中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
16期
1928-1930
,共3页
肾移植%血糖%护理干预
腎移植%血糖%護理榦預
신이식%혈당%호리간예
Renal transplantation%Blood glucose%Nursing intervention
目的 探讨护理干预对肾移植术后患者血糖水平的影响.方法 采用随机数字表法将204例肾移植术后患者随机分为观察组(n=102)和对照组(n=102),对照组按常规进行护理和健康教育,观察组实施护理干预;干预后6个月比较两组患者饮食、运动、生活习惯、掌握疾病相关知识情况和血 糖水平.结果 干预后6个月观察组患者不合理饮食占7.8％,对照组占31.4％;观察组掌握疾病相关知识患者占98.1％,对照组占60.8％,两组比较差异均有统计学意义(x2分别为17.91,43.30;P＜0.05).观察组空腹血糖(5.10±0.30) mmol/L,餐后2h血糖(8.00±0.35) mmol/L,均低于对照组的(6.20 ±0.31),(9.60 ±0.27) mmol/L,差异有统计学意义(t分别为4.245,6.682;P ＜0.05).肾移植术后6个月观察组有2例患者发展为肾移植术后糖尿病(PTDM),对照组有6例发展为PTDM.结论 对肾移植术后患者实施护理干预有利于控制患者血糖水平,预防和延缓PTDM的发生,提高患者的人/肾长期存活率.
目的 探討護理榦預對腎移植術後患者血糖水平的影響.方法 採用隨機數字錶法將204例腎移植術後患者隨機分為觀察組(n=102)和對照組(n=102),對照組按常規進行護理和健康教育,觀察組實施護理榦預;榦預後6箇月比較兩組患者飲食、運動、生活習慣、掌握疾病相關知識情況和血 糖水平.結果 榦預後6箇月觀察組患者不閤理飲食佔7.8％,對照組佔31.4％;觀察組掌握疾病相關知識患者佔98.1％,對照組佔60.8％,兩組比較差異均有統計學意義(x2分彆為17.91,43.30;P＜0.05).觀察組空腹血糖(5.10±0.30) mmol/L,餐後2h血糖(8.00±0.35) mmol/L,均低于對照組的(6.20 ±0.31),(9.60 ±0.27) mmol/L,差異有統計學意義(t分彆為4.245,6.682;P ＜0.05).腎移植術後6箇月觀察組有2例患者髮展為腎移植術後糖尿病(PTDM),對照組有6例髮展為PTDM.結論 對腎移植術後患者實施護理榦預有利于控製患者血糖水平,預防和延緩PTDM的髮生,提高患者的人/腎長期存活率.
목적 탐토호리간예대신이식술후환자혈당수평적영향.방법 채용수궤수자표법장204례신이식술후환자수궤분위관찰조(n=102)화대조조(n=102),대조조안상규진행호리화건강교육,관찰조실시호리간예;간예후6개월비교량조환자음식、운동、생활습관、장악질병상관지식정황화혈 당수평.결과 간예후6개월관찰조환자불합리음식점7.8％,대조조점31.4％;관찰조장악질병상관지식환자점98.1％,대조조점60.8％,량조비교차이균유통계학의의(x2분별위17.91,43.30;P＜0.05).관찰조공복혈당(5.10±0.30) mmol/L,찬후2h혈당(8.00±0.35) mmol/L,균저우대조조적(6.20 ±0.31),(9.60 ±0.27) mmol/L,차이유통계학의의(t분별위4.245,6.682;P ＜0.05).신이식술후6개월관찰조유2례환자발전위신이식술후당뇨병(PTDM),대조조유6례발전위PTDM.결론 대신이식술후환자실시호리간예유리우공제환자혈당수평,예방화연완PTDM적발생,제고환자적인/신장기존활솔.
Objective To explore the effect of nursing intervention on blood glucose level in patients after renal transplantation.Methods Two hundred and four patients after renal transplantation were divided into the control group and the observation group according to the random number table,each with 102 cases.The control group received the routine nursing and health education,and the observation group received the nursing intervention.The condition of diet,exercise,living habits,the mastering of disease-related knowledge and the blood glucose level were compared between two groups at six months after the intervention.Results The percentof patients of unreasonable diet was 7.8％ in the observation group at six months after the intervention,and was 31.4％ in the control group; the percent of patients who mastered the disease-related knowledge was 98.1％ in the observation group,and was 60.8％ in the control group,and the differences were statistically significant (x2 =17.91,43.30,respectively;P ＜ 0.05).Fasting and 2 h postprandial plasma glucose were respectively (5.10±0.30),(8.00 ±0.35) mmol/L in the observation group,and were lower than (6.20 ±0.31),(9.60 ±0.27)mmol/L in the control group,and the differences were statistically significant (t =4.245,6.682,respectively ;P ＜ 0.05).The cases of post transplant diabetes mellitus (PTDM) were two cases in the observation group at six months after the operation,and were six cases in the control group.Conclusions The nursing intervention in patients after renal transplantation is beneficial to control the blood glucose level,and prevent and delay the occurrence of PTDM,and improve the patient/graft long-term survival rate.
