护理干预对糖尿病肾病患者血液透析中低血糖的预防作用

Preventive effect of nursing intervention on hypoglycemia of hemodialysis in diabetic nephropathy patients

目的：探讨护理干预预防糖尿病肾病血液透析中发生低血压的效果。方法80例糖尿病肾病血透患者随机分为观察组和对照组，对照组采用常规护理，观察组为预防低血糖的发生采用加强护理干预，比较2组的护理效果。结果观察组护理后的健康知识得分高于对照组，在饮食、用药、自我监测等方面的依从性高于对照组，差异有统计学意义（P ＜0．05）。观察组在0～1 h、1～2 h、2～3 h、3～4 h 内低血糖的发生率低于对照组，差异有统计学意义（P ＜0．05）。结论护理干预能够增强糖尿病肾病血液透析患者对低血糖的认知，减少低血糖的发生。

Objective To explore the nursing intervention effect in hemodialysis of patients with diabetic nephropathy so as to prevent hypotension.Methods 80 hemodialysis patients with diabetic nephropathy were randomly divided into observation group and control group,the control group was received routine nursing while the observation group was strengthened the nursing intervention to prevent the hypoglycemia.Nursing effect was compared between the two groups.Re-sults Health knowledge score after nursing in the observation group was higher than that in the control group.Diet,medication compliance and self monitoring were higher than those in the control group.The results revealed that the difference was statistical significant （P〈0.05）.Hypo-glycemia rate in 0~1 h,1~2 h,2~3 h,3~4 h in the observation group was lower than that in the control group,so the difference was statistical significant （P〈0.05）.Conclusion Nursing intervention can improve cognition of hypoglycemia in hemodialysis patients with diabetic nephropathy and reduce hypoglycemia.