Snyder希望理论下综合护理在肾病综合征患儿中的应用

目的 探讨Snyder希望理论下综合护理在肾病综合征患儿心理弹性、自我管理能力、希望水平中的价值。方法 选取2021年1月至2022年6月在浙江大学医学院附属第二医院临平院区儿科收治的肾病综合征患儿80例作为研究对象，按照信封法随机分为两组，其中接受常规护理的40例患儿纳入对照组，接受Snyder希望理论下综合护理干预的40例患儿纳入研究组，两组护理周期均为患儿入院至出院前，对比分析两组患儿的护理效果。结果 干预后，两组患者各项评分对比均上升。组间比较，研究组患儿干预后心理弹性量表（connor-davidson resilience scale，CD-RISC）各项评分均高于对照组（P<0.05）；研究组患儿干预后自我管理行为量表各项评分均高于对照组（P<0.05）；研究组患儿干预后Herth希望量表（Herth hope index，HHI）各项评分均高于对照组患儿（P<0.05）。结论 肾病综合征患儿治疗期间，接受Snyder希望理论下综合护理可减轻患儿对自我疾病的精神心理负担，提升患儿心理弹性，培养自我管理能力，提高患儿希望水平，促进康复。

Application of comprehensive nursing based on Snyder theory of hope in children with nephrotic syndrome

Objective To explore the value of comprehensive nursing based on Snyder theory of hope in the psychological resilience, self-management ability and hope level of children with nephrotic syndrome. Methods A total of 80 children with nephrotic syndrome who were admitted to the Department of Pediatrics, Linping District, the Second Affiliated Hospital of Zhejiang University School of Medicine from January 2021 to June 2022 were selected as the research subjects. According to the envelope method, they were randomly divided into two groups: 40 children in the control group received routine care, and 40 children in the research group received comprehensive nursing intervention based on Snyder theory of hope. The nursing cycle of two groups were from admission to discharge, and the nursing effect of the two groups was compared and analyzed. Results After intervention, the connor-davidson resilience scale (CD-RISC) of children in the study group were higher than those in the control group (P<0.05). The scores of self-management behavior scale in the study group were higher than those in the control group (P<0.05). The scores of Herth hope index (HHI) scale in the study group were higher than those in the control group after intervention (P<0.05). Conclusion During the treatment of children with nephrotic syndrome, comprehensive nursing based on Snyder theory of hope can reduce their mental and psychological burden of self-disease, improve their mental resilience, cultivate their self-management ability, improve their hope level and promote recovery.