终末期糖尿病肾病血液透析患者应用细节管理干预的效果

Effect of Detailed Nursing Intervention on Hemodialysis Patients with End-stage Diabetic Nephropathy

目的探讨终末期糖尿病肾病患者接受血液透析治疗中应用细节管理的效果。方法选取2019年1月~2022年8月我院收治的末期糖尿病肾病患者78例,依据抽签法将其分为参照组和研究组,每组各39例。参照组采取传统护理干预,研究组采取细节管理干预。分析比对护理满意程度、并发症情况、生活质量分值(KDQOL-SFTM 1.3量表、SF-36)、血糖水平以及负性情绪指标。结果以研究组护理满意程度指标作比对,参照组护理满意程度较低(p<0.05);研究组出现感染、低血糖、低血压、高血压等并发症发生率较参照组低(p<0.05);研究组干预前,KDQOL-SFTM1.3量表、SF-36分值较参照组比对无差异(p>0.05),研究组干预后KDQOL-SFTM 1.3量表、SF-36较参照组高,结果比对具有统计学意义(p<0.05);以血糖水平为比对指标,研究组在干预前较参照组无差异(p>0.05),在干预后研究组较参照组低(p<0.05);负性情绪指标在干预前比对无差异(p>0.05),干预后研究组负性情绪分值较参照组低(p<0.05)。结论在终末期糖尿病肾病血液透析患者治疗中,开展细节管理干预,可减轻透析治疗对患者造成的痛苦,利于血糖水平维持正常状态,改善不良情绪,从而提高对治疗和护理服务的满意度。

Objective:To explore the effect of detailed nursing intervention on hemodialysis patients with end-stage diabetic nephropathy.Methods:A total of 78 patients with end-stage diabetic nephropathy treated in our hospital from January 2019 to August 2022 were selected,and were divided into the reference group and the study group according to the method of drawing lots,with 39 cases in each group.The reference group received traditional nursing intervention,and the study group received detailed nursing intervention.The nursing satisfaction,complications,quality of life score(KDQOL-SFTM 1.3 scale,SF-36),blood glucose level and negative emotional indicators were analyzed and compared.Results:Compared with the indicators of nursing satisfaction in the study group,the nursing satisfaction in the reference group was lower(P<0.05);The incidence of complications such as infection,hypoglycemia,hypotension and hypertension in the study group was lower than that in the control group(P<0.05);There was no difference in the scores of KDQOL-SFTM 1.3 and SF-36 before intervention between the study group and the reference group(P>0.05).After intervention,the scores of KDQOL-SFTM 1.3 and SF-36 in the study group were higher than those in the reference group(P<0.05);Taking blood glucose level as comparison index,there was no difference between the study group and the reference group before intervention(P>0.05),and the study group was lower than the reference group after intervention(P<0.05);There was no difference in negative emotional indicator before intervention(P>0.05).After intervention,the score of negative emotion in the study group was lower than that in the reference group(P<0.05).Conclusion:Application of hemodialysis in the treatment of patients with end-stage diabetic nephropathy,and simultaneously implemerding detailed nursing intervention can reduce the pain caused by hemodialysis,help maintain normal blood glucose levels,improve negative emotions,and provide high satisfaction with treatment and nursing services.