Abstract:

Objective　To investigate the effect of the application of tracing nursing mode in the whole process management of empty-nest patients with abnormal uric acid living on minimum subsistence allowances. Methods　Seventy-two empty-nest patients with abnormal uric acid living on minimum subsistence allowances at Physical Examination Center, Guangzhou First People's Hospital were selected by the convenient sampling method from January 2018 to June 2019, including 45 males and 27 females; they were 48-77 (68.00±3.65) years old. They were intervened by tracing nursing mode, including health file establishment, regular diet and exercise guiding, body weight measurement, etc. Three months later, the nursing effect was comprehensively evaluated. ｔ and χ² tests were applied. Results　After the intervention, the patients' body mass index (BMI), waistline, and systolic and diastolic pressures were significantly lower after than before the intervention [(22.14±2.76) kg/m² vs. (25.92±3.23) kg/m², (87.14±10.92) cm vs. (90.91±11.19) cm, (131.34±17.88) mmHg (1 mmHg=0.133 kPa) vs. (135.23±18.48) mmHg, (77.23±8.86) mmHg vs. (82.42±9.07) mmHg], with statistical differences (t=7.55, 2.05, 4.07, and 3.47; all P<0.05). The serum uric acid (SUA) levels in the male and female patients were significantly lower after than before the intervention [(386.2±46.3) μmol/L vs. (440.8±55.9) μmol/L and (331.2±42.5) μmol/L vs. (380.6±51.7) μmol/L], with statistical differences (t=5.05 and 3.84; both P<0.05). The patients' satisfaction with the nursing work was higher after than before the intervention [100.00% vs. 83.33% (60/72)], with a statistical difference (χ²=3.78, P<0.05). Conclusion　Applying tracing nursing mode in the whole process nursing and management of empty-nest patients with abnormal uric acid living on minimum subsistence allowances can reduce SUA and change patients' lifestyle.

Key words:

Serum uric acid, Tracing nursing mode, Empty-nest patients living on minimum subsistence allowances, Nursing intervention

摘要：

目的　探讨追踪护理模式在低保空巢血尿酸异常患者全程管理中的应用效果。方法　采用便利抽样法对2018年1月至2019年6月广州市第一人民医院体检中心72例低保空巢血尿酸异常患者应用追踪护理模式进行干预（包括建立健康档案，定期进行饮食和运动指导、体质量测量指标的评估等），其中男性45例，女性27例，年龄48～77（68.00±3.65）岁，3个月后对追踪护理效果进行综合评价。统计学方法采用ｔ检验、χ²检验。结果　干预后，患者的体质量指数（BMI）、腰围、收缩压、舒张压与干预前比较均明显下降［（22.14±2.76）kg/m²比（25.92±3.23）kg/m²、（87.14±10.92）cm比（90.91±11.19）cm、（131.34±17.88）mmHg（1 mmHg=0.133 kPa）比（135.23±18.48）mmHg、（77.23±8.86）mmHg比（82.42±9.07）mmHg］，差异均有统计学意义（t=7.55、2.05、4.07、3.47，均P<0.05）。干预后男、女患者的血尿酸值与干预前对比下降明显［（386.2±46.3）μmol/L比（440.8±55.9）μmol/L、（331.2±42.5）μmol/L比（380.6±51.7）μmol/L］，差异均有统计学意义（t=5.05、3.84，均P<0.05）。干预后患者对护理工作的满意度达100.00%，与干预前［83.33%（60/72）］比较，差异有统计学意义（χ²=3.78，P<0.05）。结论　应用追踪护理模式对低保空巢血尿酸异常患者进行全程护理干预和追踪管理，可达到降低血尿酸值，改变患者生活方式的作用。

关键词:

血尿酸, 追踪护理模式, 低保空巢患者, 护理干预