基于个性化护理干预对糖尿病肾病患者肾功能保护和生活质量的影响  

Effect of personalized nursing intervention on renal function protection and quality of life in diabetic nephropathy patients

作　　者：郑梓晴 李宇慧 ZHENG Ziqing;LI Yuhui(Department of Nephrology,the First Affiliated Hospital of Xiamen University,Fujian Province,Xiamen361000,China)

机构地区：[1]厦门大学附属第一医院肾内科,福建厦门361000

出　　处：《中国当代医药》2025年第6期174-178,共5页China Modern Medicine

摘　　要：目的探讨基于个性化护理干预对糖尿病肾病患者肾功能保护和生活质量的影响。方法选取2020年1月至2022年12月厦门大学附属第一医院收治的80例糖尿病肾病患者作为研究对象,按照随机数字表法分为对照组(n=40)与观察组(n=40),对照组采用常规护理,观察组在对照组基础上采用基于个性化的护理干预,比较两组的肾功能指标(血清肌酐、尿素氮、尿白蛋白排泄率和肾小球滤过率)、自我护理能力评分、生活质量评分,以及患者满意度。结果护理后,观察组血清肌酐、尿素氮和尿白蛋白排泄率低于对照组,肾小球滤过率高于对照组,差异有统计学意义(P<0.05)。护理后,观察组自我护理能力评分高于对照组,差异有统计学意义(P<0.05)。护理后,观察组生理健康、心理健康、社会关系和环境领域评分高于对照组,差异有统计学意义(P<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论基于个性化护理干预对糖尿病肾病患者肾功能保护和生活质量有显著积极影响,患者的自我护理能力明显提高,患者对护理服务的满意度较高。Objective To investigate the impact of personalized nursing intervention on renal function protection and quality of life in patients with diabetic nephropathy.Methods A total of 80 diabetic nephropathy patients admitted to the First Affiliated Hospital of Xiamen University from January 2020 to December 2022 were selected as the study objects,and they were divided into control group(n=40)and observation group(n=40)according to random number table method.The control group received routine nursing,and the observation group received personalized nursing intervention on the basis of the control group.Renal function indicators(serum creatinine,blood urea nitrogen,urinary albumin excretion rate and glomerular filtration rate),self-care ability score,quality of life score and patient satisfaction were compared between the two groups.Results After nursing,the excretion rate of serum creatinine,urea nitrogen and urinary albumin in observation group were lower than those in control group,and the glomerular filtration rate was higher than that in control group,the differences were statistically significant(P<0.05).After nursing,the self-care ability score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).After nursing,the scores of physical health,mental health,social relations and environment in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion Personalized nursing intervention has a significant positive impact on renal function protection and quality of life of diabetic nephropathy patients,patients'self-care ability is significantly improved,and patients'satisfaction with nursing services is higher.

关 键 词：基于个性化护理干预 糖尿病肾病 肾功能 生活质量 自我护理能力 满意度 

分 类 号：R587.1[医药卫生—内分泌]