To Observe the Effect of Progressive Rehabilitation Intervention Under 5e Concept on Self-management and Sleep Quality of Patients with Diabetic Nephropathy and Hemodialysis
To Observe the Effect of Progressive Rehabilitation Intervention Under 5e Concept on Self-management and Sleep Quality of Patients with Diabetic Nephropathy and Hemodialysis
陈惠玲 1孙凌云 1黄宝英2
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作者信息
1. 福建省泉州第一医院,泉州,362000
2. 厦门市仙岳医院,厦门,361000
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摘要
目的:分析5E理念下渐进性康复干预在糖尿病肾病(DN)血液透析患者中的应用效果.方法:选取2023年1-12月福建省泉州第一医院收治的维持性血液透析(MHD)的DN患者110例作为研究对象,按照随机数字表法分为对照组和观察组,每组55例.对照组给予常规治疗护理干预,观察组给予5E理念下渐进性康复干预.比较2组患者干预前与12周后空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)水平的差异,采用血液透析患者自我管理量表评估2组患者的自我管理能力,采用阿森斯失眠量表(AIS)比较2组患者干预前后睡眠障碍的发生情况.结果:干预后,观察组12周后血液透析患者自我管理量表评分高于对照组,空腹血糖(FPG)、餐后2 h血糖(2 h PG)及糖化血红蛋白水平(HbA1c)显著低于对照组,差异均有统计学意义(均P＜0.05).结论:5E理念下渐进性康复干预可提升DN血液透析患者自我管理能力与血糖控制效果,减少睡眠障碍的发生,值得临床推广应用.
Abstract
Objective:To analyze the application effect of progressive rehabilitation intervention under 5E concept in hemodialysis patients with diabetic nephropathy(DN).Methods:A total of 110 DN patients with maintenance hemodialysis(MHD)admitted to Quanzhou First Hospital of Fujian Province from January to December 2023 were selected as research objects,and were divided into control group and observation group according to random number table method,with 55 cases in each group.The control group was given routine treatment and nursing intervention,and the observation group was given progressive rehabilitation intervention under the 5E concept.fasting plasma glucose(FPG),2 h postprandial blood glucose(2 h PG)and HbA1c levels were compared between the 2 groups before and 12 weeks after intervention.The self-management ability of patients in the 2 groups was evaluated using the hemodialysis patient self-management scale.Athens Insomnia Scale(AIS)was used to compare the occurrence of sleep disorders before and after intervention.Results:After the intervention,the self-management scale scores of hemodialysis patients in the observation group were higher than those in the control group 12 weeks later,and the fasting blood glucose(FPG),2 h post-prandial blood glucose(2 h PG)and glycosylated hemoglobin(HbA1c)levels were significantly lower than those in the control group,with statistical significance between the two groups(P＜0.05).Conclusion:The progressive rehabilitation intervention un-der the 5E concept can improve the self-management ability and blood sugar control effect of DN hemodialysis patients,reduce the occurrence of sleep disorders,and is worthy of clinical promotion and application.
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