摘要
目的探讨协同护理干预对糖尿病肾病患者饮食依从性和代谢指标的影响。方法 104例糖尿病肾病患者随机分为观察组和对照组,各52例。对照组给予常规护理,观察组在对照组基础上实施协同护理干预。对比2组护理干预前后依从性和相关代谢指标水平,并评价2组对护理服务的满意程度。结果 1干预后,观察组饮食依从性评分中"最近7 d内遵从饮食计划的天数"、"最近7 d内摄入高脂食物的天数"和"最近7 d内完成体质量监测的天数"项目评分均高于对照组(P<0.05)。2干预后,2组尿素氮及尿蛋白水平较干预前显著降低(P<0.05);组间比较,观察组餐后2 h血糖、尿素氮及尿蛋白水平均显著低于对照组(P<0.05或P<0.01)。3观察组护理满意度为92.31%,显著高于对照组的65.39%(P<0.01)。结论协同护理模式能够提高糖尿病肾病患者饮食依从性,改善相关代谢指标水平,值得借鉴。
Objective To investigate the effects of collaborative nursing model on dietary ad- herence and levels of metabolic index in patients with diabetic nephropathy. Methods A total of 104 patients with diabetic nephropathy were randomly divided into the observation group （n = 52） and the control group （n = 52） , both with conventional treatment and nursing care. The observation group was applied with additional nursing measures based on collaborative nursing model. The dietary adherence and levels of metabolic index before and after intervention were compared, and the nursing satisfaction after intervention was assessed. Results （1） In terms of dietary adherence , the score of ＂days of ad- herence to dietary in last 7 days＂, ＂days of high-fat food intake in last 7 days＂ and ＂days of monito- ring body weight in last 7 days＂ were significantly higher in the observation group than those in the control group after intervention （ P 〈 0.05 ）. （2） Levels of urea nitrogen and urine protein were de- creased after intervention in both of two groups （ P 〈 0.05 ）. The observation group had lower level of 2hPG,urea nitrogen and urine protein compared with the control group （P 〈 0.05or P 〈 0.01 ）. （3） The nursing satisfaction rate was 92.31% in the observation group and was 65.39% in the control group, with a significant difference （ P 〈 0.01 ）. Conclusion Collaborative nursing model can im- prove the dietary adherence and levels of metabolic index in patients with diabetic nephropathy.
出处
《中西医结合护理（中英文）》
2016年第3期20-22,25,共4页
Journal of Clinical Nursing in Practice
关键词
协同护理
糖尿病肾病
糖代谢
饮食依从性
collaborative nursing model
diabetic nephropathy
glycometabolism
dietary adherence
