全程护理对老年糖尿病肾病血液透析患者的效果影响

The Effect of Whole Course Nursing on Elderly Patients with Diabetic Nephropathy on Hemodialysis

目的探讨全程护理对老年糖尿病肾病血液透析患者的效果影响。方法方便选取该院2017年1月—2019年10月接收的老年糖尿病肾病血液透析患者共计64例进行研究,按照抛硬币法将患者划分成对照组(32例)和研究组(32例)。对照组患者实施常规护理,研究组患者实施全程护理,归纳总结两组患者不同透析时段低血糖发生率情况、护理工作认可度情况、并发症发生率情况。结果研究组患者并发症发生率(6.25%)少于对照组(25.00%),工作认可度(96.88%)高于对照组(75.00%);不同透析时段低血糖发生率(12.50%)低于对照组(65.63%),两组比较差异有统计学意义(χ^(2)=4.267、4.655、18.970,P<0.05)。结论为老年糖尿病肾病血液透析患者使用全程护理进行干预,可以改善患者不同透析时段低血糖发生情况,患者对护理工作认可度较高,值得临床借鉴。

Objective To explore the effect of whole course of nursing on elderly diabetic nephropathy patients with hemodialysis.Methods A total of 64 elderly diabetic nephropathy hemodialysis patients accepted by the hospital from January 2017 to October 2019 wereconveniently selected.The patients were divided into the control group(32 cases)and the study group(32 cases)according to the coin flip method.Patients in the control group received routine care,and patients in the study group received full care.The incidence of hypoglycemia,acceptance of nursing work,and incidence of complications in the two groups of patients during different dialysis periods were summarized.Results The complication rate of the study group was(6.25%)lower than that of the control group(25.00%),and the degree of work approval was(96.88%)higher than that of the control group(75.00%);the incidence of hypoglycemia in different dialysis periods was(12.50%)lower than that of the control group(65.63%).The difference between the two groups was statistically significant(χ^(2)=4.267,4.655,18.970,P<0.05).Conclusion Intervention for elderly patients with diabetic nephropathy on hemodialysis can improve the occurrence of hypoglycemia in different dialysis periods,and the patients have a high degree of recognition of nursing work,which is worthy of clinical reference.