家庭护理干预对老年糖尿病肾病患者血液透析疗效的影响

Effect of family nursing intervention on hemodialysis of patients with senile diabetic nephropathy

目的:探讨家庭护理干预模式对老年糖尿病肾病患者血液透析临床效果的影响。方法:将82例老年糖尿病肾病血液透析患者随机分为观察组42例和对照组40例,对照组采用常规血液透析护理方法,观察组在常规血液透析护理基础上实施家庭护理干预。探讨观察组在护理干预前后血液透析指标的变化以及两组患者水肿、心力衰竭、内瘘感染、失衡综合征、低血糖、低血压、高血压等并发症的发生情况。结果:实施护理干预后观察组患者的血红蛋白、总蛋白、白蛋白量有显著提高(P<0.05),肌酐和尿素氮下降率提高(P<0.05),水肿、心力衰竭、失衡综合征、低血糖、低血压的发生率明显降低(P<0.05),而內瘘感染和高血压的发生率两组无明显差异(P>0.05)。结论:对老年糖尿病肾病血液透析患者实施家庭护理干预有效且必要。

To discuss the effect of family nursing intervention on hemodialysis of patients with senile diabetic nephropathy.Methods：82 cases of hemodialysis patients with senile diabetic nephropathy were randomized into the observation group（42 cases）and the control group（40 cases）.The control group adopted regular hemodialysis nursing,while the observation group accepted family nursing intervention on the basis of regular hemodialysis nursing.The changes of the hemodialysis indicators,and the occurrence of complications,such as edema,heart failure,internal fistula infection,dialysis disequilibrium syndrome,hypoglycemia,hypotension and hypertension of patients in both groups were investigated.Results：HGB,TP and ALB were increased significantly and the decreased rate of creatinine and urea nitrogen were effectively improved in the observation group after nursing intervention（P〈0.05）.The occurrence rate of the edema,heart failure,dialysis disequilibrium syndrome,hypoglycemia,and hypotension in the observation group decreased more obviously than those in the control group（P〈0.05）,but there was no obvious difference of the internal fistula infection and hypertension between both groups（P〉0.05）.Conclusion：The carrying-out of family nursing intervention is effective for hemodialysis patients with senile diabetic nephropathy.