Analysis of nursing points of maintenance hemodialysis in the treatment of diabetic nephropathy
维持性血液透析治疗糖尿病肾病的护理要点分析

摘要

目的 探析糖尿病肾病治疗患者维持性血液透析期间的护理要点，分析合理的维持性血液透析护理形式。方法 选择本院确诊为糖尿病肾病的患者50例展开分析，所选患者入院及接受维持性血液透析治疗的时间在2017年1月---2022年1月之间。随机化结合患者的情况，分入对照组，给予患者常规维持性血液透析治疗护理，分入观察组给予患者综合要点式维持性血液透析治疗护理，对比患者治疗期间空腹血糖、尿素氮、肌酐在干预前后的数据差；统计护理显效率；统计患者在维持性血液透析治疗过程中对护理的满意度。结果 观察组在维持性血液透析的治疗过程中，空腹血糖、尿素氮、肌酐的值相对接近于正常，对照组的数值变化较大。护理后观察组有效、显效、无效的例数对占比分别是：7/17/1，28%/68%/4%。对照组有效、显效、无效的例数对占比分别是：3/19/3，12%/76%/12%。P<0.05。护理后观察组满意、较为满意、不满意的例数对占比分别是：10/14/1，40%/56%/4%。对照组满意、较为满意、不满意的例数对占比分别是：10/11/4，40%/44%/16%。P<0.05。结论 糖尿病肾病采取维持性血液透析治疗，需综合各方面的护理要点，有所轻重缓急的开展护理，及时性给予患者护理指导、护理意见、护理帮助，创设维持性血液透析的安全环境，保障透析效果的实现。

Abstract

Objective To explore the nursing points of patients with diabetic nephropathy during maintenance hemodialysis, and to analyze the reasonable nursing forms of maintenance hemodialysis.
Methods Fifty patients diagnosed with diabetic nephropathy in our hospital were selected for analysis. The selected patients were admitted to the hospital and received maintenance hemodialysis treatment from January 2017 to January 2022. Randomized and combined with the situation of the patients, divided into the control group, given routine maintenance hemodialysis treatment and nursing, divided into the observation group and given the patients comprehensive point-based maintenance hemodialysis treatment and nursing, compared the fasting blood glucose, blood urea nitrogen, creatinine levels of patients during treatment. The data before and after the intervention were poor; the significant nursing efficiency was counted; the patient's satisfaction with nursing during maintenance hemodialysis treatment was counted.
Results During the treatment of maintenance hemodialysis, the values of fasting blood glucose, blood urea nitrogen and creatinine in the observation group were relatively close to normal, while the values in the control group changed greatly. After nursing, the proportions of effective, markedly effective, and ineffective cases in the observation group were: 7/17/1, 28%/68%/4%, respectively. The proportions of effective, markedly effective, and ineffective cases in the control group were: 3/19/3, 12%/76%/12%, respectively. P<0.05. After nursing, the proportions of satisfied, relatively satisfied and dissatisfied cases in the observation group were: 10/14/1, 40%/56%/4%, respectively. The proportions of satisfied, relatively satisfied, and dissatisfied cases in the control group were: 10/11/4, 40%/44%/16%, respectively. P<0.05.
Conclusion   Diabetic nephropathy is treated with maintenance hemodialysis. It is necessary to integrate various nursing points, carry out nursing according to priorities, provide patients with nursing guidance, nursing advice and nursing assistance in a timely manner, create a safe environment for maintenance hemodialysis, and ensure the effect of dialysis. realization.