標準化護理在糖尿病腎病患者維持性血液透析護理中的應用研究

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Application of Standardized Nursing in Maintenance Hemodialysis Nursing of Diabetic Nephropathy Patients

CHEN Xin-hua （Zhouqu County People's Hospital， Gannan Prefecture， Gansu Province）

Abstract： Objective： To study the efect of standardized nursing （SN）in maintenance hemodialysis （MH）nursing of patients with diabetic nephropathy （DN）. Methods：A total of 72 patients with diabetic nephropathy undergoing maintenance hemodialysis in Zhouqu County People's Hospital， Gannan Prefecture， Gansu Province from February 2023 to February 2024 wereselected and divided into thecontrol group and the observation group，with36 cases in each group.The control group received routine nursing， and the observation group received standardized nursing. Blood glucose （FPG，2h PBG，HbAlc）control， kidney function （BUN，Cr）indexes， mental state （HAMD，HAMA） and compliance of thetwo groups were compared.Results：The levels of FPG，2h PBG and HbAlc in the observation group were lower than those in the control group. BUN and levels in the observation group were lower than those in the control group.HAMD and HAMA scores in the observation group were lower than those in the control group.The compliance of the observation group was higher than that of the control group （P<0.05 . Conclusion： The application of SN in MHnursing ofDN patients cancontrolblood glucose levelwellregulaterenal function，have abetter mentality and a higher compliance.

Keywords： standardized nursing， diabetic nephropathy patients， maintenance hemodialysis

0 引言

糖尿病腎?。―iabeticnephropathy，DN）多因機體血糖增高所致腎臟血流動力學更改的一種糖尿病合并癥中微血管病變疾病，對患者腎臟、神經(jīng)、眼部產(chǎn)生較大傷害，若患者治療不及時，病情嚴重情況下，易引起腎衰竭。（剩余3599字）