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连续肾脏替代疗法治疗糖尿病伴重症肾衰竭患者行同伴教育联合全面护理干预价值研究

Study on the Value of Peer Education Combined with Comprehensive Nursing Intervention in the Treatment of Diabetic Patients with Severe Renal Failure by Continuous Renal Replacement Therapy
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摘要 目的探讨连续肾脏替代疗法治疗糖尿病伴重症肾衰竭患者行同伴教育联合全面护理干预价值研究。方法回顾性选取2022年1月—2024年3月京山市人民医院收治的68例糖尿病伴重症肾衰竭患者的临床资料,根据不同的护理方法分为两组,各34例。对照组进行全面护理干预,观察组在对照组基础上联合同伴教育干预。比较两组不良情绪、应对方式评分及血糖指标水平。结果护理后,观察组抑郁自评量表、焦虑自评量表评分均低于对照组,差异均有统计学意义(P均<0.05)。护理后,观察组回避、屈服评分均低于对照组,面对评分高于对照组,差异均有统计学意义(P均<0.05)。护理后,观察组空腹血糖、餐后2 h血糖和糖化血红蛋白水平均低于对照组,差异均有统计学意义(P均<0.05)。结论对进行连续肾脏替代疗法治疗的糖尿病伴重症肾衰竭患者实施全面护理干预联合同伴教育具有较好的干预效果,能够改变患者应对疾病的方式,改善患者的不良情绪及血糖水平。 Objective To explore the value of peer education combined with comprehensive nursing intervention in the treatment of diabetic patients with severe renal failure by continuous renal replacement therapy.Methods The clinical data of 68 patients with diabetes mellitus complicated with severe renal failure admitted to Jingshan People's Hospital from January 2022 to March 2024 were retrospectively selected and divided into two groups according to different nursing methods,with 34 cases in each group.The control group was given comprehensive nursing intervention,and the observation group was given peer education intervention on the basis of the control group.The scores of bad mood,coping style and blood glucose indexes were compared between the two groups.Results After nursing,the scores of Self-rating Depression Scale and Self-rating Anxiety Scale in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).After nursing,the avoidance and yield scores of the observation group were lower than those of the control group,and the face score was higher than that of the control group,the differences were statistically significant(all P<0.05).After nursing,the levels of fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin A1c in the observation group were lower than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion The implementation of comprehensive nursing intervention combined with peer education for diabetic patients with severe renal failure treated with continuous renal replacement therapy has a good intervention effect,which can change the way patients cope with the disease and improve the patient's bad mood and blood glucose level.
作者 程晓婷 周雅珊 桂巍 CHENG Xiaoting;ZHOU Yashan;GUI Wei(Department of Critical Care Medicine,Jingshan People's Hospital,Jingshan 431800,Hubei,China)
出处 《糖尿病新世界》 2024年第20期106-109,共4页 Diabetes New World
关键词 连续肾脏替代治疗 糖尿病 重症肾衰竭 全面护理干预 Continuous renal replacement therapy Diabetes mellitus Severe renal failure Comprehensive nursing
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