CAJ | 학술논문

目的：总结老年糖尿病肾病患者血液透析的护理要点。方法对2010年1月～2013年1月45例糖尿病肾病患者实施血液透析。结果透析有15例患者发生低血压，16例发生高血压，5例发生不同程度的出血现象，2例出现导管出口局部轻度感染，给予针对性的治疗护理后恢复。结论糖尿病肾病患者比同龄非糖尿病肾病血液透析患者更易发生低血压、高血压、感染等并发症，因此透析过程应做好患者病情观察，早预防、早发现、早处理，其是提高糖尿病肾病患者血液透析生活质量和生存率的有效保证。
목적：총결노년당뇨병신병환자혈액투석적호리요점。방법대2010년1월～2013년1월45례당뇨병신병환자실시혈액투석。결과투석유15례환자발생저혈압，16례발생고혈압，5례발생불동정도적출혈현상，2례출현도관출구국부경도감염，급여침대성적치료호리후회복。결론당뇨병신병환자비동령비당뇨병신병혈액투석환자경역발생저혈압、고혈압、감염등병발증，인차투석과정응주호환자병정관찰，조예방、조발현、조처리，기시제고당뇨병신병환자혈액투석생활질량화생존솔적유효보증。
Objective Summarize the main points of elderly diabetic nephropathy patients with hemodialysis nursing.Methods 45 diabetic and nephropathic patients admitted from January 2010 to January 2013 were treated with hemodialysis.Results15 patients developed with hypotension during dialysis,16 with hypertension,5 with hemorrhage of different degrees,and 2 with local mild infection.Al got recovered by pertinent treatment and care.Conclusions The diabetic and nephropathic patients undergoing hemodialysis are vulnerable to such complications of hypotension,hypertensin and infections.Intensive observation for early prevention,early detection and early management is an assurance for enhanced quality of life and increased survival rate among the patients.