糖尿病肾病血液透析患者中医护一体化护理模式的应用效果

Application Effect of Integrated Traditional Chinese Medicine and Integrated Nursing Mode for Hemodialysis Patients with Diabetic Nephropathy

目的分析针对糖尿病肾性血液透析患者采取医护一体化护理模式的临床效果。方法选取2021年7月—2023年7月黔西南布依族苗族自治州人民医院收治的84例糖尿病肾病行血液透析的患者为研究对象,根据不同护理方法分为对照组和研究组,各42例。对照组行常规护理,研究组在常规护理基础上加入医护一体化护理模式。对比两组并发症(低血压、心律失常、低血糖、内瘘闭塞)发生情况、血糖指标(空腹血糖、餐后2 h血糖)、依从性(饮食、液体摄入、用药、透析方案)评分、生活质量评分。结果干预后,研究组并发症发生率为4.76%(2/42),低于对照组的28.57%(12/42),差异有统计学意义(χ^(2)=8.574,P=0.003)。护理后,两组空腹血糖、餐后2 h血糖水平均更低,且研究组低于对照组,差异有统计学意义(P均<0.05)。研究组依从性评分及生活质量评分均高于对照组,差异有统计学意义(P均<0.05)。结论针对糖尿病肾性行血液透析治疗的患者采取医护一体化护理模式可有效降低血液透析期间并发症发生率,改善血糖水平,提高依从性及生活质量。

Objective To analyze the clinical effect of integrated nursing mode for diabetic renal hemodialysis pa-tients.Methods A total of 84 patients with diabetic nephropathy who underwent hemodialysis in the People's Hospital of Qianxinan Buyi and Miao Autonomous Prefecture from July 2021 to July 2023 were selected as the research objects.According to different nursing methods,they were divided into control group and study group,with 42 cases in each group.The control group received routine nursing,and the study group added the integrated nursing mode of medical care on the basis of routine nursing.The incidence of complications(hypotension,arrhythmia,hypoglycemia,internal fistula occlusion),blood glucose index(fasting blood glucose,2-hour postprandial blood glucose),compliance score(diet,fluid intake,medication,dialysis regimen)and quality of life score were compared between the two groups.Results After intervention,the incidence of complications in the study group was 4.76%(2/42),which was lower than 28.57%(12/42)in the control group,the difference was statistically significant(χ^(2)=8.574,P=0.003).After nursing,the levels of fasting blood glucose and 2-hour postprandial blood glucose in the two groups were lower,and those in the study group were lower than the control group,the differences were statistically significant(both P<0.05).The com-pliance scores and quality of life scores of the study group were higher than those of the control group,and the differ-ences were statistically significant(all P<0.05).Conclusion The integrated nursing mode for patients with diabetic renal hemodialysis can effectively reduce the incidence of complications during hemodialysis,improve blood glucose levels,improve compliance and quality of life.