糖尿病肾病维持性血液透析患者营养状况分析及护理干预效果评价

Diabetic Nephropathy Patients with Maintenance Hemodialysis Nutrition Analysis and the Evaluation of the Effect of Nursing Intervention

目的评估糖尿病肾病维持性血液透析患者的营养状况,探讨并观察护理干预对糖尿病肾病维持性血液透析患者临床治疗及护理的效果。方法选择糖尿病肾病维持性血液透析患者45例,在保证充分透析和对症药物治疗的前提下,对每例患者进行详细的临床检查、营养状况、膳食状况等数据进行统计分析,制定有针对性的护理计划,指导患者实施护理干预计划2个月,观察结果。结果45例患者患者实施护理干预计划前,糖化血红蛋白(HbAlc)(8.43±1.70)、低密度脂(LDL-C)(3.36±1.05)、尿素氮(BUN)(9.44±2.09)、肌酐(Crea)(655±102)、总蛋白(TP)(53.8±10.7)、白蛋白(Alb)(21.2±8.1)。实施护理干预计划2个月后,糖化血红蛋白(HbAlc)(、7.01±2.67)、低密度脂(LDL-C)(2.75±1.26)、尿素氮(BUN)(585±133)、肌酐(Crea)(585±133)、总蛋白(TP)(53.8±10.7)、白蛋白(Alb)(30.4±10.2),各项生化平均数值治疗前后比较均有显著改变。结论通过对45例糖尿病肾病维持性血液透析患者进行全面的膳食营养状态评估和护理干预后,患者的生化各项指标与抗病能力均较治疗前得到明显好转,患者的并发症也得到了有效的控制,由此验证在糖尿病肾病维持性血液透析患者的治疗过程中运用评估与护理干预的模式进行疾病的治疗有改善病情的积极作用。

Objective To assess the nutritional status of diabetic hemodialysis patients,and to explore and observe nursing intervention in diabetic nephropathy patients and the effect of hemodialysis care.Methods Diabetic nephropathy in hemodialysis patients 45 cases,to ensure adequate dialysis and symptomatic medication under the premise of each patient a detailed clinical examination,nutritional status,dietary status data for statistical analysis,the development of targeted care planning,directing nursing interventions for patients with two months to observe the results.ResultS Before the implementation of nursing interventions in patients with 45 patients,glycosylated hemoglobin（HbAlc）（8.43 ± 1.70）,low-density lipoprotein（LDL-C）（3.36 ± 1.05）,blood urea nitrogen（BUN）（9.44 ±2.09）,creatinine（Crea）（655 ± 102）,The total protein（TP）（53.8 ± 10.7）,albumin（Alb）（21.2 ±8.1）.Implementation of nursing intervention plan two months later,glycated hemoglobin（HbAlc）（7.01 ± 2.67）,low-density lipoprotein（LDL-C）（2.75 ± 1.26）,blood urea nitrogen（BUN）（585 ± 133）,creatinine（Crea）（585 ± 133）,total protein（TP）（53.8 ± 10.7）,albumin（Alb）（30.4 ± 10.2）,around the average value of the biochemical treatment were significantly changed.Conclusion After 45 cases of diabetic nephropathy in patients with hemodialysis comprehensive dietary intervention condition assessment and care,biochemical indicators of disease before the patient＇ s ability to obtain significantly improved compared with the treatment,patients with complications have also been effective control,thus validate the use of model assessment and nursing intervention in the treatment of diabetic nephropathy in hemodialysis patients for treatment of the disease has improved the condition of an active role.