目的回顾性分析以时机理论为中心的家庭护理模式干预在老年糖尿病肾病(DN)中的临床应用价值。方法收集漯河市中心医院2021年11月至2023年11月收治的122例老年DN患者,按照护理方法分为时机组(61例)、对照组(61例),对照组接受常规护理,时...目的回顾性分析以时机理论为中心的家庭护理模式干预在老年糖尿病肾病(DN)中的临床应用价值。方法收集漯河市中心医院2021年11月至2023年11月收治的122例老年DN患者,按照护理方法分为时机组(61例)、对照组(61例),对照组接受常规护理,时机组在此基础上接受以时机理论为中心的家庭护理模式干预。比较两组肾功能改善情况、血糖水平、自护行为、生活质量。结果干预后,时机组24 h尿蛋白定量、血肌酐(Scr)指标水平低于对照组(P<0.05);时机组空腹血糖(FBG)、餐后2 h血糖(2 h PG)指标水平均低于对照组(P<0.05);干预后,时机组自我护理能力测量量表(ESCA)评分高于对照组(P<0.05);干预后,时机组生活质量综合评定问卷-74(GQOL-74)评分高于对照组(P<0.05)。结论以时机理论为中心的家庭护理模式干预能改善老年DN患者肾功能、血糖水平,提高自护行为、生活质量。展开更多
Latent autoimmune diabetes in adults (LADA) is an autoimmune diabetes of adult-onset with the presence of diabetes associated autoantibodies. Familial renal glucosuria (FRG) is an inherited renal tubular disorder that...Latent autoimmune diabetes in adults (LADA) is an autoimmune diabetes of adult-onset with the presence of diabetes associated autoantibodies. Familial renal glucosuria (FRG) is an inherited renal tubular disorder that causes persistent isolated glucosuria in the absence of hyperglycemia. We report a novel case of LADA and certain FRG. A 44-year-old man was admitted to our hospital for uncontrolled diabetes. Before admission, he had never suffered from diabetic coma and showed an improvement in HbA1c only with diet therapy. His HbA1c was 11.9% (107 mmol/mol), and anti-glutamic acid decarboxylase antibody was 13.0 U/mL. A glucagon stimulation test showed the decrease of insulin secretion: plasma C-peptide (CPR) 0 min, 0.69 ng/mL;CPR 6 min, 0.90 ng/mL. Analysis of genomic DNA revealed a novel heterozygous mutation in the SGLT2 coding gene, SLC5A2 (c.875G >A, p.Cys292Tyr), which was assessed as probably damaging with a score of 0.998 (sensitivity: 0.27;specificity: 0.99) by an in silico analysis. Therefore, he was diagnosed with LADA and certain FRG. He has not shown any symptoms and his HbA1c improved to 6.4% (46 mmol/mol) three months after the introduction of insulin therapy. Our case clearly implies the clinical effectiveness of SGLT2 inhibition in patients with LADA.展开更多
目的系统整合终末期肾病患者及家属参与预立护理计划的质性研究,为预立护理计划在终末期肾病患者及家属中的应用提供参考。方法计算机检索PsycINFO、PubMed、Cochrane Library、Web of Science、中国知网、中国生物医学文献数据库、万...目的系统整合终末期肾病患者及家属参与预立护理计划的质性研究,为预立护理计划在终末期肾病患者及家属中的应用提供参考。方法计算机检索PsycINFO、PubMed、Cochrane Library、Web of Science、中国知网、中国生物医学文献数据库、万方数据、维普数据库中收录的关于终末期肾病患者及家属参与预立护理计划体验的质性研究,检索时限为建库至2022年8月。结果共纳入11篇文献,提炼出45个研究结果,形成16个类别,进一步归纳为4个整合结果:终末期肾病患者及家属对预立护理计划的态度,参与预立护理计划的体验,参与预立护理计划的影响因素,对预立护理计划的建议。结论患者及家属存在预立护理计划认知缺乏、感知障碍,希望与现实存在差异,实践受多种因素影响等体验;医护人员应提供多方面支持,以满足患者参与预立护理计划需求。展开更多
文摘目的回顾性分析以时机理论为中心的家庭护理模式干预在老年糖尿病肾病(DN)中的临床应用价值。方法收集漯河市中心医院2021年11月至2023年11月收治的122例老年DN患者,按照护理方法分为时机组(61例)、对照组(61例),对照组接受常规护理,时机组在此基础上接受以时机理论为中心的家庭护理模式干预。比较两组肾功能改善情况、血糖水平、自护行为、生活质量。结果干预后,时机组24 h尿蛋白定量、血肌酐(Scr)指标水平低于对照组(P<0.05);时机组空腹血糖(FBG)、餐后2 h血糖(2 h PG)指标水平均低于对照组(P<0.05);干预后,时机组自我护理能力测量量表(ESCA)评分高于对照组(P<0.05);干预后,时机组生活质量综合评定问卷-74(GQOL-74)评分高于对照组(P<0.05)。结论以时机理论为中心的家庭护理模式干预能改善老年DN患者肾功能、血糖水平,提高自护行为、生活质量。
文摘Latent autoimmune diabetes in adults (LADA) is an autoimmune diabetes of adult-onset with the presence of diabetes associated autoantibodies. Familial renal glucosuria (FRG) is an inherited renal tubular disorder that causes persistent isolated glucosuria in the absence of hyperglycemia. We report a novel case of LADA and certain FRG. A 44-year-old man was admitted to our hospital for uncontrolled diabetes. Before admission, he had never suffered from diabetic coma and showed an improvement in HbA1c only with diet therapy. His HbA1c was 11.9% (107 mmol/mol), and anti-glutamic acid decarboxylase antibody was 13.0 U/mL. A glucagon stimulation test showed the decrease of insulin secretion: plasma C-peptide (CPR) 0 min, 0.69 ng/mL;CPR 6 min, 0.90 ng/mL. Analysis of genomic DNA revealed a novel heterozygous mutation in the SGLT2 coding gene, SLC5A2 (c.875G >A, p.Cys292Tyr), which was assessed as probably damaging with a score of 0.998 (sensitivity: 0.27;specificity: 0.99) by an in silico analysis. Therefore, he was diagnosed with LADA and certain FRG. He has not shown any symptoms and his HbA1c improved to 6.4% (46 mmol/mol) three months after the introduction of insulin therapy. Our case clearly implies the clinical effectiveness of SGLT2 inhibition in patients with LADA.
文摘目的系统整合终末期肾病患者及家属参与预立护理计划的质性研究,为预立护理计划在终末期肾病患者及家属中的应用提供参考。方法计算机检索PsycINFO、PubMed、Cochrane Library、Web of Science、中国知网、中国生物医学文献数据库、万方数据、维普数据库中收录的关于终末期肾病患者及家属参与预立护理计划体验的质性研究,检索时限为建库至2022年8月。结果共纳入11篇文献,提炼出45个研究结果,形成16个类别,进一步归纳为4个整合结果:终末期肾病患者及家属对预立护理计划的态度,参与预立护理计划的体验,参与预立护理计划的影响因素,对预立护理计划的建议。结论患者及家属存在预立护理计划认知缺乏、感知障碍,希望与现实存在差异,实践受多种因素影响等体验;医护人员应提供多方面支持,以满足患者参与预立护理计划需求。