魏奇恩

DOI：10.16658/j.cnki.1672-4062.2020.20.187

[摘要] 目的 探讨糖尿病肾病腹膜透析患者的护理要点。 方法 选择该院2018年10月—2019年6月收治的100例糖尿病肾病患者作为该次研究入组对象，根据随机数字表随机分为研究组和对照组两组，每组50例，对照组采用常规护理，研究组采用针对性护理，对比两组护理效果。结果 研究组护理满意度为94.00%高于对照组72.00%，差异有统计学意义（P<0.05）。研究组护理后FPG、2 hPG、HbA1c分别为（7.12±1.25）mmol/L、（9.83±1.17）mmol/L、（6.68±0.46）%，优于对照组分别为（12.23±1.89）mmol/L、（14.75±2.16）mmol/L、（9.97±0.67）%，差异有统计学意义（P<0.05）。结论 糖尿病肾病腹膜透析患者针对性护理效果明显。

[关键词] 糖尿病肾病;腹膜透析;患者;护理要点

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）10（b）-0187-03

Study on the Nursing Points of Patients with Diabetic Nephropathy and Peritoneal Dialysis

WEI Qi-en

Department of Nephrology， Nanping Second Hospital， Nanping， Fujian Province， 353000 China

[Abstract] Objective To explore the nursing points of patients with diabetic nephropathy and peritoneal dialysis. Methods 100 patients with diabetic nephropathy admitted to the hospital from October 2018 to June 2019 were selected as the subjects of this study. According to the random number table， they were randomly divided into study group and control group， with 50 cases in each group. The control group used conventional nursing care， and the study group used targeted nursing care to compare the nursing effects of the two groups. Results The nursing satisfaction rate of the study group was 94.00% higher than that of the control group 72.00%， which was statistically different（P<0.05）. The FPG， 2 hPG， and HbA1c of the study group after nursing were （7.12±1.25） mmol/L， （9.83±1.17） mmol/L， （6.68±0.46）%， respectively， better than the control group by （12.23±1.89） mmol/L，（14.75±2.16）mmol/L，（9.97±0.67）%， the difference was statistically significant（P<0.05）. Conclusion Peritoneal dialysis patients with diabetic nephropathy are effective in targeted nursing.

[Key words] Diabetic nephropathy; Peritoneal dialysis; Patients; Nursing points

糖尿病是臨床常见的内分泌疾病，临床主要表现为血糖升高，可伴有消渴、体重减少、饮水增多等症状[1]。随着人群生活方式和饮食习惯的改变糖尿病发病率逐渐上升，形势不容乐观。长期血糖控制不佳的糖尿病患者随着病情逐渐发展会出现多种并发症，包括外周神经病变、糖尿病视网膜病变等，严重威胁患者的生命健康[2]。糖尿病肾病是糖尿病常见血管并发症，早期患者无明显临床症状，主要表现为蛋白尿，可伴有轻度血尿[3]。糖尿病肾病晚期患者肾功能衰竭失代偿后往往需要进行透析治疗，延误透析治疗或因高额医疗费用难以承担的患者往往最终由于尿毒症相关综合征状导致死亡[4]。因而临床上对于糖尿病患者需要加强血糖检测和控制，减少由于高血糖对血管造成的损害。临床上透析治疗的方法主要包括血液透析和腹膜透析。血液透析耗费时间长，费用高昂，不利于患者长期治疗。腹膜透析是糖尿病肾病治疗的重要重要手段。……