Nursing of diabetic nephropathy.docVIP

 PAGE \* MERGEFORMAT 6 Nursing of diabetic nephropathy [Keywords:] diabetes, kidney disease, nursing Diabetic nephropathy is a serious hazard to human health complications, and its long duration, recurrent, and poor prognosis, the incidence rate of about 18%, resulting in renal dysfunction is one of the leading causes of death in patients with diabetes, the mortality rate of about 13 ~ 26% . now our department from October 2005 to September 2007 23 patients admitted to nursing care of patients with diabetic nephropathy reported as follows. 1 Clinical data 23 cases of this group of patients, aged 45 to 89 years, the shortest duration of 15 d, up to 12 years, and combined urinary ketoacidosis in 3 cases, 5 cases of retinopathy, peripheral neuropathy in 11 cases. Laboratory tests, urine protein + ~ + + +, urine +~+++, postprandial blood glucose 16.20 ~ 21.65 mmol / L, potassium 2.3 ~ 5.2 mmol / L, were improved and discharged after treatment care. 2 Care 2.1 Psychological care Longer duration in patients with diabetic nephropathy, it is difficult to cure, patients with mental stress, prone to emotional despair and give up the treatment and even suicide, which control the disease and restore health with great influence in the psychological care, we should note the following aspects: nurses have a high sense of responsibility and compassion, according to patient age, occupation, education level to the patients in the disease progression and sections of existing medical, nursing and its technical level, to obtain the patient’s trust, but also relatives of patients to obtain assistance and cooperation, the establishment of good doctor-patient relationship, understand their needs, encourage patients to overcome the difficulties, establish long-term confidence in the fight against the deadly disease, pessimistic mood for the patients, cases of successful treatment described sections, so that how they interact to reduce or delay the complications