个体化饮食护理干预对糖尿病肾病患者临床治疗依从性的影响  

Effect of Individualized Dietary Care Intervention on Clinical Treatment Adherence of Patients with Diabetic Nephropathy

作　　者：王瑞青 方钦[1] 卓蕾艳 WANG Ruiqing;FANG Qin;ZHUO Leiyan(Union Hospital Affiliated to Fujian Medical University,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建医科大学附属协和医院,福建福州350001

出　　处：《糖尿病新世界》2023年第10期169-172,共4页Diabetes New World Magazine

摘　　要：目的观察糖尿病肾病患者应用个体化饮食护理干预的临床效果,并分析对患者临床治疗依从性的影响。方法选取2020年4月—2022年4月福建医科大学附属协和医院收治的118例糖尿病肾病患者为研究对象,使用单盲分组方式划分为参照组与观察组,每组59例,参照组施以常规方式护理干预,观察组施以个体化饮食护理干预,对两组患者护理效果进行比较。结果观察组临床治疗依从性显著高于参照组,差异有统计学意义(P<0.05)。观察组患者空腹血糖与餐后2 h血糖水平均显著低于参照组,差异有统计学意义(P<0.05)。观察组生活质量与自我护理能力均显著高于参照组,差异有统计学意义(P<0.05)。观察组患者白蛋白、转铁蛋白、血红蛋白水平均高于参照组,差异有统计学意义(P<0.05)。结论糖尿病肾病患者以个体化饮食护理方式对病情进行干预,可提升其临床治疗依从性,维持患者血糖水平稳定,改善患者生活质量、营养状态,并有助于提升患者自我护理能力。Objective To observe the clinical effects of applying individualized dietary care intervention in patients with diabetic nephropathy and to analyze the effects on patients´clinical treatment compliance.Methods From April 2020 to April 2022,118 patients with diabetes nephropathy admitted to the Union Medical College Hospital affiliated to Fujian Medical University were selected as the research objects.They were divided into the reference group and the observation group by single blind grouping,with 59 cases in each group.The reference group was given routine nurs-ing intervention,and the observation group was given individualized diet nursing intervention.The nursing effects of the two groups were compared.Results The clinical treatment compliance of the observation group was significantly higher than that of the reference group,and the difference was statistically significant(P<0.05).The fasting blood glu-cose and blood glucose 2 hours after meal in the observation group were significantly lower than those in the control group,the difference was statistically significant(P<0.05).The quality of life and self-care ability of the observation group were significantly higher than those of the control group,and the difference was statistically significant(P<0.05).The levels of albumin,transferrin and hemoglobin in the observation group were significantly higher than those in the control group,the difference was statistically significant(P<0.05).Conclusion Intervention of diabetic nephropa-thy patients with individualized dietary care can improve their clinical treatment compliance,maintain stable blood glucose levels,improve patients´quality of life,nutritional status,and help improve patients´self-care ability.

关 键 词：饮食护理 糖尿病肾病 治疗依从性 营养状态 血糖水平 

分 类 号：R59[医药卫生—内科学]