糖尿病性慢性肾功能衰竭血液透析护理分析.docVIP

糖尿病性慢性肾功能衰竭血液透析护理分析 　　DOI：10.16658/j.cnki.1672-4062.2017.05.121 　　[摘要] 目的 分析糖尿病性慢性肾功能衰竭的血液透析护理。 方法 分析该院于2015年12月―2016年12月期间116例行血液透析治疗的糖尿病性慢性肾功能衰竭患者资料，依据护理方案的不同设为2组，其中行常规护理的51例设为对照组，行综合性护理的65例设为观察组，比较两组护理后心理状态及并发症情况。 结果 与护理前比较，护理后两组SDS、SAS评分均显著降低，但观察组下降幅度优于对照组（P0.05）；对照组并发症总发生率较观察组更高（P0.05）。结论 综合护理应用于行血液透析治疗的DCRF患者可有效缓解其心理状态，并减少并发症发生，可被临床推广应用。 　　[关键词] 糖尿病；血液透析；慢性肾功能衰竭；护理 　　[中图分类号] R331 [文献标识码] A [文章编号] 1672-4062（2017）03（a）-0121-02 　　Analysis of Hemodialysis Nursing of Diabetic Chronic Renal Failure 　　YANG Yu-li， ZHANG Hai-yan， SUN Ming-qin， LI Yang-zhen， JIANG Li 　　Hemodialysis Room， Henan Hospital of Traditional Chinese Medicine， Zhengzhou， Henan Province， 450000 China 　　[Abstract] Objective To analyze the hemodialysis nursing of diabetic chronic renal failure. Methods 116 cases of patients with diabetic chronic renal failure treated in our hospital from December 2015 to December 2016 were selected and divided into two groups according to different nursing plans， the control group with 51 cases adopted the routine nursing， while the observation group with 65 cases adopted the general nursing， and the mental state and complications were compared between the two groups after nursing. Results The SDS and SAS scores of the two groups after nursing obviously decreased compared with those before nursing， but the decrease range in the observation group was better than that in the control group（P0.05）， and the total incidence rate of complications in the control group was higher than that in the observation group（P0.05）. Conclusion The application of comprehensive nursing for hemodialysis treatment of DCRF patients can effectively relieve the mental state and reduce the occurrence of complications， which can be promoted and applied in clinic. 　　[Key words] Diabetes； Hemodialysis； Chronic renal failure； Nursing 　　糖尿性肾病为终末期肾病首要病因，糖尿性慢性肾功能衰竭（DCRF）患者易逐渐表现肾功能减退、高血压、蛋白尿等临床症状[1-2]。目前关于DCRF治疗常采用血液透析方案，其可替代正常肾脏排泄功能，为抢救DCRF最有效的一种措施。该研究为进一步提高血液透析治疗有效性及安全性，就选定的116例该病患者分别行不同