董明+許微微+孫麗欣+魏佳

【摘要】 目的：探討慢性腎小球腎炎患者最佳的護(hù)理方法。方法：選取2015年7月-2016年12月在本院治療的92例慢性腎小球腎炎患者，隨機(jī)將患者分為對(duì)照組和觀察組，各46例。對(duì)照組患者采取傳統(tǒng)的護(hù)理方法，觀察組患者進(jìn)行綜合護(hù)理干預(yù)，比較兩組患者的腎功能、心理情況、生活質(zhì)量及康復(fù)效果。結(jié)果：護(hù)理后，觀察組患者的BUN、SCr均高于對(duì)照組，BUN/SCr低于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。護(hù)理后，觀察組的SAS和SDS評(píng)分均低于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。護(hù)理后，觀察組患者的軀體功能、心理功能、社會(huì)功能、物質(zhì)生活狀態(tài)評(píng)分均高于對(duì)照組，差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）。護(hù)理后，觀察組患者的總有效率明顯高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：對(duì)慢性腎小球腎炎患者采取綜合護(hù)理干預(yù)的方法，效果顯著，值得臨床推廣應(yīng)用。

【關(guān)鍵詞】 慢性腎小球腎炎； 綜合護(hù)理； 中醫(yī)護(hù)理； 人文護(hù)理； 舒適護(hù)理； 健康教育

Experience of Carrying out Comprehensive Nursing in 46 Patients with Chronic Glomerulonephritis/DONG Ming，XU Wei-wei，SUN Li-xin，et al.//Medical Innovation of China，2017，14（12）：097-100

【Abstract】 Objective：To explore the best nursing methods for patients with chronic glomerulonephritis.Method：92 patients with chronic glomerulonephritis in our hospital from July 2015 to December 2016 were selected，they were randomly divided into control group and observation group，46 cases in each group.The control group was taken with the traditional nursing method，the observation group received comprehensive nursing intervention，the renal function， psychological status， quality of life and rehabilitation effect of the two groups were compared.Result：After nursing，the patients with the BUN，SCr of observation group were higher than those in control group，BUN/SCr was lower than that in control group，the differences were statistically significant（P<0.05）.After nursing，the SAS and SDS scores of the observation group were lower than those of the control group，the differences were statistically significant（P<0.05）.After nursing，the physical function， psychological function，social function，physical status scores of observation group were higher than those in the control group，the differences were statistically significant（P<0.05）.After nursing，the total effective rate of the observation group was significantly higher than that of the control group，the difference was statistically significant（P<0.05）.Conclusion：Comprehensive nursing intervention for patients with chronic glomerulonephritis，the effect is significant，worthy of clinical application.

【Key words】 Chronic glomerulonephritis； Comprehensive nursing； Traditional Chinese medicine nursing； Humanistic nursing； Comfortable nursing； Health education

First-authors address：Hongqi Hospital Affiliated to Mudanjiang Medical University，Mudanjiang 157011，China

doi：10.3969/j.issn.1674-4985.2017.12.027

慢性腎小球炎簡(jiǎn)稱慢性腎炎，是我國(guó)的一種常見病和多發(fā)病，患者發(fā)病后，癥狀表現(xiàn)如水腫、高血壓、血尿及蛋白尿等[1-3]。隨著患者病情的惡化，腎功能隨之出現(xiàn)不同程度的減退，最終可發(fā)展為腎衰竭[4]，從而對(duì)患者的工作、生活甚至生命帶來巨大影響。由于受到目前醫(yī)療技術(shù)水平的制約，加之患者病情具有周期長(zhǎng)和易反復(fù)的特點(diǎn)，給患者的治療帶來巨大難度，很多患者的康復(fù)效果并不理想。為了進(jìn)一步提高患者的康復(fù)效果，本院對(duì)慢性腎小球腎炎患者采取綜合護(hù)理干預(yù)的方法，效果顯著，現(xiàn)報(bào)道如下。