徐庭芳

[摘要] 目的 探究优质护理干预在糖尿病肾病患者中的护理效果。方法 选取2016年3月—2018年5月间该院收治的76例DN患者作为主要研究对象，分为对照组和干预组。结果 干预组患者护理后BUN、UAER以及SCr水平明显低于对照组，差异有统计学意义（P<0.05）;干预组患者DBP和SBP明显低于对照组，差异有统计学意义（P<0.05）。护理后，对照组患者SDS评分与护理前相比差异无统计学意义（P>0.05），观察组患者SDS评分较护理前明显降低（P<0.05），明显低于对照组患者，差异有统计学意义（P<0.05）。结论 糖尿病肾病患者应用优质护理能有效缓解患者的负性情绪，控制有关指标和症状，提高治疗效果，值得在临床护理中推广应用。

[关键词] 糖尿病肾病;护理干预;护理质量

[Abstract] Objective To explore the nursing effect of quality nursing intervention in patients with diabetic nephropathy. Methods 76 patients with DN admitted to our hospital from March 2016 to May 2018 were selected as the main subjects， and were divided into control group and intervention group. Results The levels of BUN， UAER and SCr in the intervention group were significantly lower than those in the control group，the difference was statistically significant（P<0.05）. The DBP and SBP in the intervention group were significantly lower than those in the control group，the difference was statistically significant（P<0.05）. After the nursing， the SDS scores of the control group were not significantly different from those before the nursing（P>0.05）. The SDS scores of the observation group were significantly lower than those before the nursing，the difference was statistically significant（P<0.05）， which was significantly lower than that of the control group， and the difference was significant（P<0.05）. Conclusion The application of quality nursing in patients with diabetic nephropathy can effectively alleviate the negative emotions of patients， control related indicators and symptoms， and improve the therapeutic effect. It is worthy of popularization and application in clinical nursing.

[Key words] Diabetic nephropathy; Nursing intervention; Quality of care

我國糖尿病患者数正呈逐年递增的趋势，该症可能引发各种类型的并发症，糖尿病肾病（Diabetic Nephropathy，DN）是其中最常见也是最严重的并发症类型之一，很可能诱发终末期肾病，导致糖尿病患者的死亡[1-2]。目前，临床上针对DN患者主要通过控制病情进一步发展，降低并发症风险来延长患者生存期，提高生活质量。研究表明，实施有效的护理干预能够提高该类患者的治疗效果，为探究优质护理干预在DN患者中的护理效果，该文将选取2016年3月—2018年5月间该院收治的76例DN患者作为主要研究对象，开展实验。报道如下。

1  资料与方法

1.1  一般资料

选取该院收治的76例DN患者作为主要研究对象，以随机分组的方式分为对照组和干预组，每组各38例。对照组中，男性患者21例，女性17例，年龄在34～75岁之间，平均年龄（45.7±6.6）岁，糖尿病病程3～15年，平均（10.3±1.5）年;干预组中，男性患者22例，女性16例，年龄在33～72岁之间，平均年龄（44.8±6.3）岁，糖尿病病程2～17年，平均（10.5±1.6）年。对比两组患者年龄、性别、病程等基本资料，差异无统计学意义（P>0.05）。

1.2  方法

对照组患者接受常规护理方案，主要包括对患者血糖指标、肾功能进行严密监测，用药护理，定期打扫保持以病房内卫生等[3]。干……