Abstract:

Objective　To explore the effect of five "E" nursing mode on quality of life of patients with diabetic nephropathy. Methods　Fifty-four patients with diabetic nephropathy treated at Department of Nephrology, Guangzhou First People's Hospital from January to December 2020 were selected as a control group, and 55 patients with diabetic nephropathy treated at Department of Nephrology, Guangzhou First People's Hospital from January to December 2021 were selected as a research group. There were 30 males and 24 females in the control group; they were (56.54±10.15) years old. There were 33 males and 22 females in the research group; they were (58.85±10.04) years old. The control group used the conventional nursing methods, and the research group used the five "E" nursing mode (encouragement, education, exercise, work, and evaluation). Twelve months later, the scores of Short Form 36 (SF-36), Physical Component Summary (PCS), and Mental Component Summary (MCS) were compared between the two groups. t test was applied. Results　There were no statistical differenes in the scores of physical function, physical role, and body pain between the two groups (P>0.05). The scores of general health status, energy, social function, emotional function and mental health in the research group were higher than those in the control group [(59.86±18.05) vs. (50.48±22.70), (66.91±19.21) vs. (54.17±21.30), (70.46±32.40) vs. (51.85±36.38), (61.21±26.15) vs. (45.98±15.19), and (61.31±15.51) vs. (48.96±18.63)], with statistical differences (t=2.390, 3.280, 2.822, 2.948, and 3.764; all P<0.05). There was no statistical difference in the score of PCS between the two groups (P>0.05). The score of MCS in the research group was higher than that in the control group [(43.15±7.23) vs. (33.82±13.06)], with a statistical difference (t=4.625; P<0.05). Conclusion　The five "E" nursing mode can improve the quality of life of patients through five aspects of skills: encouragement, education, movement, work, and evaluation.

Key words:

Diabetic nephropathy, Five "E" nursing mode, Quality of life

摘要：

目的　分析5E护理模式对糖尿病肾病患者生活质量的影响。方法　选取2020年1月至12月在广州市第一人民医院肾病科就诊的糖尿病肾病患者54例作为对照组，另选取2021年1月至12月在广州市第一人民医院肾病科就诊的糖尿病肾病患者55例作为研究组。对照组男30例、女24例，年龄（56.54±10.15）岁，采用常规护理方法；研究组男33例、女22例，年龄（58.85±10.04）岁，应用5E护理模式中的鼓励、教育、运动、工作、评价5个方面的技巧。于12个月后采用生活质量量表（SF-36）进行效果评价，并对比两组患者躯体相关生活质量得分（PCS）及心理相关生活质量得分（MCS）。统计学方法采用t检验。结果　两组患者生理功能、生理职能、躯体疼痛评分比较，差异均无统计学意义（均P>0.05）；研究组一般健康状况、精力、社会功能、情感职能、精神健康评分均高于对照组［（59.86±18.05）分比（50.48±22.70）分、（66.91±19.21）分比（54.17±21.30）分、（70.46±32.40）分比（51.85±36.38）分、（61.21±26.15）分比（45.98±15.19）分、（61.31±15.51）分比（48.96±18.63）分］，差异均有统计学意义（t=2.390、3.280、2.822、2.948、3.764，均P<0.05）。两组患者PCS比较，差异无统计学意义（P>0.05）；研究组MCS高于对照组［（43.15±7.23）分比（33.82±13.06）分］，差异有统计学意义（t=4.625，P<0.05）。结论　5E护理模式可以通过鼓励、教育、运动、工作、评价5个方面的技巧提高患者生活质量。

关键词:

糖尿病肾病, 5E护理模式, 生活质量