家庭跟进护理对糖尿病肾病维持性血液透析患者生存质量的影响

Influence of home follow-up nursing on living quality of patients undergoing maintenance hemodialysis with diabetic nephropathy

目的:探讨家庭跟进护理对改善糖尿病肾病维持性血液透析患者生存质量的临床效果。方法:2010年3月-2014年6月收治需进行血液透析的糖尿病肾病患者63例,采用随机数字表法将其分为观察组(32例)和对照组(31例)。两组患者在住院透析期间均给予常规护理,且回归家庭后均由家人照顾,观察组在此基础上实施家庭跟进护理。观察记录两组患者治疗前后生活质量,并进行评分对比。结果:观察组的生存质量总评分由干预前的(85.6±16.2)升高至(109.7±15.3),两组治疗前后差异有统计学意义(P<0.05);观察组干预后生存质量总评分显著高于对照组干预后的(86.1±15.26),两组对比差异具有统计学意义(P<0.05)。结论:家庭跟进护理可以有效提高糖尿病肾病维持性血液透析患者的生存质量。

Objective:To investigate the clinical effect of home follow-up nursing on improving living quality of patients undergoing maintenance hemodialysis with diabetic nephropathy.Methods:63 inpatients with diabetic nephropathy requiring maintenance hemodialysis were collected from March 2010 to June 2014 and they were randomly divided into the observation group(32 cases) and the control group(31 cases).All of them were given routine nursing in hospital,taken care of by family after leaving hospital,besides the observation group was given home follow-up nursing.We contrasted and scored the living quality of pretherapy and post-treatment.Results:Before the treatment,the score of living quality of the observation group was(85.6±16.2), and it became(109.7±15.3) after the treatment,which showed statistical difference(P<0.05).Post-treatment living quality score of the observation group was obviously higher than(86.1±15.26) of the control group after the treatment,which indicated they had obvious statistical difference(P<0.05).Conclusion:Home follow-up nursing can significantly enhance the living quality of patients undergoing maintenance hemodialysis with diabetic nephropathy.