论文部分内容阅读
目的探讨糖尿病肾病患者血液透析中低血糖反应观察及其护理。方法选取2013年1月—2016年1月于常州市金坛区中医医院血液透析中心行维持性血液透析的糖尿病肾病患者120例,随机分为对照组和试验组,各60例。患者均行维持性血液透析,对照组采用常规护理,试验组患者在对照组基础上开展综合护理。比较两组患者不同透析时段(0~1 h,1~2 h,2~3 h及3~4 h)低血糖发生情况及护理满意度。结果两组患者透析0~1h低血糖发生率比较,差异无统计学意义(P>0.05);透析1~2 h,2~3 h及3~4 h试验组患者低血糖发生率及总发生率低于对照组(P<0.05)。试验组患者护理满意度优于对照组(P<0.05)。结论在糖尿病肾病患者维持性血液透析期间,全程密切监测患者体征、血压和血糖,开展必要的综合护理,可有效降低患者低血糖反应发生率,提高护理的满意度,改善护患关系。
Objective To investigate the hypoglycemic reaction in hemodialysis patients with diabetic nephropathy and its nursing. Methods From January 2013 to January 2016, 120 patients with diabetic nephropathy who underwent maintenance hemodialysis in hemodialysis center of Jintan District Chinese Medicine Hospital, Changzhou were randomly divided into control group and trial group, with 60 cases in each group. All patients underwent maintenance hemodialysis. Patients in the control group received routine nursing care. Patients in the test group received comprehensive nursing care based on the control group. The incidence of hypoglycemia and nursing satisfaction in different dialysis groups (0 ~ 1 h, 1 ~ 2 h, 2 ~ 3 h and 3 ~ 4 h) were compared between the two groups. Results There was no significant difference in the incidence of hypoglycemia between 0 and 1h after dialysis in the two groups (P> 0.05). The incidence and overall incidence of hypoglycemia in dialysis patients at 1 ~ 2 h, 2 ~ 3 h and 3 ~ 4 h The rate was lower than that of the control group (P <0.05). The nursing satisfaction of test group was better than that of control group (P <0.05). Conclusion During the maintenance hemodialysis of patients with diabetic nephropathy, the patients’ signs, blood pressure and blood sugar are closely monitored during the whole process of hemodialysis. Necessary comprehensive nursing can be carried out to reduce the incidence of hypoglycemic response, improve nursing satisfaction and improve the relationship between nurses and patients.