摘要
目的研究舒适护理用于维持性血液透析治疗糖尿病肾病患者中对其不良反应及满意度的影响。方法选取2021年8月至2023年8月赣南医学院附属兴国医院收治的80例糖尿病肾病维持性血液透析患者作为研究对象,采取随机数字表法分为对照组(n=40)和观察组(n=40),对照组予以常规护理,观察组采用舒适护理。比较两组护理前后肾功能[血肌酐(SCr)、尿素氮(BUN)]、不良情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]及生活质量[简明健康状况量表(SF-36)]评分变化,比较两组不良反应,观察两组护理满意度。结果观察组护理后BUN、SCr水平及SAS、SDS评分低于对照组,差异有统计学意义(P<0.05),SF-36评分高于对照组,差异有统计学意义(P<0.05)。观察组不良反应总发生率低于对照组,护理满意度高于对照组,差异有统计学意义(P<0.05)。结论糖尿病肾病维持性血液透析患者采用舒适护理效果显著,可改善糖尿病肾病患者肾功能,改善不良情绪,提高生活质量,降低不良反应发生风险,护理满意度高,值得推广。
Objective To investigate the effect of comfort nursing on the adverse reactions and satisfaction of patients with diabetic nephropathy treated by maintenance hemodialysis.Methods A total of 80 diabetic nephropathy maintenance hemodialysis patients admitted to Xingguo Hospital Affiliated to Gannan Medical University from August 2021 to August 2023 were selected as the study objects,they were divided into control group(n=40)and observation group(n=40)by random number table method.The control group received routine nursing,while the observation group received comfort nursing.The score changes of renal function(serum creatinine[SCr],blood urea nitrogen[BUN]),adverse mood(self-rating anxiety scale[SAS],self-rating depression scale[SDS])and quality of life(short form 36 health survey questionnaire[SF-36])were compared between the two groups before and after nursing,adverse reactions were compared between the two groups,and nursing satisfaction was observed between the two groups.Results The BUN,SCr level,SAS and SDS score of the observation group were lower than those of the control group after nursing,and the differences were statistically significant(P<0.05).The SF-36 score was higher than that of the control group,and the difference was statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,and nursing satisfaction was higher than that in the control group,with statistically significant difference(P<0.05).Conclusion Comfort nursing for diabetic nephropathy maintenance hemodialysis patients has significant effects,which can improve renal function,improve bad mood,improve quality of life,reduce the risk of adverse reactions in diabetic nephropathy patients,and have high nursing satisfaction,which is worthy of promotion.
作者
刘芳
谢小美
谢芳
赵燕群
邱成旭
LIU Fang;XIE Xiaomei;XIE Fang;ZHAO Yanqun;QIU Chengxu(Department of Endocrinology,Xingguo Hospital Affiliated to Gannan Medical University,Jiangxi Province,Ganzhou342400,China)
出处
《中国当代医药》
CAS
2024年第14期145-148,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202312176)。
关键词
舒适护理
维持性血液透析
糖尿病肾病
不良反应
满意度
Comfortable nursing
Maintenance hemodialysis
Diabetes nephropathy
Adverse reactions
Satisfaction
