糖尿病新世界
糖尿病新世界
당뇨병신세계
DIABETES NEW WORLD
2014年
20期
4-5
,共2页
糖尿病肾病%细节管理%血液透析%护理干预
糖尿病腎病%細節管理%血液透析%護理榦預
당뇨병신병%세절관리%혈액투석%호리간예
Diabetic nephropathy%Detail management%Hemodialysis%Nursing intervention
目的：研究细节管理在终末期糖尿病肾病血液透析护理中的应用。方法从2013年4月—2014年5月，选取该院的90例终末期糖尿病肾病血液透析患者为研究对象，将其分为观察组和对照组两组，其中对照组45例患者采用常规护理，观察组45例患者，在常规护理的基础上实施细节管理。结果观察组采取细节管理后患者高血压、低血压等并发症的发生率分别为28.89%（13/45）、11.11%（5/45），均显著低于对照组的55.56%（25/45）、37.78%（17/45），差异有统计学意义（P＜0.05）；观察组采用细节管理的终末期糖尿病患者对护理服务非常满意、满意分别为77.78%、13.33%，与对照组相比明显优于对照组，差异有统计学意义（均P＜0.05）。结论细节管理在终末期糖尿病肾病血液透析护理中的应用明显的降低了并发症的发生率，提高患者的生活质量，有利于病情改善，提高了患者对护理服务的满意度，值得临床进一步推广。
目的：研究細節管理在終末期糖尿病腎病血液透析護理中的應用。方法從2013年4月—2014年5月，選取該院的90例終末期糖尿病腎病血液透析患者為研究對象，將其分為觀察組和對照組兩組，其中對照組45例患者採用常規護理，觀察組45例患者，在常規護理的基礎上實施細節管理。結果觀察組採取細節管理後患者高血壓、低血壓等併髮癥的髮生率分彆為28.89%（13/45）、11.11%（5/45），均顯著低于對照組的55.56%（25/45）、37.78%（17/45），差異有統計學意義（P＜0.05）；觀察組採用細節管理的終末期糖尿病患者對護理服務非常滿意、滿意分彆為77.78%、13.33%，與對照組相比明顯優于對照組，差異有統計學意義（均P＜0.05）。結論細節管理在終末期糖尿病腎病血液透析護理中的應用明顯的降低瞭併髮癥的髮生率，提高患者的生活質量，有利于病情改善，提高瞭患者對護理服務的滿意度，值得臨床進一步推廣。
목적：연구세절관리재종말기당뇨병신병혈액투석호리중적응용。방법종2013년4월—2014년5월，선취해원적90례종말기당뇨병신병혈액투석환자위연구대상，장기분위관찰조화대조조량조，기중대조조45례환자채용상규호리，관찰조45례환자，재상규호리적기출상실시세절관리。결과관찰조채취세절관리후환자고혈압、저혈압등병발증적발생솔분별위28.89%（13/45）、11.11%（5/45），균현저저우대조조적55.56%（25/45）、37.78%（17/45），차이유통계학의의（P＜0.05）；관찰조채용세절관리적종말기당뇨병환자대호리복무비상만의、만의분별위77.78%、13.33%，여대조조상비명현우우대조조，차이유통계학의의（균P＜0.05）。결론세절관리재종말기당뇨병신병혈액투석호리중적응용명현적강저료병발증적발생솔，제고환자적생활질량，유리우병정개선，제고료환자대호리복무적만의도，치득림상진일보추엄。
Objective To study the application of detail management in hemodialysis nursing for end-stage diabetic nephropathy. Methods 90 cases with end-stage diabetic nephropathy underwent hemodialysis in our hospital from April 2013 to May 2014 were selected as the subjects and divided into two groups, the observation group and the control group. 45 cases in the control group were treated by the conventional nursing, and 45 cases in the observation group were treated by detail management based on the conventional nursing. Results The incidence of hypertension, hypotension and other complications of the observation group treated by detail management was 28.89%(13/45), 11.11%(5/45), respectively, much lower than 55.56%(25/45), 37.78%(17/45), respective-ly, the differences were statistically significant (P<0.05);and the level of very satisfied and satisfied with nursing service of the pa-tients in the observation group was 77.78%, 13.33%, respectively, much better than that in the control group, respectively, the dif-ferences were statistically significant (P<0.05). Conclusion Detail management applied to the hemodialysis nursing for end-stage diabetic nephropathy significantly reduces the incidence of complications, helps ameliorate the conditions of the patients, improves the quality of life and level of satisfaction with nursing service of the patients, so it is worthy of further clinical promotion.
