Liu Shengting, Bao Saijun, Ma Yan
Altern Ther Health Med. 2024 Jun 14.
Hyponatremia is one of the main types of complications of primary nephrotic syndrome in children, which can cause significant damage to the patient's nervous system and can lead to death or shock if not intervened early. In addition, patients are relatively young and often need to pay attention to the nursing cooperation of various key points in order to achieve ideal clinical treatment effects. To analyze the key points of nursing cooperation and the implementation effects of primary nephrotic syndrome in children complicated with hyponatremia.
A retrospective analysis of 100 children with primary nephrotic syndrome complicated with hyponatremia admitted to our Hospital from January 2018 to November 2022 was conducted as the study objects. They were divided into a control and observation groups, with 50 cases each. Among them, the control group received routine nursing, while the observation group paid attention to various key points of nursing cooperation. This includes paying close attention to changes in plasma osmotic pressure, blood sodium, and electrocardiogram indicators, being alert to the above situations, and taking appropriate treatment measures in a timely manner; nursing staff need to guide family members to cooperate in alleviating clinical related symptoms, guide family members to avoid giving children irritating foods, and control the intake of sodium chloride. Guide parents to adjust their clothing and keep their skin dry and clean. Guide parents to provide psychological support for children and other key points of nursing cooperation. After different nursing measures were taken for the two groups, the scores of Quality of Life Core Questionnaire Scale related to patients after nursing, renal functions after nursing, and coagulation function indicators after nursing of the two groups were evaluated. Simultaneously compare the nursing efficacy, incidence of adverse reactions, and overall satisfaction rate of their family members between the two groups.
The scores of the core questionnaire scale of quality of life after nursing (physical function, emotional function, cognitive function, social function), coagulation function indexes after nursing (prothrombin time, activated partial thromboplastin), nursing efficacy, and the total satisfaction rate of patients' families were compared between the two groups. The observation group was higher than the control group (P < .05). The renal function indexes after nursing (serum creatinine, urea nitrogen, α1-microglobulin, 24h urine protein quantitative) and the incidence of adverse reactions (gastrointestinal discomfort, hypoglycemia, abnormal liver function) were compared between the two groups. The observation group was lower than the control group (P < .05).
As an auxiliary treatment intervention measure, the clinical effects obtained from the practice of nursing cooperation of each key point and the support of family members provide important strategic guidance for the selection of nursing strategies for children with primary nephrotic syndrome and hyponatremia. Such potential improvements have greatly promoted the improvement of the quality and efficiency of the entire department of pediatric nephrology and nursing, and are worthy of clinical promotion. That is, the focus of nursing cooperation should pay attention to the key points of nursing cooperation for children with primary nephrotic syndrome and hyponatremia to improve the quality of life of patients. Future studies can explore the universality of the application effect of relevant nursing points in other children.
低钠血症是儿童原发性肾病综合征的主要并发症类型之一，可对患者神经系统造成严重损害，若不及早干预可导致死亡或休克。此外，患者年龄较小，常需注重各关键点的护理配合，以取得理想的临床治疗效果。分析儿童原发性肾病综合征合并低钠血症护理配合的关键点及实施效果。
回顾性分析2018年1月至2022年11月我院收治的100例原发性肾病综合征合并低钠血症患儿作为研究对象。将其分为对照组和观察组，每组50例。其中，对照组接受常规护理，观察组注重护理配合的各关键点。这包括密切关注血浆渗透压、血钠及心电图指标变化，警惕上述情况并及时采取恰当治疗措施；护理人员需指导家属配合缓解临床相关症状，指导家属避免给患儿食用刺激性食物，控制氯化钠摄入量。指导家长调整患儿衣物，保持皮肤干爽清洁。指导家长为患儿提供心理支持等护理配合关键点。对两组采取不同护理措施后，评估两组患儿护理后生活质量核心问卷量表得分、护理后肾功能及护理后凝血功能指标。同时比较两组的护理疗效、不良反应发生率及家属总体满意率。
比较两组护理后生活质量核心问卷量表得分（生理功能、情感功能、认知功能、社会功能）、护理后凝血功能指标（凝血酶原时间、活化部分凝血活酶时间）、护理疗效及患儿家属总体满意率。观察组高于对照组（P<0.05）。比较两组护理后肾功能指标（血清肌酐、尿素氮、α1-微球蛋白、24小时尿蛋白定量）及不良反应发生率（胃肠道不适、低血糖、肝功能异常）。观察组低于对照组（P<0.05）。
作为辅助治疗干预措施，各关键点护理配合实践及家属支持所取得的临床效果，为原发性肾病综合征合并低钠血症患儿护理策略的选择提供重要的策略指导。这种潜在的改善极大地促进了小儿肾病科及护理整体质量和效率的提升，值得临床推广。即护理配合重点应关注原发性肾病综合征合并低钠血症患儿护理配合关键点，以提高患者生活质量。未来研究可探索相关护理要点在其他患儿中应用效果的普遍性。
