个体化护理对糖尿病肾病血液透析患者的影响

Impact of individualized nursing on patients with diabetic nephropathy undergoing hemodialysis

目的观察个体化护理应用在糖尿病肾病(DN)血液透析(HD)患者中的临床效果与依从性。方法选择2018年2月-2019年4月在内蒙古自治区人民医院行HD治疗的110例DN患者作为研究对象,以随机数字表法分为对照组和观察组各55例,对照组实施常规护理,观察组实施个体化护理,比较两组营养指标、睡眠质量、心理状态、依从性。结果护理前,两组转铁蛋白、前白蛋白、血清白蛋白水平差异无统计学意义(P>0.05);护理后,观察组转铁蛋白、前白蛋白、血清白蛋白水平均高于对照组,差异均有统计学意义(P<0.05)。护理前,两组间睡眠质量评分(PSQI)、抑郁评分(SDS)、焦虑评分(SAS)差异无统计学意义(P>0.05);护理后,观察组PSQI评分、SDS评分、SAS评分均低于对照组,差异均有统计学意义(P<0.05)。观察组总依从率为94.55%,高于对照组的78.18%,差异有统计学意义(P<0.05)。结论在DN患者接受HD治疗期间进行个体化护理,能增强HD效果,提升患者依从性,值得临床推广应用。

Objective To observe the clinical effect and compliance of individualized nursing in patients with diabetic nephropathy(DN) and hemodialysis(HD). Methods From February 2018 to April 2019,110 patients with DN who received HD treatment in Inner Mongolia Autonomous Region People’s Hospital were selected as the research objects,and randomly divided into control group and observation group with 55 cases in each group according to random number table. The control group was given routine nursing,while the observation group was given individualized nursing. The nutritional indexes,sleep quality,psychological status and compliance were compared between the two groups. Results Before nursing,there was no significant difference in the levels of transferrin,prealbumin and serum albumin between the two groups(P>0.05). After nursing,the levels of transferrin,prealbumin and serum albumin in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05). Before nursing,there was no significant difference in sleep quality score(PSQI),depression score(SDS) and anxiety score(SAS) between the two groups(P>0.05). After the nursing,the PSQI score,SDS score and SAS score of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05). The total compliance rate of the observation group was 94.55%,which was higher than 78.18% of the control group,and the difference was statistically significant(P <0.05). Conclusion Individualized nursing during DN patients receiving HD treatment could enhance the effect of HD and improve patient compliance,which was worthy of clinical promotion and application.