首页|优质护理在糖尿病肾病血液透析患者中的应用效果分析

优质护理在糖尿病肾病血液透析患者中的应用效果分析

Analysis of the Application Effect of High Quality Nursing in Hemodialysis Patients with Diabetic Nephropathy

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目的 分析在糖尿病肾病血液透析患者中应用优质护理的护理效果.方法 选取2021年1月—2023年7月盐城市第一人民医院血液净化中心接收的60例糖尿病肾病血液透析患者为研究对象,根据护理方法不同分为观察组和对照组,各30例.对照组实施常规护理,观察组实施优质护理.比较两组患者心理状态水平[焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)]、血糖指标水平[糖化血红蛋白(glycated hemoglobin A1c,HbA1c)、空腹血糖(fasting blood glucose,FBG)、餐后2 h血糖(2-hour postprandial blood glucose,2 hPBG)]、不良反应发生率.结果 观察组SAS、SDS评分均低于对照组,差异有统计学意义(P均<0.05).观察组HbA1c、FBG、2 hPBG水平均低于对照组,差异有统计学意义(P均<0.05).观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05).结论 对糖尿病肾病血液透析患者实施优质护理,可改善患者的心理状态,降低其血糖水平,促进其肾功能的恢复,并减少不良反应.
Objective To analyze the nursing effect of high quality nursing in hemodialysis patients with diabetic ne-phropathy.Methods From January 2021 to July 2023,a total of 60 hemodialysis patients with diabetic nephropathy re-ceived by the Blood Purification Center of Yancheng NO.1 People's Hospital were selected as the research objects.According to different nursing methods,they were divided into observation group and control group,30 cases in each group.The control group received routine nursing,and the observation group received high quality nursing.The psy-chological state level[Self-rating Anxiety Scale(SAS),Self-rating Depression Scale(SDS)],blood glucose index level[glycated hemoglobin A1c(HbA1c),fasting blood glucose(FBG),2-hour postprandial blood glucose(2 hPBG)]and the incidence of adverse reactions were compared between the two groups.Results The SAS and SDS scores of the obser-vation group were lower than those of the control group,and the differences were statistically significant(both P<0.05).The levels of HbA1c,FBG and 2 hPBG in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The imple-mentation of high-quality nursing for hemodialysis patients with diabetic nephropathy can improve the psychological state of patients,decrease their blood glucose level,promote the recovery of renal function,and reduce adverse reac-tions.

High quality nursingDiabetes nephropathyHemodialysis

崔海花、马欣怡、周玲

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盐城市第一人民医院血液净化中心,江苏 盐城 224000

优质护理 糖尿病肾病 血液透析

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(13)
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