The effect of phased shift nursing on blood glucose control in patients with diabetes nephropathy
分阶段转变护理对糖尿病肾病患者血糖控制的影响

摘要

目的 探讨将分阶段转变护理引入糖尿病肾病（DKD）患者中的效果及对血糖控制的影响。方法 抽选70例病例，均为本院收治的DKD患者，研究时间2024年1月到2025年1月，组间分组经随机数字表法，分成2个组别，即予以常规护理的35例病例归于对照组，剩余35例病例则同时配合分阶段转变护理，归于观察组，评估组间各指标改善情况。结果 干预6个月后，观察组比对照组的FPG、2hPG及HbA1c指标均低（P＜0.05）；与对照组的Scr和24小时尿蛋白定量相比，观察组更低，而eGFR比对照组要高（P＜0.05）；观察组比对照组的SDSCA和治疗依从性均高（P＜0.05）。结论 针对DKD患者，实施分阶段转变护理模式，不仅可有效控制其血糖水平，还可使其肾功能指标改善，同时促进其自我管理能力及治疗依从性提高，总体应用价值高，值得采纳。

Abstract

Objective To explore the effect of phased transformation nursing on diabetes nephropathy (DKD) patients and its influence on blood glucose control.
Methods 70 cases of DKD patients admitted to our hospital were selected and studied from January 2024 to January 2025. The patients were randomly divided into two groups using a random number table method. 35 cases receiving routine care were assigned to the control group, while the remaining 35 cases received phased transition care and were assigned to the observation group. The improvement of various indicators between the groups was evaluated.
Results After 6 months of intervention, the FPG, 2hPG, and HbA1c indicators in the observation group were lower than those in the control group (P<0.05); Compared with the control group, the observation group had lower Scr and 24-hour urinary protein quantification, while eGFR was higher than the control group (P<0.05); The SDSCA and treatment compliance of the observation group were higher than those of the control group (P<0.05).
Conclusion   Implementing a phased transformation of nursing mode for DKD patients can not only effectively control their blood glucose levels, but also improve their renal function indicators, while promoting their self-management ability and treatment compliance. The overall application value is high and worthy of adoption.