协同护理干预对糖尿病肾病患者维持性血液透析效果的影响  

Evaluation of the Effect of Collaborative Nursing Intervention on Maintenance Hemodialysis in Patients with Diabetes Nephropathy

作　　者：林淑芳 LIN Shufang(Department of Nephrology,Zhongshan Hospital Affiliated to Xiamen University,Xiamen,Fujian 361004,China)

机构地区：[1]厦门大学附属中山医院肾内科,福建厦门361004

出　　处：《中国医药指南》2025年第8期176-178,共3页Guide of China Medicine

摘　　要：目的 探讨按糖尿病予以诊断采用维持性血液透析实施治疗的患者重视协同护理干预工作的开展价值。方法 选取2022年2月至2024年2月厦门大学附属中山医院肾内科收治的糖尿病肾病60例,均进行维持性血液透析治疗,经随机数字表法均分为两组,对照组(30例)开展常规护理,观察组(30例)开展协同护理干预,比较两组负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、生活质量[简明健康调查问卷(SF-36)]、总满意度以及不良事件(低血糖、导管感染、低血压)发生情况。结果 观察组SAS、SDS评分低于对照组(均P <0.05);观察组心理功能、生理功能、躯体功能、社会职能评分高于对照组(均P <0.05);观察组低血糖、导管感染以及低血压的次数低于对照组(均P <0.05);观察组总满意度高于对照组(P <0.05)。结论 针对糖尿病肾病采用维持性血液透析治疗的患者,经开展协同护理干预,可促使负性情绪降低,生活质量得以改善,不良事件率降低,总满意度提升。Objective To explore the value of cooperative nursing intervention in patients diagnosed as diabetes and treated with maintenance hemodialysis.Methods A total of 60 patients with diabetic nephropathy who underwent maintenance hemodialysis treatment were selected from the Department of Nephrology at Xiamen University Affiliated Zhongshan Hospital between February 2022 and February 2024.These patients were randomly divided into two groups using a random number table.The control group(30 cases)received routine care,while the observation group(30 cases)received collaborative nursing intervention.The two groups were compared in terms of negative emotions[assessed by the Self-Rating Anxiety Scale(SAS)and the Self-Rating Depression Scale(SDS)],quality of life[assessed by the Short-Form Health Survey(SF-36)],overall satisfaction,and the incidence of adverse events(hypoglycemia,catheter infection,hypotension).Results The SAS,SDS scores of the observation group were lower than those of the control group(both P<0.05).The observation group also had higher scores in psychological function,physiological function,physical function,and social functioning compared with the control group(all P<0.05).the incidence of hypoglycemia,catheter infection,and hypotension was lower in the observation group than in the control group(all P<0.05).the overall satisfaction rate was higher in the observation group than in the control group(P<0.05).Conclusions For patients with diabetes nephropathy who are treated with maintenance hemodialysis,collaborative nursing intervention can reduce negative emotions,improve the quality of life,reduce the rate of adverse events,and improve the overall satisfaction.

关 键 词：糖尿病肾病 维持性血液透析 协同护理干预 心理状态 

分 类 号：R587.2[医药卫生—内分泌] R473.5[医药卫生—内科学]