Clinical characteristics and nursing of hemodialysis in end-stage diabetic nephropathy
终末期糖尿病肾病血液透析的临床特点及护理

摘要

目的 对终末期糖尿病肾病血液透析的临床特点及护理手段进行研究，以期能够为护理人员护理终末期糖尿病肾病血液透析患者带来一些帮助。方法 实验对象为终末期糖尿病肾病血液透析患者，实验时间为2019年4月-2020年7月，实验人数共计40例。依据编号分组的结果划分对照组及实验组患者。实施基础护理方案护理对照组患者，实施整体化护理方案护理实验组患者，对两组患者相关知识掌握评分、并发症出现情况、护理满意度、焦虑及抑郁评分、肾功能相关指标进行分析和对比。结果 对本次实验展开分析，实验组患者相关知识掌握评分、护理满意度均有着较大幅度的提升，两组患者相关知识掌握评分及护理满意度之间差异突出，（p＜0.05）；对本次实验进行系统的分析，实验组患者并发症出现概率、焦虑及抑郁评分、尿素氮及血肌酐指标均有着较大幅度的下降，两组患者并发症出现概率、焦虑及抑郁评分、尿素氮及血肌酐指标之间的差异突出，（p＜0.05）。结论 整体化护理方案在终末期糖尿病肾病血液透析患者护理中的价值高于基础护理，整体化护理方案在提高相关知识掌握评分、护理满意度、降低患者并发症出现概率、焦虑及抑郁评分、尿素氮及血肌酐指标方面效果较为理想。

Abstract

Objective: To study the clinical characteristics and nursing methods of end-stage diabetic nephropathy hemodialysis, so as to bring some help for nursing staff to care for end-stage diabetic nephropathy hemodialysis patients.
Methods: The experimental subjects were hemodialysis patients with end-stage diabetic nephropathy. The experimental period was from April 2019 to July 2020. There were a total of 40 patients in the experiment. Divide the control group and the experimental group according to the results of the number grouping. Implement basic nursing plan to care for patients in the control group and implement holistic nursing plan to care for patients in the experimental group, analyze and compare the two groups of patients with relevant knowledge mastery scores, complications, nursing satisfaction, anxiety and depression scores, and renal function related indicators.
Results: According to the analysis of this experiment, the scores of relevant knowledge mastery and nursing satisfaction of the experimental group of patients have been greatly improved, and the difference between the scores of relevant knowledge mastery and nursing satisfaction of the two groups of patients is prominent, (p<0.05); A systematic analysis of this experiment showed that the incidence of complications, anxiety and depression scores, urea nitrogen and serum creatinine indicators of the experimental group of patients all decreased significantly. The incidence of complications, anxiety and depression scores, and urea of the two groups of patients The difference between nitrogen and blood creatinine indexes is prominent, (p<0.05).
Conclusion  : The value of holistic nursing plan in the care of end-stage diabetic nephropathy patients with hemodialysis is higher than that of basic nursing. The holistic nursing plan can improve relevant knowledge master score, nursing satisfaction, reduce the probability of patient complications, anxiety and depression score, The effect of urea nitrogen and blood creatinine index is better.