Analysis of clinical effect and compliance of individual nursing on hemodialysis patients with diabetic nephropathy
个体化护理对糖尿病肾病血液透析患者临床效果及依从性分析

摘要

目的 探讨个体护理模式的临床应用效果，即对糖尿病肾病患者血液透析后血糖控制、依从性等方面的影响。方法 选取我院2023年4月-2024年4月期间收治的92例糖尿病肾病患者作为研究对象，其中46例患者接受常规护理干预，视为对照组，其余46例患者归为观察组，并予以个体化护理方案，92例患者均接受血液透析治疗，对比两种护理方案的临床应用效果。结果 干预后，观察组治疗依从性优良率明显高于对照组，低血糖率则明显低于对照组，血糖控制情况及生活质量四项指标均明显优于对照组，P＜0.05，组间差异均有统计学意义。结论 个体化护理方案在控制血糖、依从性、生活质量方面均表现出明显优势，临床上可以替代常规护理模式，为糖尿病肾病患者提供更科学、高效的护理服务，从而保障血液透析的治疗效果。

Abstract

Objective To explore the clinical application effect of individual nursing model, that is, the influence on blood glucose control and compliance of diabetic nephropathy patients after hemodialysis. How Ninety-two patients with diabetic nephropathy admitted to our hospital from April 2023 to April 2024 were selected as the study objects, of which 46 patients received routine nursing intervention and were regarded as the control group, the remaining 46 patients were classified as the observation group and were given individualized nursing programs, and 92 patients received hemodialysis treatment. The clinical application effects of the two nursing programs were compared.
Results After intervention, the treatment compliance rate of the observation group was significantly higher than that of the control group, the hypoglycemia rate was significantly lower than that of the control group, and the four indexes of blood sugar control and quality of life were significantly better than the control group, P < 0.05, and the differences between groups were statistically significant.
Conclusion   Individualized nursing program has obvious advantages in blood sugar control, compliance and quality of life. It can replace conventional nursing mode and provide more scientific and efficient nursing service for patients with diabetic nephropathy, so as to guarantee the therapeutic effect of hemodialysis.