糖尿病肾病患者血液透析的护理

Nursing of diabetic patients with nephropathy in hemodialysis

目的:探讨提高糖尿病肾病血液透析患者的生存率和生活质量的护理方法。方法:回顾性分析2008～2009年在我院行维持性血液透析的糖尿病肾病患者46例的护理措施,包括心理护理、保护血管通道、控制血糖、饮食护理、并发症护理等。结果:本组46例糖尿病肾病血液透析患者,病情缓解38例,因经济困难放弃治疗5例,因并发症死亡3例。结论:糖尿病肾病患者血液透析时并发症发生率高,根据患者具体情况提供有效的护理措施,可以提高糖尿病肾病患者的生存率和生活质量。

Objective：To discuss the nursing measures of improving the diabetic nephropathy hemodialysis patients survival and quality of life.Methods：Retrospective analysis of maintenance hemodialysis patients with diabetic nephropathy（46 cases） of care measures during 2008-2009 year in our hospital,including psychological care,protection of vascular ac cess,control blood sugar,diet care,complications of care.Results：The group of 46 patients with diabetic nephropathy hemodialysis patients in remission,38 cases gave up treatment because of financial difficulties in 5 cases,3 patients died due to complications.Conclusion：Hemodialysis patients with diabetic nephropathy when the high incidence of complications,according to the specific circumstances in patients with the provision of effective nursing interventions can improve survival in patients with diabetic nephropathy and quality of life.