个性化康复护理对糖尿病肾病患者血糖、 血压水平及病情转归的影响(1)
[摘要] 目的 探讨个性化康复护理对糖尿病肾病患者血糖、血压水平及病情转归的影响。 方法 选取2017年8月～2018年8月在我院接受治疗的62例糖尿病肾病患者作为研究对象，随机分为对照组与观察组，各31例。对照组给予常规护理;观察组在对照组基础上加用个性化康复护理，对两组患者护理前后的血糖、血压水平及转归情况进行综合评价。 结果 护理后观察组患者血糖、血压水平与对照组比较均有所改善，差异有统计学意义(P<0.05);观察组护理后有效率为93.55%，显著高于对照组的70.79%，差异有统计学意义(P<0.05)。 结论 个性化康复护理在糖尿病肾病中的应用，能够促进血糖、血压指标改善，值得推广应用。
[关键词] 个性化康复护理;糖尿病肾病;血糖水平;血压水平
[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701(2019)33-0150-03
[Abstract] Objective To explore the effect of personalized rehabilitation nursing on blood glucose level， blood pressure level and disease outcome of patients with diabetic nephropathy. Methods A total of 62 patients with diabetic nephropathy who were treated in our hospital from August 2017 to August 2018 were selected as study subjects. They were randomly divided into control group and observation group， with 31 cases in each group. The control group was given routine nursing care， and the observation group was further given personalized rehabilitation nursing care on the basis of the control group. The blood glucose， blood pressure levels and disease outcomes in both groups before and after nursing care were comprehensively evaluated. Results After nursing， the blood glucose and blood pressure levels in the observation group were improved compared with the control group， and the differences were statistically significant(P<0.05);the effective rate after nursing in the observation group was 93.55%， which was significantly higher than that of 70.97% in the control group， and the difference was statistically significant(P<0.05). Conclusion The application of personalized rehabilitation nursing in diabetic nephropathy can promote the improvement of blood sugar and blood pressure indicators， which is worthy of popularization and application.
[Key words] Personalized rehabilitation nursing care; Diabetic nephropathy; Blood glucose levels; Blood pressure levels
糖尿病腎病是糖尿病微血管常见并发症之一，这也是引起患者死亡重要原因之一。糖尿病肾病患者多表现为不同程度的血压血糖升高、尿蛋白升高等[1]，发展至晚期甚至会引起肾衰竭，严重影响着患者的生命安全。大部分糖尿病肾病患者多伴随不同程度焦虑、紧张等心理，对糖尿病肾病患者除常规治疗外，需辅之以必要的康复护理，作为一种新型护理模式，个性化康复护理集中体现了人性化、以人为本的原则，在实施临床护理时充分考虑了患者的个体差异性，是一种具有针对性的护理模式，其对于患者生活质量的提升有着重要的意义。为探讨个性化康复护理在糖尿病肾病患者中的应用效果，收集我院62例糖尿病肾病患者临床资料进行分析，现报道如下。
1 资料与方法
1.1 一般资料
选取2017年8月～2018年8月在我院接受治疗的62例糖尿病肾病患者作为研究对象，随机分为观察组与对照组，各31例。观察组中，男17例，女14例，年龄45～76岁，平均(57.5±6.6)岁，病程2～12年，平均(6.2±2.4)年;对照组中，男16例，女15例，年龄46～77岁，平均(57.1±6.5)岁，病程1～11年，平均(6.3±2.3)年。纳入标准：(1)患者接受临床诊断及相关检查，证实为糖尿病肾病，与国际临床诊断标准相符[2];(2)医学伦理会认可此次研究，临床科室表示同意，参与研究患者签订知情同意书。排除标准：(1)肝肾功能疾病及确诊为重要脏器疾病者;(2)意识模糊、认知功能缺陷患者以及精神障碍疾病患者;(3)恶性肿瘤疾病患者及免疫系统疾病患者。两组患者年龄、病程等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(陆镇冬)
[关键词] 个性化康复护理;糖尿病肾病;血糖水平;血压水平
[中图分类号] R473.6 [文献标识码] B [文章编号] 1673-9701(2019)33-0150-03
[Abstract] Objective To explore the effect of personalized rehabilitation nursing on blood glucose level， blood pressure level and disease outcome of patients with diabetic nephropathy. Methods A total of 62 patients with diabetic nephropathy who were treated in our hospital from August 2017 to August 2018 were selected as study subjects. They were randomly divided into control group and observation group， with 31 cases in each group. The control group was given routine nursing care， and the observation group was further given personalized rehabilitation nursing care on the basis of the control group. The blood glucose， blood pressure levels and disease outcomes in both groups before and after nursing care were comprehensively evaluated. Results After nursing， the blood glucose and blood pressure levels in the observation group were improved compared with the control group， and the differences were statistically significant(P<0.05);the effective rate after nursing in the observation group was 93.55%， which was significantly higher than that of 70.97% in the control group， and the difference was statistically significant(P<0.05). Conclusion The application of personalized rehabilitation nursing in diabetic nephropathy can promote the improvement of blood sugar and blood pressure indicators， which is worthy of popularization and application.
[Key words] Personalized rehabilitation nursing care; Diabetic nephropathy; Blood glucose levels; Blood pressure levels
糖尿病腎病是糖尿病微血管常见并发症之一，这也是引起患者死亡重要原因之一。糖尿病肾病患者多表现为不同程度的血压血糖升高、尿蛋白升高等[1]，发展至晚期甚至会引起肾衰竭，严重影响着患者的生命安全。大部分糖尿病肾病患者多伴随不同程度焦虑、紧张等心理，对糖尿病肾病患者除常规治疗外，需辅之以必要的康复护理，作为一种新型护理模式，个性化康复护理集中体现了人性化、以人为本的原则，在实施临床护理时充分考虑了患者的个体差异性，是一种具有针对性的护理模式，其对于患者生活质量的提升有着重要的意义。为探讨个性化康复护理在糖尿病肾病患者中的应用效果，收集我院62例糖尿病肾病患者临床资料进行分析，现报道如下。
1 资料与方法
1.1 一般资料
选取2017年8月～2018年8月在我院接受治疗的62例糖尿病肾病患者作为研究对象，随机分为观察组与对照组，各31例。观察组中，男17例，女14例，年龄45～76岁，平均(57.5±6.6)岁，病程2～12年，平均(6.2±2.4)年;对照组中，男16例，女15例，年龄46～77岁，平均(57.1±6.5)岁，病程1～11年，平均(6.3±2.3)年。纳入标准：(1)患者接受临床诊断及相关检查，证实为糖尿病肾病，与国际临床诊断标准相符[2];(2)医学伦理会认可此次研究，临床科室表示同意，参与研究患者签订知情同意书。排除标准：(1)肝肾功能疾病及确诊为重要脏器疾病者;(2)意识模糊、认知功能缺陷患者以及精神障碍疾病患者;(3)恶性肿瘤疾病患者及免疫系统疾病患者。两组患者年龄、病程等一般资料比较，差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(陆镇冬)