针对性护理对慢性肾炎病人自我效能及遵医行为的影响.docVIP

精品论文 参考文献 针对性护理对慢性肾炎病人自我效能及遵医行为的影响 黑龙江省铁力市人民医院 黑龙江铁力 152500 摘要：目的：探讨针对性护理对慢性肾炎病人自我效能及遵医行为产生的影响。方法：选取我院60例慢性肾炎病人进行随机分组，对照组与观察组各30例，对照组采用常规护理，观察组采用针对性护理。干预前及干预后3个月对病人进行自我效能及遵医行为评价，比较两组病人的护理干预效果。结果：观察组病人自我效能感量表评分高于对照组；观察组病人医嘱行为评分低于对照组；评分越低，显示遵医行为越好。而总有效率观察组高于对照组达到100%（P＜0.05）。结论：针对性护理能够提高慢性肾炎病人的自我效能，改善病人在滥用药、限盐、不擅自停药方面的遵医行为。 关键词：慢性肾炎；自我效能；遵医行为；针对性护理 Effect of nursing care on self efficacy and compliance behavior of patients with chronic glomerulonephritis Shen Chunying the peoples Hospital of Heilongjiang Province，Tieli City，Heilongjiang Tieli 152500 [Abstract]Objective：To explore the effect of nursing intervention on self efficacy and compliance behavior of patients with chronic glomerulonephritis.Methods：60 cases of chronic nephritis patients were randomly divided into control group and observation group of 30 cases，the control group using conventional care，the observation group using targeted care.Before the intervention and 3 months after the intervention，the patients self efficacy and compliance behavior were evaluated，and the effect of nursing intervention was compared between the two groups.Results：the scores of self efficacy scale of observation group were higher than that of control group，the observation group was lower than that of control group，the lower the score，the better the compliance behavior.While the total efficiency of the observation group was 100% higher than that of the control group（P lt; 0.05）.Conclusion：the targeted nursing can improve the self efficacy of patients with chronic glomerulonephritis，and improve the compliance behavior of patients in drug abuse，limited salt，and not without authorization. [Key words]chronic nephritis；self efficacy；compliance behavior；nursing care 慢性肾炎是指各种病因引起的不同病理类型的双侧肾??球弥漫性或局灶性炎症改变的一组原发性肾小球疾病的总称。临床特点表现为病程长久、发展缓慢、症状忽轻忽重，多出现一个无症状尿检异常期，随后出现不同程度的水肿、蛋白尿、镜下血尿，时常伴有高血压或氮质血症，及进行性加重的肾功能损害[1]。在治疗的过程当中患者易产生多种心理问题，为解除患者疾病困扰，有必要采取有效的护理干预，促使病人能够早日康复。现将我院2015年至2016年间收治的60例慢性肾炎患者进行分组护理，并进行自我效能及遵医行为评价，具体内容如下：