The Application of Seamless Nursing to Patients with Nephrotic Syndrome

Yingxue Zhong,Qingqing Zhai

doi:10.11648/j.ajns.20200904.13

Abstract

Objective: To assess the application of seamless nursing to patients with nephrotic syndrome. Methods: 88 nephrotic syndrome patients agree to join our study, they were diagnosed as nephrotic syndrome in the hospital from May 2018 to October 2019. The participants were randomly assigned the participants to two groups, that include control group (n = 44) and intervention group (n = 44). We provide conventional nursing service to the control group participants in the treatment process. Also, intervention group participants receive seamless nursing services. Our researchers collected anxiety information and depression information by questionnaires which include Self-Rating Anxiety Scale (SAS) and Self-rating depression scale (SDS). In addition, we collect the information was associated with participants characteristics from hospital database and participant satisfaction of satisfaction questionnaire. Result: In depression- and anxiety- research result, the two groups have similar assessment result in SAS and SDS of before the nursing, they are not statistical significance. However, the result of after the nursing is different in SDS and SAS. The intervention group participants have better performance in SAS and SDS result (34.21±1.26 vs 44.21±3.83, 32.37±2.81 vs 46.51±5.7). In patient satisfaction research, all participants have good satisfaction assessment for nursing service (95.5% & 77.3%). But intervention group has obviously improvement in our research result. In intervention group assessment, most assessment are very well (n = 24). Conclusion: The seamless nursing has strongly improvement to depression and anxiety of patient, and patient satisfaction.

Highlights

One of the best-known manifestations of kidney disease is nephrotic syndrome (NS), its primarily feature contains heavy albuminuria with hypoalbuminaemia, hyperlipidaemia and peripheral oedema [1]
We provide conventional nursing service to the control group participants in the treatment process
Nephrotic syndrome is a clinical condition characterized by massive proteinuria, hypoalbuminemia, and edema, with or without hyperlipidemia [16]

Summary

Introduction

One of the best-known manifestations of kidney disease is nephrotic syndrome (NS), its primarily feature contains heavy albuminuria with hypoalbuminaemia, hyperlipidaemia and peripheral oedema [1]. Its disease characteristics is abnormal levels of plasma triglycerides, cholesterol, and lipoproteins, including very low-density, low-density, and high-density lipo-proteins. They are risk factors for cardiovascular and renal diseases [4,5,6]. Nurses play a key role in healthcare delivery, they had pivotal role in treatment process, that include the provision and coordination of care, prevention of adverse events, and optimization of health service productivity and patient outcomes [10]. Nurses had quality- and safety- responsibilities, it need to the provision of safe care that is aligned with best evidence and clinical standards and need to participation in broader. This study’s aim is discussing application of seamless nursing to patients with nephrotic syndrome

Participants Enrollment and Survey Methods

Result

Findings

Discussion and Conclusion