终末期糖尿病肾病血液透析护理观察.docVIP

精品论文 参考文献 终末期糖尿病肾病血液透析护理观察 杨晓蓉 张祖丽 傅蓉 　　（巴中市巴州区人民医院 四川巴中 636000） 　　【摘要】目的：观察探讨终末期糖尿病肾病血液透析的护理效果。方法：选取接受血液透析治疗的终末期糖尿病肾病患者60例，随机进行分组。观察组30例予以综合性护理措施；对照组30例给予常规护理措施。比较两组患者的并发症发生率以及患者和家属对护理服务的满意度，从而对比两组的护理效果。结果：观察组的并发症发生率以及对护理服务的总满意度均优于对照组，P＜0.05，有统计学意义。结论：综合性护理在终末期糖尿病肾病患者血液透析的临床护理中效果显著，降低患者并发症的发生率，提高了患者及家属对护理服务的总满意度。 　　【关键词】终末期糖尿病肾病；血液透析；综合性护理 　　【中图分类号】R587.1 【文献标识码】A 【文章编号】1007-8231（2015）22-0013-02 　　End-stage diabetic nephropathy hemodialysis nursing observation Yang Xiaorong,Zhan Gzuli,Fu Rong 　　bazhong bazhou district peoples hospital, sichuan bazhong, zip code: 636000,China 　　【Abstract】Objective To observe the investigate the nursing effect of end-stage diabetic nephropathy hemodialysis. Methods Select hemodialysis treatment of 60 patients with end-stage diabetic nephropathy, random grouping. Observation group of 30 cases with comprehensive nursing measures; Control group 30 cases were given routine nursing measures. Comparison of two groups of patients with complications of nursing service satisfaction and patients and their families, to compare the nursing effect of the two groups. Results The observation group the incidence of complications and total satisfaction to nursing service were better than control group, P lt; 0.05, with statistical significance. Conclusion Comprehensive nursing care of hemodialysis patients with end-stage diabetic nephropathy in the clinical nursing effect is remarkable, decrease the incidence of complications and improve the patient and family to the total satisfaction of nursing service. 　　【Key words】End-stage diabetic nephropathy; Hemodialysis; Comprehensive nursing 　　糖尿病肾病（DN）是糖尿病常见的慢性并发症之一，是导致糖尿病患者死亡的一个重要原因[1]。在疾病的终末期，患者病情严重，病情进展快速，血液透析是目前终末期糖尿病肾病的主要治疗方法[2]。长期的血液透析让患者在心理、身体上遭受了很大痛苦，给予合理有效的护理措施可以降低患者并发症发生率，提高患者及家属对护理服务的总满意度。本次研究主要观察终末期糖尿病肾病患者血液透析的护理效果，旨在提高临床上终末期糖尿病肾病血液透析的护理水平，现报道如下： 　　1.资料和方法 　　1.1一般资料 　　从我院2014年12月至2015年12月接受血液透析治疗的终末期糖尿病肾病患者中选取60例，男36例，女24例。患者年龄44～79岁，平均（64.5plusmn