问题导向护理模式预防糖尿病肾病血液透析低血糖的效果

The effectiveness of the problem-oriented care model in preventinghypoglycemia in diabetic nephropathy hemodialysis patients

目的:探讨以问题为导向的护理模式在预防糖尿病肾病患者血液透析中低血糖的效果。方法:选取医院实施血液透析治疗的30例糖尿病肾病患者,按照随机数字表法分为观察组与对照组,各15例,对照组患者实施常规护理,观察组患者在此基础上行以问题为导向的护理干预,对两组患者低血糖发生率、低血糖症状以及干预前后自护能力进行比较。结果:干预后,观察组患者低血糖发生率明显低于对照组(P<0.05),观察组患者低血糖症状与对照组相比较轻(P<0.05),观察组患者自护能力评分高于对照组(P<0.05)。结论:对糖尿病肾病患者中采用以问题为导向的护理干预,可有效降低血液透析过程中低血糖发生率,早期发现无症状低血糖,同时提升患者自护能力,值得临床应用推广。

Objective:To explore the effect of problem-oriented nursing mode on the prevention of hypoglycemia in diabetic nephropathy patients undergoing hemodialysis.Methods:a total of 30 patients undergoing hemodialysis in Hospital were randomly divided into observation group and control group,the control group was given routine nursing,and the observation group was given problem-oriented nursing intervention.The incidence of hypoglycemia,hypoglycemia symptoms and self-care ability before and after intervention were compared between the two groups.Results:after intervention,the incidence of hypoglycemia in the observation group was significantly lower than that in the control group(P<0.05),the hypoglycemia symptom in the observation group was milder than that in the control group(P<0.05).The score of self-care ability in the observation group was higher than that in the control group(P<0.05).Conclusion:problem-oriented nursing intervention in diabetic nephropathy patients can effectively reduce the incidence of hypoglycemia during hemodialysis,detect asymptomatic hypoglycemia early,and improve the selfcare ability of patients,which is worth popularizing in clinical application.