,and CICRS scores between the two groups(P>0.05).After nursing,the scores of SAS and SDS in the study group were(48.27±5.63)points and(50.54±5.32)points,respectively,which were significantly lower than(55.38±6.28)points and(57.82±5.98)points in the control group,while the CICRS score was(116.27±12.48)points,which was significantly higher than(95.85±11.56)points of the control group(P<0.05).After nursing,the incidence of complications in the study group was 11.11%,which was significantly lower than 31.75%of the control group(P<0.05).Conclusion The application of mind map-guided rehabilitation nursing in patients with nephrotic syndrome can improve the the treatment compliance and mental health status of patients,which is worthy of popularization and application.
作者
张清霞
邱晶
钟时汝
ZHANG Qing-xia;QIU Jing;ZHONG Shi-ru(Department of Nephrology,Shenzhen People's Hospital,Shenzhen 518000,Guangdong,CHINA;Hand Microvascular Surgery 2,Shenzhen People's Hospital,Shenzhen 518000,Guangdong,CHINA)
出处
《海南医学》
CAS
2022年第13期1762-1765,共4页
Hainan Medical Journal
关键词
肾病综合征
思维导图
康复护理
治疗依从性
心理健康行为
临床疗效
Nephrotic syndrome
Mind map
Rehabilitation nursing
Treatment compliance
Mental health behavior
Clinical efficacy
作者简介
通讯作者:邱晶,E-mail:qiujin189@189.com。
