首页|血液透析护理个体化指导在糖尿病肾病透析患者中的应用分析

血液透析护理个体化指导在糖尿病肾病透析患者中的应用分析

Application Analysis of Individualized Guidance of Hemodialysis Nursing in Hemodialysis Patients with Diabetic Nephropathy

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目的 研究个体化指导在糖尿病肾病透析患者中的效果.方法 选择2020年1月—2024年6月泰州市第二人民医院收治的76例糖尿病肾病患者,以护理方法不同分观察组与参照组,各38例,分别给予常规护理及血液透析护理配合个体化指导,对比两组血糖水平、护理满意度和并发症发生情况.结果 护理后,观察组空腹血糖、糖化血红蛋白水平均低于参照组,差异均有统计学意义(P均<0.05).观察组患者护理满意度高于参照组,差异有统计学意义(P<0.05).观察组并发症发生率低于参照组,差异有统计学意义(P<0.05).结论 糖尿病肾病透析的患者采用血液透析护理配合使用个体化指导对于自体动静脉内瘘维护的效果显著,患者对护理满意度较高,并发症发生率较低.
Objective To study the effect of individualized guidance in hemodialysis patients with diabetes nephropa-thy.Methods A total of 76 patients with diabetic nephropathy admitted to Taizhou Second People's Hospital from January 2020 to June 2024 were selected and divided into observation group and reference group with 38 cases in each group according to different nursing methods.Routine nursing and hemodialysis nursing with individualized guid-ance were respectively given to compare blood glucose levels,nursing satisfaction and complications between the two groups.Results After nursing,the levels of fasting plasma glucose and glycated hemoglobin A1c in the observation group were lower than those in the reference group,and the differences were statistically significant(both P<0.05).The nursing satisfaction of patients in observation group was higher than that in reference group,and the difference was statistically significant(P<0.05).The incidence of complications in observation group was lower than that in refer-ence group,and the difference was statistically significant(P<0.05).Conclusion Hemodialysis nursing combined with individualized guidance has significant effect on the maintenance of autologous arteriovenous fistula in patients with diabetic nephropathy on dialysis.The patients have higher satisfaction with nursing and lower complication rate.

HemodialysisIndividualized guidanceDiabetic nephropathyAutogenous arteriovenous fistula

祝国静、孙俊荣、丁利

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泰州市第二人民医院血液净化中心,江苏 泰州 225500

血液透析 个体化指导 糖尿病肾病 自体动静脉内瘘

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(20)