摘要
目的探究动态式延续护理对糖尿病肾病血液透析患者自我管理能力的影响。方法选取2019年1月-2023年6月我院收治的糖尿病肾病血液透析患者68例,按照计算机法将其分为对照组和观察组,每组各34例。对照组接受常规护理,观察组接受动态式延续护理,对比两组干预前后自我管理能力、血糖水平[空腹血糖(fasting blood glucose,FBG)、餐后血糖(postprandial blood glucose,PBG)]、肾功能水平[肌酐(creatinine,Cr)、尿素氮(blood urea nitrogen,BUN)]以及并发症的发生情况。结果干预前,两组自我管理能力评分对比,无显著性差异(P>0.05);干预后,两组自我管理能力各维度评分均有提升,观察组较对照组显著(P<0.05)。干预前,两组FBG、PBG、Cr、BUN水平对比,无显著性差异(P>0.05);干预后,两组FBG、PBG、Cr、BUN水平下降,观察组较对照组显著,具有显著性差异(P<0.05)。观察组、对照组并发症的发生率对比,具有显著性差异(P<0.05)。结论对于糖尿病肾病血液透析患者采取动态式延续护理措施,能提升患者自我管理能力,有利于血糖的控制和肾功能的改善,从而降低相关并发症的发生情况,促进患者的恢复。
Objective:To explore the effect of dynamic continuous nursing on the self-management ability of hemodialysis patients with diabetic nephropathy.Methods:A total of 68 hemodialysis patients with diabetic nephropathy in our hospital from January 2019 to June 2023 were selected,and were divided into control group and observation group according to computer method,with 34 cases in each group.The control group received routine nursing,while the observation group received dynamic continuous nursing.The self-management ability,fasting blood glucose(FBG),postprandial blood glucose(PBG),and renal function[creatinine(Cr),blood urea nitrogen(BUN)],and the occurrence of complications were compared between the two groups before and after the intervention.Results:Before intervention,there was no significant difference in the scores of self-management ability between the two groups(P>0.05).After intervention,the scores of all dimensions of self-management ability of the two groups were improved,and the observation group was significantly higher than the control group(P<0.05).Before intervention,blood glucose and renal function were improved in both groups,and the observation group was significantly different from the control group(P<0.05).The incidence of complications in the observation group and the control group was significantly different(P<0.05).Conclusion:Dynamic continuous nursing for hemodialysis patients with diabetic nephropathy can improve the self-management ability of patients,which is conducive to the control of blood sugar and the improvement of renal function,thus reducing the occurrence of related complications and promoting the recovery of patients.
作者
匡瑾
KUANG Jin(Ji'an Central People's Hospital,Ji'an Jiangxi 343000,China)
出处
《透析与人工器官》
2024年第3期94-97,共4页
Chinese Journal of Dialysis and Artificial Organs
关键词
动态式延续护理
糖尿病肾病
血液透析
自我管理能力
血糖水平
肾功能
并发症
dynamic continuous nursing
diabetic nephropathy
hemodialysis
self-management ability
blood sugar level
renal function
complications
