系统护理干预在糖尿病肾病患者血液透析中的应用分析

Application Analysis of Systemic Nursing Intervention in Hemodialysis in Patients with Diabetic Nephropathy

目的分析对接受血液透析治疗的糖尿病肾病患者采取系统护理干预的临床效果。方法采取随机数表法将2019年11月—2020年11月在该院接受血液透析治疗的82例糖尿病肾病患者分为两组,各41例。对照组采取常规护理干预,研究组实施系统护理干预。比较两组干预情况。结果研究组护理操作(91.23±4.58)分、服务态度(90.64±4.63)分、沟通技巧(91.37±4.52)分、风险处理满意度评分(89.86±4.71)分高于对照组,差异有统计学意义(P<0.05);干预后,研究组空腹血糖、餐后2 h血糖水平为(5.84±1.47)、(7.43±1.85)mmol/L,低于对照组,差异有统计学意义(P<0.05);研究组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分为(38.71±3.89)分、(41.11±4.23)分,低于对照组,差异有统计学意义(P<0.05);生活质量方面,研究组干预后生理功能、心理功能、社会功能、物质功能评分分别为(82.61±5.66)分、(84.33±5.48)分、(82.86±5.61)分、(83.54±5.55)分,高于对照组,差异有统计学意义(P<0.05)。结论对糖尿病肾病血液透析患者实施系统护理干预可提高患者护理满意度,提升血糖控制效果,缓解患者不良情绪,改善患者生活质量。

Objective To analyze the clinical effects of systemic nursing intervention for diabetic nephropathy patients undergoing hemodialysis treatment.Methods A random number table method was used to divide 82 patients with diabetic nephropathy who received hemodialysis in the hospital from November 2019 to November 2020 into two groups,with 41 cases in each group.The control group took routine nursing intervention,and the study group implemented systematic nursing intervention.Compared the intervention situation of the two groups.Results The study group had scores of nursing operation(91.23±4.58)points,service attitude(90.64±4.63)points,communication skills(91.37±4.52)points,and risk management satisfaction score(89.86±4.71)points,higher than the control group,the difference was statistically significant(P<0.05).After interrntion,the fasting blood glucose and blood glucose 2 h after a meal levels of the study group were(5.84±1.47)mmol/L and(7.43±1.85)mmol/L,which were lower than those of the control group,and the difference was statistically significant(P<0.05).The scores of the self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the study group after intervention were(38.71±3.89)points and(41.11±4.23)points,which were lower than those of the control group,and the difference was statistically significant(P<0.05).In terms of quality of life,the physiological function,psychological function,social function,and material function scores of the research group after intervention were(82.61±5.66)points,(84.33±5.48)points,(82.86±5.61)points,and(83.54±5.55)points,higher than the control group,the difference was statistically significant(P<0.05).Conclusion The implementation of systematic nursing intervention for patients with diabetic nephropathy on hemodialysis can improve patient satisfaction with care,improve the effect of blood sugar control,relieve patients'unhealthy emotions,and improve the quality of life of patients.