汪金梅 姜小玉 韦云霞

[摘要] 目的 研究分析以人為本护理在糖尿病肾病患者血液透析中的应用。方法 2016年8月—2017年10月间选取该院收治的50例糖尿病肾病患者为研究对象。实验组与对照组患者均进行血液透析治疗，对照组进行常规护理措施，在此基础上实验组给予以人为本护理措施，关注患者心理状态变化，充分考虑患者需求，做好健康教育等，防止患者产生较大的心理压力，做好静脉置管护理及内瘘护理。比较分析实验组与对照组患者的低血压、低血糖及顽固性高血压等并发症发生情况及生活质量对比等临床指标。结果 对照组患者中发生低血压概率为16.00%，实验组患者中发生低血压概率为4.00%，差异有统计学意义（P<0.05）。实验组与对照组患者低血糖发生率分别为4.00%与20.00%，差异有统计学意义（P<0.05）。实验组与对照组患者顽固性高血压发生率分别为8.00%与24.00%，差异有统计学意义（P<0.05）。实验组生活质量评分中角色功能为（48.32±2.12）分，对照组生活质量评分中角色功能为（37.10±2.22）分，差异有统计学意义（P<0.05）。结论 以人为本护理在糖尿病肾病患者血液透析中的应用效果较为理想，可显著提高患者的生活质量，避免低血压及低血糖等并发症发生，具有临床推广的意义。

[关键词] 人为本护理；糖尿病肾病患者；血液透析；临床治疗效果

[中图分类号] R473 [文献标识码] A [文章编号] 1672-4062（2018）02（b）-0151-02

Application of People-oriented Nursing in Hemodialysis for Patients with Diabetic Nephropathy

WANG Jin-mei， JIANG Xiao-yu， WEI Yun-xia

Blood Purification Center， 86th PLA Hospital， Dangtu， Anhui Province， 243100 China

[Abstract] Objective This paper tries to research and analyze the people-oriented care in the application of hemodialysis in patients with diabetic nephropathy. Methods From August 2016 to October 2017 50 patients with diabetic nephropathy admitted to this hospital were selected as subjects. Both the experimental group and the control group were treated with hemodialysis， and the control group was given routine nursing measures. On this basis， the experimental group was given human-centered nursing measures， focused on changes in the patient's psychological state， fully considered the needs of the patient， and performed health education to prevent the patient from producing greater psychological pressure， good intravenous care and internal care. The clinical indicators such as the occurrence of complications such as hypotension， hypoglycemia， and intractable hypertension， and the quality of life were compared between the experimental group and the control group. Results The incidence of hypotension in the control group was 16.00%， and the probability of hypotension occurred in the experimental group was 4.00%. The difference was statistically significant（P<0.05）. The incidence of hypoglycemia in the experimental and control groups was 4.00% and 20.00%， respectively， with statistical significance（P<0.05）. The incidence of resistant hypertension in the experimental and control groups was 8.00% and 24.00%， respectively， with a statistically significant difference（P<0.05）. The role of function in the experimental group quality of life score was（48.32±2.12）points， and the role of function in the control group was（37.10±2.22）points， with a statistically significant difference（P<0.05）. Conclusion People-oriented nursing in the application of hemodialysis in patients with diabetic nephropathy is more ideal， can significantly improve the quality of life of patients， to avoid the occurrence of complications such as low blood pressure and hypoglycemia， has clinical significance.

[Key words] People-oriented nursing； Diabetic nephropathy patients； Hemodialysis； Clinical treatment effect

在临床治疗中，糖尿病肾病为一种常见的疾病，发病率较高，常用维持治疗方法为血液透析，但并发症多[1]，对患者正常生活造成一定影响。为研究分析以人为本护理在糖尿病肾病患者血液透析中的应用，选取该院2016年8月—2017年10月收治的50例糖尿病肾病患者，报道如下。

1 资料与方法

1.1 一般资料

选取该院收治的50例糖尿病肾病患者为研究对象，随机分为两组各25例，均充分知情同意。对照组中，年龄43～79岁，平均时间为（54.32±1.22）岁，病程范围为10～33年，平均病程时间为（10.21±3.22）年，女性患者为11例，男性患者为14例。实验组中，年龄43～80岁，平均时间为（54.20±1.12）岁，病程范围为10～32年，平均病程时间为（10.02±3.12）年，女性患者为10例，男性患者为15例。……