协议护理对肾病综合征患者治疗依从性的影响

目的：通过协议护理模式，提高肾病综合征患者治疗行为的依从性，达到有效控制病情复发的目的。方法：对确诊的120例住院患者随机分为协议护理组（下称强化组）和常规组各60例，强化组采用协议护理模式，协定健康教育的方式和内容，且把协议随访延续至出院；常规组采用常规护理健康教育、电话询问和门诊询问的方式随访。评价两组患者住院期间和出院后3个月治疗行为的依从性、疾病知识了解程度及再次入院率。结果：两组患者比较住院期间激素治疗依从性无差异（P＞0．05），出院后3个月治疗行为依从性和住院期间疾病知识了解程度有显著性差异（P＜0．05），强化组再次入院率均明显低于常规组（P＜0．05）。结论：通过协议护理模式可促进患者规范治疗，提高治疗行为的依从性，改善生活质量，达到有效控制病情复发的目的。

Influence of Protocol Nursing on Treatment Compliance of Patients with Nephrotic Syndrome

Objective ：The protocol nursing mode ,to improve the compliance behavior of patients with nephrotic syn-drome ,to effectively control the disease recurrence of the objective .Methods ：A total of 120 cases of hospitalized pa-tients were randomly divided into nursing group （hereinafter referred to as strengthening protocol group ） and the con-ventional group 60 cases ,strengthen the group using the protocol nursing mode ,method and content of health educa-tion of the agreement ,the protocol followed until discharge ;routine treatment group was treated with routine nursing health education ,follow up telephone and outpatient inquiry method .Evaluation of two groups of patients during hospi-talization and 3 months after discharge treatment compliance ,the degree of knowledge about disease and readmission rate .Results：Two groups of patients during hospitalization hormone treatment compliance no difference （P〉0 .05） ,3 months after discharge treatment compliance and there were significant differences in understanding the degree of knowledge of disease （P〈0 .05） during the ,strengthen the group hospital readmission rates were significantly lower than the control group （P〈0 .05） .Conclusion：The protocol nursing mode can promote the patient standard treatment , improve the treatment compliance behavior ,to improve the quality of life ,to effectively control the disease recurrence .