Study on detail nursing in hemodialysis nursing of end-stage diabetic nephropathy
细节护理在终末期糖尿病肾病血液透析护理中的研究

摘要

目的 探讨在终末期糖尿病肾病患者的血液透析护理中引入细节护理观念的临床效果。方法 选取2022年11月至2023年11月本院收治的60例终末期糖尿病肾病患者（均采取血透透析疗法），根据随机抽签法分组，研究组（30例，细节护理），对照组（30例，常规护理）。比较两组的血糖水平与肾功能指标，和护理前后患者的营养状况（PG-SGA量表）以及并发症发生情况。结果 研究组护理后的FBG、2hPBG血糖水平和Cr、β-2MG肾功能指标均低于对照组（P＜0.05）；护理后两组的PG-SGA营养状况评分均有明显降低，且研究组的PG-SGA评分低于对照（P＜0.05）；护理后研究组患者并发症（低血糖、低血压、感染、出血倾向）发生情况少于对照组（P＜0.05）。结论 在终末期糖尿病患者血液透析护理中采取细节护理措施能提高护理效果，并预防并发症发生风险。

Abstract

Objective To explore the clinical effect of introducing the concept of detailed nursing into the hemodialysis nursing of patients with end-stage diabetic nephropathy.
Methods A total of 60 patients with end-stage diabetic nephropathy admitted to our hospital from November 2022 to November 2023 were selected and divided into study group (30 cases, detailed care) and control group (30 cases, routine care) according to random drawing method. Blood glucose level and renal function indexes, nutritional status (PG-SGA scale) and complications were compared between the two groups.
Results The blood glucose levels of FBG and 2hPBG and renal function indexes of Cr and β-2MG in the study group after nursing were lower than those in the control group (P < 0.05). After nursing, the PG-SGA nutritional status scores of both groups were significantly decreased, and the PG-SGA scores of the study group were lower than those of the control group (P < 0.05). After nursing, the incidence of complications (hypoglycemia, hypotension, infection, bleeding tendency) in the study group was less than that in the control group (P < 0.05).
Conclusion   Taking detailed nursing measures can improve the nursing effect and prevent the risk of complications in end-stage diabetes patients with hemodialysis.