论糖尿病肾病血液透析患者家庭护理干预的效果研究

On the Blood in Patients with Diabetic Nephropathy Dialysis Family Nursing Intervention Effect

目的探讨糖尿病肾病血液透析患者家庭护理干预的效果。方法选取该院2013年1月—2015年1月收治的糖尿病肾病终末期需要在该院进行血液透析的患者70例作为研究对象,随机分为观察组与对照组各35例,对两组患者进行血液透析,对照组患者采取常规护理,观察组患者采取家庭护理干预措施。对比两组患者的护理效果。结果观察组患者在自我护理能力、病情自我观察能力、用药安全、社会活动参与能力、作息规律等健康行为上明显优于对照组。组间比较差异有统计学意义(P<0.05)。观察组在失衡综合征、内瘘感染、心力衰竭、水肿、低血压、低血糖、高血压等并发症发生上明显少于对照组,组间比较差异有统计学意义(P<0.05)。结论家庭护理干预对糖尿病肾病血液透析患者的治疗具有明显的效果,能够减少患者并发症的发生机率,改善患者的自身健康行为,促进患者的康复,在临床上值得推广。

Objective To investigate the effect of the blood in patients with diabetic nephropathy dialysis Family Nursing. Methods I hospital in January 2013 - January 2015 were treated with ESRD need to be in hospital 70 cases of hemodialysis patients as research subjects were randomly divided into observation group and control group 35 cases, two groups hemodialysis patients in the control group of patients taking usual care, the observation group were taken home care interventions. Compare care benefits two groups of patients. Results The patients in self-care, disease self-observation, on medication safety, ability to participate in social activities, work and rest rules and other healthy behaviors than the control group. The difference between groups was statistically significant （P 〈0.05）. Observer Group in disequilibrium syndrome, fistula infection, the complications of heart failure, edema, low blood pressure, low blood sugar, high blood pressure was significantly less than the control group, the difference between groups was statistically significant （P 〈0.05）. Conclusion The family nursing intervention in diabetic nephropathy treatment of hemodialysis patients have a significant effect, can reduce the incidence of complications in patients, improve their health behaviors of patients, promote the rehabilitation of patients, should be promoted in clinical practice.