摘要目的 研究实施健康教育路径对降低肾病综合征患儿复发率的效果.方法 随机选取2013年6月—2015年6月在郑州市儿童医院肾脏科住院治疗的肾病综合征患儿102例,随机分为观察组和对照组,每组51例.对照组患儿接受常规健康教育,观察组在此基础上接受系统的健康教育路径,采用自制PNS健康教育效果评价调查问卷和患儿家属对PNS护理行为调查问卷调查患儿及其家属对疾病认知情况、患儿家属对PNS护理行为,并比较两组患儿的复发率.结果 两组均随访1年半,观察组患儿肾病综合征复发率33.3%,对照组74.5%,两组比较差异有统计学意义(χ2=7.58,P<0.05).结论 实施健康教育路径可以降低肾病综合征患儿的复发率.

abstractsObjective To explore the effect of health education pathway on reducing the recurrence rate in pediatric patients with nephrotic syndrome.Methods A total of 102 pediatric patients with nephrotic syndrome in nephrology department of Children's Hospital of Zhengzhou from June 2013 to June 2015 were selected and randomly divided into observation group (n=51, routine health education + systemic health education pathway) and control group (n=51, routine health education). The cognition on diseases of the pediatric patient and their parents along with the nursing behavior for PNS of their parents were investigated with the self-made PNS health education impact assessment questionnaire and the nursing behavior for PNS of the parent questionnaire. Moreover, the recurrence rate in pediatric patients was also compared between two groups.Results Followed up for one and a half years, the recurrence rate of nephrotic syndrome of pediatric patients was 33.3% in observation and 74.5% in control group with a significant difference (χ2=7.58,P<0.05). Conclusions The implementation of health education pathway can reduce the recurrence rate in pediatric patients with nephrotic syndrome.