综合护理干预在糖尿病肾病血液透析患者中的应用.docVIP

综合护理干预在糖尿病肾病血液透析患者中的应用 　　[摘要] 目的 观察综合护理干预在糖尿病肾病（DN）血液透析患者中的应用效果，以期改善患者预后。 方法 选取本院血液透析中心2010年10月～2013年12月接收的104例糖尿病肾病血液透析患者为研究对象，按照抽签随机取样法将其分为对照组（n=52）和干预组（n=52）。对照组给予常规护理措施;干预组在此基础上行综合性护理干预。比较两组患者干预前后各临床病理生理指标（血红蛋白、总蛋白、白蛋白、肌酐、尿素氮、收缩压及舒张压）;比较两组患者相关并发症发生率，采用SF-36生活质量评价量表比较两组患者生活质量。 结果 干预前，两组患者各临床病理生理指标无统计学意义（P0.05）;干预后，观察组BUN、SBP显著低于对照组（P0.05），其余各指标显著高于对照组（P0.05）。观察组心力衰竭、内瘘感染等并发症发生率均显著低于对照组（P0.05），生理功能、心理职能等各项评分均显著低于对照组（P0.05）。 结论 综合性护理干预能够显著改善行血液透析DN患者的各项透析指标及血压，降低并发症，改善其生活质量，值得在临床上推广应用。 　　[关键词] 糖尿病肾病;血液透析;护理干预 　　[中图分类号] R473.5 [文献标识码] B [文章编号] 2095-0616（2015）02-108-04 　　Application of comprehensive nursing intervention in patients with diabetic nephropathy in hemodialysis 　　ZHANG Guiyan 　　The Nephrology of Shenzhen Chinese Traditional Medical，Shenzhen 518033，China 　　[Abstract] Objective To observe the effect of comprehensive nursing intervention in patients with diabetic nephropathy （DN） in hemodialysis in order to improve the prognosis of the patients. Methods 104 cases of patients with diabetic nephropathy in hemodialysis，admitted into the hemodialysis center of our hospital from October 2010 to December 2013，were selected as the research object and randomly divided into the control group （n=52） and intervention group （n=52）.The patients in the control group were given routine nursing measures while patients in the intervention group were given comprehensive nursing intervention based on the nursing in the control group.Various clinical pathological and physiological indexes （hemoglobin，total protein，albumin，creatinine，urea nitrogen，systolic and diastolic blood pressure） of the patients in two groups were compared before and after intervention and the incidence of related complications were compared between the two groups.The life quality of the patients in two groups was also compared according to the SF-36 life quality evaluation scale. Results Before intervention， there was no difference of clinical pathological and physiological index between the tw