CAJ | 학술논문

目的探讨对狼疮性肾炎患者实施分级管理和护理干预的效果.方法对86例狼疮性肾炎患者实施分级管理和护理干预,采用自制“狼疮性肾炎患者自我管理行为问卷”,包括保持良好的生活习惯、自我处置药物行为、自我监控症状行为、心理自我调整行为、出现新问题及时处理和定期随访6个项目,评价干预前后患者的自我管理能力.问卷的Cronbach's α系数为0.641.结果分级管理和护理干预10个月后狼疮性肾炎患者自我管理行为总分为(8.13±0.96)分,干预前为(7.35 ±0.86)分,差异有统计学意义(t=5.786,P＜0.01),问卷6个项目均分干预前后比较,差异均有统计学意义(P＜0.01).结论分级管理和护理干预可以提高狼疮性肾炎患者的自我管理能力.
목적 탐토대랑창성신염환자실시분급관리화호리간예적효과.방법 대86례랑창성신염환자실시분급관리화호리간예,채용자제“랑창성신염환자자아관리행위문권”,포괄보지량호적생활습관、자아처치약물행위、자아감공증상행위、심리자아조정행위、출현신문제급시처리화정기수방6개항목,평개간예전후환자적자아관리능력.문권적Cronbach's α계수위0.641.결과 분급관리화호리간예10개월후랑창성신염환자자아관리행위총분위(8.13±0.96)분,간예전위(7.35 ±0.86)분,차이유통계학의의(t=5.786,P＜0.01),문권6개항목균분간예전후비교,차이균유통계학의의(P＜0.01).결론 분급관리화호리간예가이제고랑창성신염환자적자아관리능력.
Objective To explore the effect of hierarchical management and nursing intervention on lupus nephritis disease patients.Methods Eighty-six cases of lupus nephritis patients involving hierarchical management and nursing intervention were studied to show the effects in good habits maintaining,self drug monitoring,self symptom monitoring,psychological adjustment,new problems handling and regular follow-up.The Cronbach's α coefficient of questionnaire was 0.641.Results The total score of self management in lupus nephritis patients was (8.13 ± 0.96) ten months after hierarchical management and nursing intervention,and (7.35 ±0.86) before intervention,and the difference was statistically significant (t =5.786,P ＜0.01).The averages of six items in questionnaire were respectively compared before and after intervention,and the differences were statistically significant (P ＜ 0.01).Conclusions Hierarchical management and nursing intervention can improve the self management ability of lupus nephritis disease patients.