基于梧桐模式的新型护理服务在行血液透析糖尿病肾病患者中的应用

Application of new nursing service based on planetree model in diabetic nephropathy patients undergoing hemodialysis

目的 分析将基于梧桐模式的新型护理服务理念应用于行血液透析糖尿病肾病患者的临床效果。方法 筛选2020年2月至2022年2月在南京医科大学第二附属医院行血液透析治疗的83例糖尿病肾病患者进行研究,通过随机数字表法将其分为对照组(40例,接受常规护理)和观察组(43例,接受基于梧桐模式的新型护理服务),并对2组的干预效果进行比较。结果 透析3个月及6个月后,观察组的空腹血糖、餐后2 h血糖、血肌酐、尿素氮和血红蛋白水平均较同期对照组低,肾小球滤过率、白蛋白和总蛋白水平均较同期对照组高(P均<0.05),且2组的各项指标与透析前相比均更优(P均<0.05);透析6个月后,2组的各项指标与透析3个月后相比均更优(P均<0.05)。透析6个月内,观察组的并发症总发生率(4.65%)较对照组(20.00%)更低(P<0.05)。结论 基于梧桐模式的新型护理服务理念可以改善行血液透析糖尿病肾病患者的肾功能、血糖水平及营养状态,并减少并发症的发生。

Objective To analyze the clinical effect of new nursing service concept based on planetree model in diabetic nephropathy patients undergoing hemodialysis.Methods From February 2020 to February 2022,83 patients with diabetic nephropathy who underwent hemodialysis at the Second Affiliated Hospital of Nanjing Medical University were included in the study.They were allocated to the control group(40 patients who received routine nursing)and the observation group(43 patients who received new nursing service based on planetree model)through random number table method.The intervention effect of the two groups was compared.Results After 3 and 6 months of dialysis,the fasting blood glucose,2-h postprandial blood glucose,serum creatinine,urea nitrogen,and hemoglobin levels in the observation group were lower than those in the control group(all P<0.05).The glomerular filtration rate,albumin,and total protein levels were higher than those in the control group(all P<0.05).The various indicators of both groups were better than those before dialysis(all P<0.05).After 6 months of dialysis,the various indicators of both groups were better than those after 3 months of dialysis(all P<0.05).During 6 months of dialysis,the total incidence of complications in the observation group was lower than that in the control group(4.65%vs.20.00%,P<0.05).Conclusion The new nursing service concept based on planetree model can improve the renal function,blood glucose level and nutritional status of diabetic nephropathy patients undergoing hemodialysis,and reduce the complications.