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[目的]探讨PDCA管理结合全程健康教育在环磷酰胺冲击治疗狼疮肾炎病人中的应用。[方法]选取在本院应用环磷酰胺冲击治疗的80例狼疮性肾炎病人,根据随机数字表将病人分为观察组及对照组各40例,对照组治疗期间进行常规性随访管理,观察组治疗期间进行PDCA管理结合全程健康教育,随访时间为6个月。比较两组病人干预前后疾病管理能力、疾病知识评分及治疗效果。[结果]两组病人随访前疾病知识评分、自护行为评分比较差异无统计学意义(P>0.05),观察组随访3个月、6个月疾病知识评分、自护行为评分均高于对照组(P<0.05)。观察组随访3个月、6个月时血尿素氮(BUN)、肌酐(Scr)、24h尿蛋白定量较对照组均显著下降(P<0.05)。[结论]PDCA管理结合全程健康教育能有效提高环磷酰胺冲击治疗狼疮肾炎病人疾病管理能力及疾病知识水平(P<0.05),从而能有效改善病人肾功能,促进病人康复。
[Objective] To explore the application of PDCA management combined with whole-course health education in the treatment of patients with lupus nephritis treated with cyclophosphamide. [Methods] Eighty patients with lupus nephritis who were treated with cyclophosphamide in our hospital were divided into observation group (40 cases) and control group (40 cases) according to random number table. The control group received routine follow-up management during the treatment period. The observation group During the treatment of PDCA management combined with full health education, follow-up time was 6 months. The two groups of patients before and after treatment of disease management ability, disease knowledge score and treatment. [Results] There was no significant difference in scores of knowledge of disease and self-care behavior before follow-up in both groups (P> 0.05). The scores of knowledge of disease and self-care behavior in observation group were higher than those of control Group (P <0.05). The observation group was followed up for 3 months and 6 months. The blood urea nitrogen (BUN), creatinine (Scr) and urine protein in 24 hours were significantly lower than those in the control group (P <0.05). [Conclusion] PDCA combined with whole-course health education can effectively improve the ability of disease management and disease knowledge (P <0.05) of patients treated with cyclophosphamide against lupus nephritis, which can effectively improve renal function and promote patient’s recovery.