摘要
目的探讨目标管理理论的针对性护理干预在肾病综合征(NS)患儿中的应用效果。方法选取我院NS患儿201例,按照随机数字表法分成两组,对照组100例患儿实施常规护理干预,观察组101例患儿于常规护理基础上实施目标管理理论的针对性护理干预。比较两组患儿干预前后自我效能(GSES)评分、负性心理情绪、韧性程度(CICRS)评分变化情况,并统计两组遵医行为、并发症发生率及家属对护理工作的满意度。结果干预后两组患儿GSES评分均高于干预前,且观察组患儿干预后GSES评分高于对照组(P<0. 05);干预后观察组患儿SAS及SDS评分低于对照组,CICRS评分高于对照组(P <0. 05);观察组患儿总遵医率为98. 02%(99/101),高于对照组80. 00%(80/100)(P<0. 05);观察组患儿并发症发生率为1. 98%(2/101),低于对照组10. 00%(10/100)(P<0. 05);观察组家属对护理工作满意度为99. 01%(100/101),高于对照组82. 00%(82/100)(P<0. 05)。结论目标管理理论下的针对性护理干预可改善NS患儿心理状态,提高其自我效能、遵医行为及韧性,可降低患儿相关并发症发生率,且家属对护理工作满意度高。
Objective To study the application effect of targeted nursing intervention based on objective management theory in children with nephrotic syndrome（ NS）. Methods 201 cases of children with NS in our hospital were divided into groups according to the random number table method,100 cases in the control group were treated with routine nursing intervention,and 101 cases in the observation group were treated with targeted nursing intervention based on objective management theory on the basis of routine nursing. The changes of self-efficacy（ GSES） score,negative psychological emotion[depression,self rating anxiety scale（ SDS,SAS） ]and toughness（ CICRS） score before and after the intervention were compared between the two groups. The compliance behaviors,the incidence of complications and the satisfaction degree of family members to nursing work in two groups were also statistically analyzed. Results After intervention,the GSES scores of the two groups were all higher than those before intervention,and the GSES score of the observation group was higher than that of the control group（ P〈0.05）. After intervention,the scores of SAS and SDS in the observation group were lower than those in the control group,and the CICRS score was higher than that in the control group（ P〈0.05）. The total compliance rate in the observation group was 98.02%（ 99/101）,higher than that in the control group 80%（ 80/100）（ P〈0.05）.The complication rate in the observation group was 1.98%（ 2/101）,lower than that in the control group 10%（ 10/100）（ P〈0.05）. The satisfaction rate of nursing staff in the observation group was 99.01%（ 100/101）,higher than that in the control group 82%（ 82/100）（ P〈0.05）. Conclusion Targeted nursing intervention based on objective management theory can improve the mental state of NS children,their self-efficacy,compliance and toughness,and reduce the incidence of related complications. The family members have high satisfaction with the nursing work.
作者
王秀丽
Wang Xiuli(The First Affiliated Hospital of Xinjiang Medical University,Xinjiang Urumchi 830011)
出处
《护士进修杂志》
2018年第23期2125-2129,共5页
Journal of Nurses Training
关键词
肾病综合征
儿童
目标管理理论
护理干预
自我效能
韧性
遵医行为
Nephrotic syndrome
Children
Objective management theory
Nursing intervention
Self-efficacy
Toughness
Compliance behavior
