Effect of extended home care on nursing compliance and quality of life in children with nephrotic syndrome

Abstract

Background: Nephrotic syndrome is characterized by a prolonged course, easy recurrence, multiple comorbidities and difficult care. Children with nephrotic syndrome have good compliance during hospitalization due to medical supervision, but often fail to implement care plans well after discharge. Objective: To investigate the effect of continuous home care on nursing compliance, immune function and quality of life of children with nephrotic syndrome. Methods: Ninety-eight cases of discharged children with nephrotic syndrome admitted to our hospital from January 2020 to January 2023 were selected for retrospective analysis. The children were divided into 54 cases in the observation group and 54 cases in the comparison group according to the different nursing programs. The observation group used the continuous home care model for the assessment of nursing problems, care and effect evaluation, while the comparison group used the conventional pre-discharge health education and regular telephone follow-up after discharge. The children in both groups were compared in terms of nursing care compliance, immune function and quality of life. Results: The compliance rate of diet, fluid intake, medication, dialysis regimen, daily life, and exercise was higher in the observation group than in the control group, and the difference was statistically significant (P<0.05). The observation group had higher disease cognitive ability, disease-related behaviors, beliefs about the disease and overall scores than the control group after care, and the difference was statistically significant (P<0.05). The quality-of-life index scores of children in both groups were higher than those before care, and the scores of behavioral ability, physical function, psychological function and social function of children in the observation group were higher than those in the control group after care, and the difference was statistically significant (P<0.05). Conclusion: Continuing home care for children with nephrotic syndrome can effectively improve the satisfaction level of children's quality of life, especially in family life, self-awareness and compliance with care.