CAJ | 학술논문

目的：探讨分析循证护理与个体化护理在妊娠合并狼疮肾炎（lupus nephritis，LN）患者中的应用效果。方法：收集妊娠合并LN患者65例，随机分为对照组31例，采用个体化护理方案；观察组34例应用循证护理方法。比较两组患者并发症、妊娠结局以及患者生活质量。结果：两组患者肾功能衰竭、妊高症、子痫、心衰、HELLP综合征等并发症发生率及妊娠结局均无显著差异（P＞0．05）。观察组的生理健康分数显著高于对照组（P＜0．05），对照组心理健康分数显著高于观察组（P＜0．05）；两组社会健康和整体健康分数无显著差异（P＞0．05）。结论：对妊娠合并LN患者实施循证护理和个体化护理，都能减少并发症的发生，降低早产、死胎的几率，提高患者对本病的认知及生活质量，但个体化护理在改善患者的心理健康方面效果较佳，而循证护理在改善患者的生理健康状况方面效果更佳。
목적：탐토분석순증호리여개체화호리재임신합병랑창신염（lupus nephritis，LN）환자중적응용효과。방법：수집임신합병LN환자65례，수궤분위대조조31례，채용개체화호리방안；관찰조34례응용순증호리방법。비교량조환자병발증、임신결국이급환자생활질량。결과：량조환자신공능쇠갈、임고증、자간、심쇠、HELLP종합정등병발증발생솔급임신결국균무현저차이（P＞0．05）。관찰조적생리건강분수현저고우대조조（P＜0．05），대조조심리건강분수현저고우관찰조（P＜0．05）；량조사회건강화정체건강분수무현저차이（P＞0．05）。결론：대임신합병LN환자실시순증호리화개체화호리，도능감소병발증적발생，강저조산、사태적궤솔，제고환자대본병적인지급생활질량，단개체화호리재개선환자적심리건강방면효과교가，이순증호리재개선환자적생리건강상황방면효과경가。
Objective To investigate the application effect of evidence-based nursing and individual nurs-ing in pregnancy patients with lupus nephritis. Methods Sixty-five patients were randomly divided into control group and observation group. They were treated with routine care and evidence-based nursing respectively. The complications, pregnancy outcome and satisfaction of patients were compared between the two groups. Results There were not significant difference in renal failure , pregnancy induced hypertension , ecalampsia , heart failure , HELLP syndrome and other complications between observation group and normal group (P > 0.05). The pregnan-cy outcome had no significant difference between two groups (P > 0.05). In observation group, the health score was significantly higher than that of control group(P < 0.05). The mental health score in control group was sig-nificantly higher than that of observation group (P < 0.05). There werenot significant difference in social health and overall health score between the two groups (P > 0.05). Conclusion The application of evidence-based nursing and individual nursing in pregnancy patients with LN not only reduce the incidence of complications , but also reduce the chance of premature birth, stillbirth. And it could improve the cognition on the nursing work of this disease and the satisfaction of patients. But individual nursing is better in improving the patient′s mental health, while the evidence-based nursing is better in improving the health status.