急性肾盂肾炎患者实施心理护理的效果评估分析.docVIP

急性肾盂肾炎患者实施心理护理的效果评估分析 　　[摘要] 目的 探讨心理护理在急性肾盂肾炎患者中的应用效果。方法 整群选取2013年1月―2015年1月该院收治的急性肾盂肾炎患者96例，随机分为观察组与对照组，每组48例。两组均实施常规综合药物治疗，对照组实施常规护理，观察组在对照组的加强心理护理，对比两组的临床疗效与护理效果。结果 观察组的治愈率及总有效率分别为70.83%、95.83%，高于对照组的60.42%、89.58%，但差异无统计学意义（P0.05）；观察组的住院时间为（15.32±6.24）d，相比于对照组的（21.43±8.32）d显著缩短（P中国论文网 /6/view-7159714.htm 　　[关键词] 急性肾盂肾炎；临床护理；心理护理 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2015）10（a）-0167-03 　　Effects of Psychological Care on Patients with Acute Pyelonephritis 　　LI Hai-qin 　　Nephrology Department， Hainan Nongken Nada Hospital， Danzhou， Hainan Province， 521700 China 　　[Abstract] Objective To investigate the effects of psychological nursing on patients with acute pyelonephritis. Methods 96 patients with acute pyelonephritis admitted in our hospital from January 2013 to January 2015 were randomly divided into observation group and control group， 48 cases in each group. Both groups were treated by the conventional and comprehensive medication. The control group received usual care， the observation group received psychological care on the basis of usual care. And the clinical effect and nursing efficacy of the two groups were compared. Results The cure rate was higher in the observation group than that in the control group（70.83% vs 60.42%）， but the difference was not statistically significant（P0.05）； the overall response rate was higher in the observation group than that in the control group（95.83% vs 89.58%）， but the difference was not statistically significant（P0.05）. The length of stay was much shorter in the observation group than that in the control group[（15.32±6.24）d vs （21.43±8.32）d]， （P 　　1 资料与方法 　　1.1 一般资料 　　整群选取该院肾内科住院治疗的急性肾盂肾炎患者96例，均伴有发热、寒战、头痛、乏力、腰背疼痛以及恶心呕吐等典型症状，均经尿常规检查显示清洁中段尿细胞培养呈阳性，白细胞镜检显示高倍视野下计数10个/Hp。患者均对该研究内容知情并同意，排除肾盂改变、肾囊肿以及肾功能损害者。患者随机分为观察组与对照组，48例每组。观察组中，男22例，女26例，年龄24-53岁，平均（34.69±2.31）岁；体温38.5～39.9 ℃，平均为（39.01±0.23）℃。对照组中，男21例，女27例，年龄21～50岁，平均（33.84±2.45）岁；体温38.2～39.8 ℃，平均为（38.95±0.25）℃。两组的年龄、性别构成与体温等差异无统计学意义（P0.05）。 　　1.2 治疗方法 　　两组均予以常规药物