摘要
目的 分析糖尿病肾病血液透析患者采用整体护理取得的临床效果。方法 将2018年3月至2019年3月到我院治疗的84例糖尿病肾病患者纳入研究对象,根据随机方法分为观察组与对照组,每组42例,两组分别通过整体护理和常规护理方法进行护理指导,并对不同护理之后的并发症概率、负面心理状态、唐之表现、生活质量和满意度进行统计对比。结果 观察组(5例,占比为11.90%)出现并发症的概率比对照组(16例,占比为38.10%)低,差异有统计学意义(P<0.05)。两组在护理前评估HAMA、HAMD,均超15分且差异无统计学意义(P>0.05);护理后再次评估HAMA、HAMD均有改善,观察组更占优势,差异有统计学意义(P<0.05)。护理前对两组患者的糖脂代谢进行评价差异无统计学意义(P>0.05);护理后观察组的糖脂代谢比对照组更占优势,差异有统计学意义(P<0.05)。护理前两组患者的生活质量差异无统计学意义(P>0.05);护理后观察组,在生活质量的转变上比对照组更理想,差异有统计学意义(P<0.05)。观察组(40例,占比为95.24%)患者对满意度的评估比对照组(34例,占比为80.95%)更高,差异有统计学意义(P<0.05)。结论 经过血液透析干预的糖尿病肾病患者实施整体护理模式能预防各类并发症出现,在转变患者负面心态,扭转糖脂代谢能力,提升生活质量方面有重要的意义,可以使患者对护理更加认可和满意。
Objective To analyze the clinical effect of holistic nursing in hemodialysis patients with diabetic nephropathy. Methods The research activities were carried out from March 2018 to March 2019, and 84 patients with diabetic nephropathy were selected for admission during this time period. According to the random number table grouping method, the patients were divided into two groups, and the number of patients in the control group and the observation group, 42 cases in each group. All patients were treated with hemodialysis, patients in the control group were treated with routine nursing measures, and patients in the observation group were treated with holistic nursing methods. The incidence of complications,negative psychology before and after, glucose and lipid levels, quality of life and satisfaction were compared between the two groups of patients after different nursing care. Results The incidence of complications in the observation group(5 cases, accounting for 11.90%) was lower than that in the control group(16 cases, accounting for 38.10%), with a statistical difference(P<0.05). Before nursing, the HAMA scores and HAMD scores of the two groups of patients both exceeded 15 points, and there was no significant difference between them(P>0.05). After nursing, the HAMA scores and HAMD scores of the two groups of patients decreased, but the observation group improved. Better, with statistical difference(P<0.05).The glucose and lipid metabolism levels of the two groups of patients before nursing were poor and the difference was not significant(P>0.05), and the improvement effect of the observation group was better after nursing, compared with the control group, there was a statistical difference(P<0.05).Before nursing, there was no significant difference in the quality of life between the two groups(P>0.05). The quality of life improvement effect was better in the post-nursing observation group than in the control group, and the difference was statistically significant(P<0.05). The nursing satisfaction of the observation group(40 cases, accounting for 95.24%) was higher than that of the control group(34 cases, accounting for 80.95%),with a statistical difference(P<0.05). Conclusion The overall nursing intervention for diabetic nephropathy patients treated with hemodialysis can effectively reduce the risk of complications, improve the psychological quality of patients, improve the level of glucose and lipid metabolism, and improve the overall quality of life and satisfaction.
作者
张晶晶
ZHANG Jingjing(Beipiao Central Hospital,Beipiao 122100,China)
出处
《中国医药指南》
2023年第5期55-58,共4页
Guide of China Medicine
关键词
糖尿病肾病
整体护理
血液透析
糖脂代谢水平
满意度
生活质量
Diabetic nephropathy
Holistic nursing
Hemodialysis
Glucose and lipid metabolism
Satisfaction
Quality of life
