糖尿病肾病开展Triangle分层分级管理+LEARNS模式的效果及心理状态的观察

Effect and Psychological State of Triangle Hierarchical Management+LEARNS Model for Diabetes Nephropathy

目的探究在对糖尿病肾病患者护理时开展Triangle分层分级管理+LEARNS模式对患者血糖水平、肾功能水平以及心理状态等改善作用。方法在2022年2月至2023年1月云南省第三人民医院收治糖尿病肾病患者中随机抽选74例为对象,Excel表随机排序划分对照组(n=37,治疗期间接受常规护理)和观察组(n=37,接受Triangle分层分级管理+LEARNS模式护理)。针对患者血压水平、肾功能水平等改善情况进行评估。结果对比2组干预前后血糖水平,餐后2 h血糖、空腹血糖,干预后观察组低于对照组,差异有统计学意义(P<0.05)。对比患者生存质量,干预前无差异,干预后观察组QOLIE-31量表评分高于对照组,差异有统计学意义(P<0.05)。对比患者负面情绪评分,干预前BAI以及BDI评分无差异,干预后观察组评分低于对照组,差异有统计学意义(P<0.05)。对比患者肾功能水平,干预后观察组肾功能水平高于对照组,差异有统计学意义(P<0.05)。对比2组自我管理能力,干预后观察组高于对照组,差异有统计学意义(P<0.05)。结论在对糖尿病肾病患者护理时开展Triangle分层分级管理+LEARNS模式,可改善患者血糖、肾功能水平,缓解患者治疗期间负面情绪,有助于患者进行恢复。

Objective To explore the improvement effect of Triangle hierarchical management+LEARNS model on blood sugar level,renal function level and psychological status of patients with diabetes nephropathy in nursing care.Methods A total of 74 diabetic nephropathy patients admitted to the Third People's Hospital of Yunnan Province from February 2022 to January 2023 were randomly selected as study subjects.The control group(n=37,receiving routine care during treatment)and the observation group(n=37,receiving Triangle hierarchical management+LEARNS care)were randomly sorted by Excel table.The improvement of blood pressure and renal function were evaluated.Results Comparing the blood sugar levels before and after the intervention in 2 groups,the postprandial 2-hour blood sugar and fasting blood sugar were lower in the observation group than in the control group after the intervention,with statistically significant differences(P<0.05).Comparing the quality of life of patients,there was no difference before the intervention,but after the intervention,the observation group had higher scores on the QOLIE-31 scale compared to the control group,with statistically significant differences(P<0.05).Comparing the negative emotional scores of patients,there was no difference in BAI and BDI scores before the intervention,but after the intervention,the observation group had lower scores than the control group,with statistically significant differences(P<0.05).Comparing the kidney function levels of patients,the observation group had higher kidney function levels than the control group after the intervention,with statistically significant differences(P<0.05).Comparing the self-management abilities of the 2 groups,the observation group was higher than the control group after the intervention,with statistically significant differences(P<0.05).Conclusion The implementation of Triangle hierarchical management+LEARNS model in the nursing of patients with diabetic nephropathy can improve the blood glucose and renal function of patients,relieve the negative emotions of patients during treatment,and help patients recover.