基于综合性评估的护理干预结合体验式饮食教育用于老年糖尿病肾病中的临床价值

Clinical value of nursing intervention based on comprehensive evaluation combined with experiential diet education in diabetic kidney disease of the elderly

目的分析基于综合性评估的护理干预结合体验式饮食教育用于老年糖尿病肾病(DKD)中的临床价值。方法选择2021年3月至2022年3月收治的100例DKD患者为研究对象,根据护理方案不同将其分为对照组和观察组,每组50例。对照组接受常规护理,观察组在对照组基础上给予基于综合性评估的护理干预结合体验式饮食教育。比较两组的干预效果。结果干预后,观察组的健康行为及饮食行为评分均高于对照组(P<0.05)。干预后,观察组的血糖变异系数(CV)、空腹血糖变异系数(CV-FBG)、胱抑素C(CysC)、Ⅳ型胶原(Ⅳ-C)水平均低于对照组(P<0.05)。结论基于综合性评估的护理干预结合体验式饮食教育用于老年DKD中可改善患者的健康行为及饮食行为,调节血糖变异性,延缓肾纤维化进程,值得推广。

Objective To analyze the clinical value of nursing intervention based on comprehensive evaluation combined with experiential diet education in diabetic kidney disease(DKD)of the elderly.Methods A total of 100 patients with DKD admitted from March 2021 to March 2022 were selected as the research objects.According to different nursing plan,the patients were divided into control group and observation group,with 50 cases in each group.The control group received routine nursing,and the observation group was given nursing intervention based on comprehensive evaluation combined with experiential diet education on the basis of the control group.The intervention effects of the two groups were compared.Results After intervention,the scores of health behavior and dietary behavior in the observation group were higher than those in the control group(P<0.05).After intervention,the coefficient of variation of blood glucose(CV),coefficient of variation of fasting blood glucose(CV-FBG),Cystatin C(CysC)and typeⅣcollagen(Ⅳ-C)levels in the observation group were lower than those in the control group(P<0.05).Conclusion Nursing intervention based on comprehensive evaluation combined with experiential diet education for elderly patients with DKD can improve health behavior and dietary behavior,regulate blood glucose variability,and delay the process of renal fibrosis,which is worthy of promotion.