论文部分内容阅读
目的探讨病程日记对肾病综合征患者实施慢性病自我管理的效果。方法将100例肾病综合征患者随机分成两组,实验组(50例):入院时即教会和指导患者用课题组设计的病程日记本进行各项指标的记录并配合常规治疗及健康教育,嘱患者继续作病程日记,每2~4周复诊1次;对照组(50例):入院时按常规治疗及健康教育,出院时予常规出院指导,嘱患者每2~4周复诊1次。结果与对照组相比,实验组患者对各种指标如尿量、蛋白尿、体重、血压、肾功能、激素及免疫抑制剂的用法用量等掌握较好,复诊率明显增加(P<0.01)。结论采用病程日记对肾病综合征患者实施慢性病自我管理,可有效地将传统的被动式医学服务模式转变为以患者为中心的共同参与型的现代医学模式,且简便、价廉、效果好。
Objective To investigate the effect of chronic diary on chronic disease self-management in patients with nephrotic syndrome. Methods One hundred patients with nephrotic syndrome were randomly divided into two groups. The experimental group (50 cases): the church and the guiding patients were admitted to the hospital with the course diary designed by the research group to record the indexes and cooperate with the conventional treatment and health education The patient continued to make diary of the course of disease, and the patients were referred to the hospital every 2 to 4 weeks. The control group (50 cases) was given routine treatment and health education on admission. The patients were given regular discharge instructions at discharge, and the patients were referred for treatment once every 2 to 4 weeks. Results Compared with the control group, the patients in the experimental group had better grasp of various indexes such as urine output, proteinuria, body weight, blood pressure, renal function, usage of hormones and immunosuppressive agents, and the referral rate was significantly increased (P <0.01) . Conclusions The use of diary of course duration to manage chronic nephrotic syndrome in patients with nephrotic syndrome can effectively transform the traditional passive medical service model into a participatory, modern patient-centered medical model, which is simple, inexpensive and effective.