延续护理干预运用于糖尿病肾病维持性血液透析中的效果(1)
[摘要] 目的 探讨分析延续护理干预应用于糖尿病肾病维持性血液透析中的效果。方法 从该院2018年4—11月期间接受血液透析治疗的患者中选取其中54例作为该次研究对象，分为两组，其中2018年4—7月27例为对照组，给予常规护理;2018年8—11月27例为观察组，在常规护理基础上给予延续护理干预，比较不同护理模式下两组患者的生存质量和并发症发生情况。结果 护理后对照组患者生存质量状况各项评分均低于观察组，并发症发生率29.63%(8/27)高于观察组患者11.11%(3/27)，均存在明显差异无统计学意义(P>0.05)。结论 延续护理干预应用于糖尿病肾病维持性血液透析中，可有效提高患者生存质量，减少并发症的发生，值得在糖尿病肾病维持性血液透析的临床护理中推广应用。
[关键词] 延续护理干预;糖尿病肾病;维持性血液透析;应用效果
[Abstract] Objective To analyze the effect of continuous nursing intervention in the maintenance hemodialysis of diabetic nephropathy. Methods From the patients who received hemodialysis in the hospital from April to November 2018， 54 cases were selected as the research object and divided into two groups， of which 27 cases were from April to July 2018 as the control group， given routine care; 27 cases from August to November 2018 as the observation group， and continued care intervention was given on the basis of routine care. The quality of life and complications of the two groups were compared under different care modes. Results The quality of life scores of patients in the control group after nursing were lower than those in the observation group， and the complication rate was 29.63% (8/27)higher than that in the observation group，11.11%(3/27)，the difference was not statistically significant(P>0.05). Conclusion Continuing nursing intervention applied to the maintenance hemodialysis of diabetic nephropathy can effectively improve the quality of life of patients and reduce the occurrence of complications. It is worthy of popularization and application in the clinical nursing of diabetic nephropathy maintenance hemodialysis.
[Key words] Continuous nursing intervention; Diabetic nephropathy; Maintenance hemodialysis; Application effect
糖尿病腎病是糖尿病最重要的合并症之一，是由于血糖长期过高造成肾脏血流动力学改变及代谢异常，进而导致肾脏损害。血液透析是是治疗急慢性肾功能衰竭患者终末期肾脏疾病的主要方法，可提高患者生存率，但患者治疗过程中需承受痛苦和经济压力，给患者身心带来巨大压力，产生负面心理[1]。因此，选择合适的护理方式可一定程度提高患者生存质量。该文选取该院2018年4—11月期间接受血液透析治疗的患者54例作为该次研究对象，旨在探讨延续护理干预应用于糖尿病肾病维持性血液透析中的效果，现报道如下。
1 资料与方法
1.1 一般资料
从该院接受血液透析治疗的患者中选取其中54例作为该次研究对象，分为两组，其中2018年4—7月27例为对照组，2018年8—11月27例为观察组。对照组男性患者15例、女性患者12例，年龄为45～70岁，平均年龄(55.8±6.1)岁;观察组男性患者16例、女性患者11例;年龄为46～70岁，平均年龄(56.1±5.9)岁。所有患者均符合糖尿病肾病的诊断标准，对该次研究知情，临床资料的使用已征得患者同意认可，全部签署知情同意书，研究的开展已通过医院伦理委员会的批准。经统计学软件对两组患者的一般资料进行对比分析，差异无统计学意义(P>0.05)，存在可比性。
1.2 方法
1.2.1 对照组 对照组患者实施常规护理，主要包括健康知识宣教、病情监测、血糖控制、血液透析治疗，视患者具体情况酌情进行药物对症治疗。
1.2.2 观察组 对察组患者在常规护理的基础上，实施延续护理干预，具体如下。, http://www.100md.com(卢秀清 许闽)
[关键词] 延续护理干预;糖尿病肾病;维持性血液透析;应用效果
[Abstract] Objective To analyze the effect of continuous nursing intervention in the maintenance hemodialysis of diabetic nephropathy. Methods From the patients who received hemodialysis in the hospital from April to November 2018， 54 cases were selected as the research object and divided into two groups， of which 27 cases were from April to July 2018 as the control group， given routine care; 27 cases from August to November 2018 as the observation group， and continued care intervention was given on the basis of routine care. The quality of life and complications of the two groups were compared under different care modes. Results The quality of life scores of patients in the control group after nursing were lower than those in the observation group， and the complication rate was 29.63% (8/27)higher than that in the observation group，11.11%(3/27)，the difference was not statistically significant(P>0.05). Conclusion Continuing nursing intervention applied to the maintenance hemodialysis of diabetic nephropathy can effectively improve the quality of life of patients and reduce the occurrence of complications. It is worthy of popularization and application in the clinical nursing of diabetic nephropathy maintenance hemodialysis.
[Key words] Continuous nursing intervention; Diabetic nephropathy; Maintenance hemodialysis; Application effect
糖尿病腎病是糖尿病最重要的合并症之一，是由于血糖长期过高造成肾脏血流动力学改变及代谢异常，进而导致肾脏损害。血液透析是是治疗急慢性肾功能衰竭患者终末期肾脏疾病的主要方法，可提高患者生存率，但患者治疗过程中需承受痛苦和经济压力，给患者身心带来巨大压力，产生负面心理[1]。因此，选择合适的护理方式可一定程度提高患者生存质量。该文选取该院2018年4—11月期间接受血液透析治疗的患者54例作为该次研究对象，旨在探讨延续护理干预应用于糖尿病肾病维持性血液透析中的效果，现报道如下。
1 资料与方法
1.1 一般资料
从该院接受血液透析治疗的患者中选取其中54例作为该次研究对象，分为两组，其中2018年4—7月27例为对照组，2018年8—11月27例为观察组。对照组男性患者15例、女性患者12例，年龄为45～70岁，平均年龄(55.8±6.1)岁;观察组男性患者16例、女性患者11例;年龄为46～70岁，平均年龄(56.1±5.9)岁。所有患者均符合糖尿病肾病的诊断标准，对该次研究知情，临床资料的使用已征得患者同意认可，全部签署知情同意书，研究的开展已通过医院伦理委员会的批准。经统计学软件对两组患者的一般资料进行对比分析，差异无统计学意义(P>0.05)，存在可比性。
1.2 方法
1.2.1 对照组 对照组患者实施常规护理，主要包括健康知识宣教、病情监测、血糖控制、血液透析治疗，视患者具体情况酌情进行药物对症治疗。
1.2.2 观察组 对察组患者在常规护理的基础上，实施延续护理干预，具体如下。, http://www.100md.com(卢秀清 许闽)
参见：首页 > 医疗版 > 疾病专题 > 肾脏内科 > 继发性肾脏疾病 > 糖尿病肾病