摘要
目的探讨采用低血糖管理护理方案对糖尿病肾病维持性血液透析患者进行干预后获得临床效果。方法选取2018年1月—2020年12月收治的84例糖尿病肾病维持性血液透析患者进行护理管理研究,随机分为参照组(选择常规措施完成疾病干预)和研究组(选择常规措施+低血糖管理护理方案完成疾病干预),各42例;比较两组患者透析不同时间段低血糖发生率、不同时间段空腹血糖水平(入院时、开始透析、透析2 h以及结束透析)以及干预满意度(干预细节、干预态度、干预效果)。结果研究组透析1 h低血糖发生率(2.38%)、透析2 h低血糖发生率(2.38%)、透析3 h低血糖发生率(4.76%)、透析4 h低血糖发生率(0.00%)均低于参照组透析1 h低血糖发生率(19.05%)、透析2 h低血糖发生率(21.43%)、透析3 h低血糖发生率(28.57%)、透析4 h低血糖发生率(14.29%),两组比较差异有统计学意义(P<0.05);研究组入院时空腹血糖水平(9.16±1.29)mmol/L同参照组入院时空腹血糖水平(9.17±1.32)mmol/L比较,差异无统计学意义(P>0.05);研究组开始透析空腹血糖水平(8.12±1.69)mmol/L、透析2 h空腹血糖水平(5.03±1.69)mmol/L以及结束透析空腹血糖水平(4.13±1.16)mmol/L均低于参照组开始透析空腹血糖水平(9.07±1.73)mmol/L、透析2 h空腹血糖水平(6.15±1.52)mmol/L以及结束透析空腹血糖水平(6.83±1.35)mmol/L,两组比较差异有统计学意义(P<0.05);研究组干预细节评分(90.88±4.85)分、干预态度评分(91.65±2.59)分、干预效果评分(91.73±4.02)分均高于参照组干预细节评分(80.66±5.19)分、干预态度评分(80.68±6.02)分、干预效果评分(80.17±7.03)分,两组比较差异有统计学意义(P<0.05)。结论低血糖管理护理方案有效运用后,观察患者不同时间段低血糖发生率、不同时间段空腹血糖水平以及干预满意度,均获得显著改善,可促进糖尿病肾病维持性血液透析患者总体预后水平显著�
Objective To explore the clinical effects obtained after interventions in patients with diabetic nephropathy on maintenance hemodialysis using hypoglycemia management and nursing programs.Methods A total of 84 patients with diabetic nephropathy and maintenance hemodialysis who were admitted from January 2018 to December 2020 were selected for nursing management research.Randomly divided into reference group(choose routine measures to complete disease intervention)and study group(choose routine measures+hypoglycemia management nursing program to complete disease intervention),with 42 cases in each.The incidence of hypoglycemia,fasting blood glucose levels in different time periods of dialysis(on admission,start of dialysis,2 h of dialysis,and end of dialysis)and intervention satisfaction(intervention details,intervention attitude,intervention effect)were compared between the two groups of patients.Results In the study group,the incidence of hypoglycemia at 1 h of dialysis(2.38%),the incidence of hypoglycemia at 2 h of dialysis(2.38%),the incidence of hypoglycemia at 3 h of dialysis(4.76%),and the incidence of hypoglycemia at 4 h of dialysis(0.00%)were all lower than the reference group,the incidence of hypoglycemia at 1 h of dialysis(19.05%),the incidence of hypoglycemia at 2 h of dialysis(21.43%),the incidence of hypoglycemia at 3 h of dialysis(28.57%),and the incidence of hypoglycemia at 4 h of dialysis(14.29%),the difference between the two groups was statistically significant(P<0.05).The fasting blood glucose level at admission of the study group(9.16±1.29)mmol/L was compared with that of the reference group at admission(9.17±1.32)mmol/L,the difference was not statistically significant(P>0.05).The study group started dialysis fasting blood glucose level(8.12±1.69)mmol/L,dialysis 2 h fasting blood glucose level(5.03±1.69)mmol/L,and ended dialysis fasting blood glucose level(4.13±1.16)mmol/L all were lower than the reference group's fasting blood glucose level(9.07±1.73)mmol/L at the beginning of dialysis,
作者
刘欢
孟莉
LIU Huan;MENG Li(Hemodialysis Room,Zaozhuang Hospital of Zaozhuang Mining Group,Zaozhuang,Shandong Province,277100 China)
出处
《糖尿病新世界》
2022年第3期125-128,共4页
Diabetes New World Magazine
关键词
低血糖管理护理方案
糖尿病肾病
维持性血液透析
低血糖
Hypoglycemia management and nursing plan
Diabetic nephropathy
Maintenance hemodialysis
Hypoglycemia
