中西医结合延续性护理模式对肾病综合征患者复发率的影响

The Impact of Integrated Traditional Chinese and Western Medicine Continuity Nursing Model on the Recurrence Rate of Nephrotic Syndrome Patients

摘要: 目的：探讨中西医结合延续性护理模式对肾病综合征患者复发率的影响，并评价其对患者生活质量和复发时间的改善效果。方法：选取2022年1月1日至2023年12月31日期间在某三级甲等医院肾内科出院的肾病综合征患者200例，采用随机数字表法分为对照组和观察组各100例。对照组实施常规延续性护理，观察组在此基础上接受中西医结合延续性护理干预。随访时间为12个月，主要观察指标包括复发率、累计复发次数、首次复发时间、再次住院率及生活质量评分(SF-36)。统计分析采用SPSS 26.0软件进行，组间比较采用t检验和χ²检验，复发时间分析采用Kaplan-Meier法。结果：12个月内，观察组复发率为18.0%，低于对照组的35.0% (P = 0.007)；观察组累计复发次数为22次，明显少于对照组的52次(P = 0.002)；观察组平均首次复发时间为6.8 ± 1.6个月，显著长于对照组的4.2 ± 1.1个月(P < 0.001)；再次住院率观察组为8.0%，低于对照组的18.0% (P = 0.030)；SF-36评分观察组为70.1 ± 6.9分，高于对照组的62.4 ± 7.8分(P = 0.000)。结论：中西医结合延续性护理模式可有效降低肾病综合征患者的复发率与再住院率，延长复发时间，提高生活质量，值得在临床推广和应用。

Abstract: Objective: To investigate the impact of an integrated traditional Chinese and Western medicine continuity nursing model on the recurrence rate of patients with nephrotic syndrome, and to evaluate its effectiveness in improving quality of life and prolonging recurrence time. Method: A total of 200 patients with nephrotic syndrome discharged from the nephrology department of a tertiary hospital between January 1, 2022, and December 31, 2023, were enrolled and randomly assigned to either the control group or the observation group (100 cases each) using a random number table. The control group received routine continuity care, while the observation group was given integrated traditional Chinese and Western medicine continuity care. The follow-up period was 12 months. Main observation indicators included recurrence rate, cumulative recurrence frequency, time to first recurrence, readmission rate, and quality of life score (SF-36). Statistical analysis was performed with SPSS 26.0 software. Group comparisons were conducted using the t-test and χ² test, and recurrence time was analyzed using the Kaplan-Meier method. Result: Within 12 months, the recurrence rate in the observation group was 18.0%, significantly lower than 35.0% in the control group (P = 0.007). The cumulative recurrence frequency was 22 in the observation group, markedly fewer than 52 in the control group (P = 0.002). The mean time to first recurrence was 6.8 ± 1.6 months in the observation group, significantly longer than 4.2 ± 1.1 months in the control group (P < 0.001). The readmission rate was 8.0% in the observation group, lower than 18.0% in the control group (P = 0.030). The SF-36 score was 70.1 ± 6.9 in the observation group, higher than 62.4 ± 7.8 in the control group (P = 0.000). Conclusion: The integrated traditional Chinese and Western medicine continuity nursing model can effectively reduce recurrence and readmission rates in patients with nephrotic syndrome, prolong recurrence time, and improve quality of life, showing significant potential for clinical promotion and application.