摘要
目的探究马斯洛层次理论指导下护理结合反馈式饮食健康教育对老年糖尿病肾病(DN)患者肾功能、营养指标的影响.方法选择2020年5月—2023年5月枣庄市峄城区人民医院收治的82例老年DN患者为研究对象,按随机数字表法将其分为对照组与观察组,各41例.对照组采用常规护理,观察组采用马斯洛层次理论指导下护理结合反馈式饮食健康教育,均护理3个月.比较两组肾功能、营养指标、生活质量.结果护理前,两组肾功能、营养指标、生活质量比较,组间差异无统计学意义(P>0.05);护理后,观察组血肌酐(90.52±5.67)μmol/L、24 h尿蛋白定量(1.03±0.12)g、24 h尿微量白蛋白排泄率(187.58±10.34)mg均低于对照组,肾小球滤过率(84.75±8.20)mL/min高于对照组,白蛋白(36.43±5.84)g/L、血红蛋白(137.10±18.55)g/L、转铁蛋白(2.57±0.35)g/L水平均高于对照组,生活质量综合评定问卷评分(78.29±5.63)分高于对照组,组间差异有统计学意义(P<0.05).结论马斯洛层次理论指导下护理结合反馈式饮食健康教育能够有效改善老年DN患者肾功能、营养状况,提高生活质量.
Objective To explore the effects of nursing under the guidance of Maslow's hierarchy theory combined with feedback diet health education on renal function and nutritional indicators in elderly patients with diabetic nephropathy(DN).Methods 82 elderly DN patients admitted to Yicheng People's Hospital of Zaozhuang from May 2020 to May 2023 were selected as the research objects.According to the random number table method,they were divided into a control group and an observation group,with 41 cases in each group.Patients in the control group received routine nursing,while patients in the observation group received nursing under the guidance of Maslow's hierarchy theory combined with feedback diet health education for 3 months.The renal function,nutritional indicators and quality of life were compared between the two groups.Results Before nursing,there were no statistically significant differences in renal function,nutritional indicators and quality of life between the two groups(P>0.05),after nursing,the serum creatinine(90.52±5.67)μmol/L,24 h urinary protein quantitative(1.03±0.12)g,24 h urinary microalbumin excretion rate(187.58±10.34)mg in the observation group were lower than those in the control group,and the glomerular filtration rate(84.75±8.20)mL/min was higher than that in the control group,the levels of albumin(36.43±5.84)g/L,hemoglobin(137.10±18.55)g/L,and transferrin(2.57±0.35)g/L in the observation group were higher than those in the control group,and the score of comprehensive quality of life assessment questionnaire(78.29±5.63)points was higher than that in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion Nursing under the guidance of Maslow's hierarchy theory combined with feedback diet health education can effectively improve the renal function,nutritional status and quality of life of elderly patients with DN.
作者
平启艳
PING Qiyan(Department of Geriatry,Yicheng District People's Hospital,Zaozhuang City,Zaozhuang Shandong,277300,China)
出处
《反射疗法与康复医学》
2024年第2期166-169,共4页
Reflexology And Rehabilitation Medicine
关键词
糖尿病肾病
马斯洛层次理论
反馈式饮食健康教育
肾功能
营养指标
生活质量
Diabetic nephropathy
Maslow's hierarchy theory
Feedback diet health education
Renal function
Nutrition indicators
Quality of life
作者简介
平启艳(1977-),女,山东枣庄人,本科,副主任护师,研究方向:肾病、老年病相关疾病的护理。
