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Published on: July 3, 2013
The status and model of children primary nephrotic syndrome in continuing nursing
Feng Xia Li1, Ya Li Hou2, Li Sha Zhou1
1Department of Pediatric Nephropathy and Rheumatism Immunology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, China; Department of Pediatric Nephropathy and Rheumatism Immunology, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, China.
Insights
A new transitional care model was developed for children with primary nephrotic syndrome (PNS). This model offers continuous, efficient nursing care to address the complex health needs of pediatric patients beyond hospitalization.
Area of Science:
- Pediatric Nephrology
- Nursing Science
- Healthcare Management
Background:
- Nephrotic syndrome (NS) is a prevalent glomerular disease in children.
- Hospitalization alone is insufficient for addressing the holistic health needs of pediatric NS patients.
- Continuing care models offer potential for enhanced patient management.
Purpose of the Study:
- To construct a continuing nursing model for pediatric primary nephrotic syndrome (PNS).
- To provide theoretical support for implementing and developing continuing nursing for children with PNS and chronic diseases.
Main Methods:
- The Delphi method was employed over two rounds of correspondence to refine the transitional care model for pediatric PNS.
- Key components included personnel composition, role responsibilities, work content, and evaluation metrics.
Main Results:
- A transitional care model for children with PNS was successfully established.
- Expert consensus was high, indicated by a judgment coefficient of 0.84, familiarity of 0.76, and authority of 0.80.
- The model demonstrated statistical validity with low coefficients of variation and significant coordination (P<0.01).
Conclusions:
- Experts exhibited strong motivation, high authority, and consistent opinions, validating the model's development.
- The constructed transitional care model for pediatric PNS is scientifically feasible and recommended for implementation.
Background:
Nephrotic syndrome (NS) is a common glomerular disease in children. Nursing during hospitalization alone cannot solve the psychological, physiological and social health problems of children. Continuing care models may provide patients with more continuous and efficient care services. Therefore, the present study aimed to provide theoretical support for the implementation and development of children's primary nephrotic syndrome (PNS) and children's chronic disease continuing nursing through the construction of a children's PNS continuing nursing model.
Methods:
Each item of the transitional care model for children with PNS was demonstrated using the Delphi method for two rounds of correspondence. The main items included four components: the composition of personnel, the responsibilities of each member, the content of work, and the evaluation indicators.
Results:
A transitional care model for children with PNS was formed. The expert judgment coefficient of two rounds of correspondence was 0.84, the familiarity degree coefficient was 0.76, the authority degree coefficient was 0.80, the coefficient of variation was between 0.02 and 0.23, and the coordination coefficient was 0.458 and 0.327, respectively (P<0.01).
Conclusions:
The experts in the present research were highly motivated, had a high degree of authority, and presented consistent opinions. Hence, the construction of a transitional care model for children with PNS is scientifically feasible.
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