护理干预在中西医结合治疗糖尿病肾病中的应用效果(1)
【摘要】 目的：探讨护理干预在中西医结合治疗糖尿病肾病中的应用效果。方法：选择2012年2月-2014年6月本院收治的78例糖尿病肾病患者为研究对象，所有患者均行中西医结合治疗，随机数字表法分为对照组39例，观察组39例，对照组行常规护理，观察组在对照组基础上行个体化护理及健康教育，对两组患者护理干预后的效果进行分析。结果：观察组总有效率为92.31%，对照组为71.79%，观察组高于对照组(P<0.05)；治疗前，两组患者FBG、24 h尿Pro、Alb、BUN、SCr等指标均无明显差异(P>0.05)，治疗后，两组患者均有明显改善，观察组治疗后指标均优于对照组(P<0.05)。观察组治疗依从率为94.87%，对照组为74.36%，观察组优于对照组(P<0.05)。结论：糖尿病肾病行中西医结合治疗效果较好，安全性高，实施个体化护理及系统性健康教育，能有效提高临床疗效，改善患者实验室相关指标，提高治疗依从性，改善患者远期预后，值得临床进一步推广使用。
【关键词】 护理干预； 中医学结合治疗； 糖尿病肾病
, 百拇医药
【Abstract】 Objective：To probe into the clinical effects of nursing intervention in treating diabetic nephropathy by combining traditional Chinese and western medicine.Method：78 diabetic nephropathy patients in our hospital from February 2012 to June 2014 were taken as the research objects，and they were treated by combining traditional Chinese and western medicine.They were divided into control group and observation group，with 39 in each group.In the control group，they were conducted the routine nursing while the observation group was conducted the individual nursing and health education.Then，the prognosis effects after nursing of two groups were analyzed.Result：The whole effective rate in the observation group was 92.31%，which was evidently higher than 71.79% in the control group (P<0.05)；before treatment，FBG，24 h Pro，Alb，BUN，SCr and other indications of two groups of patients did not have evident differences (P>0.05).After treatment，two groups of patients had evident differences and the indications in the observation group were better than the control group (P<0.05).The treatment compliance rate in the observation group was 94.87%，which was evidently better than 74.36% in the control group (P<0.05).Conclusion：The treatment effect for diabetic nephropathy by combining traditional Chinese and western medicine is good and has high safety.In addition，the individual nursing and systematic health education can effectively improve the clinical effects，improve patients’ related indications in laboratory，improve treatment compliance and improve patients’ long-term prognosis.Thus，it should be further applied in clinical application.
, 百拇医药
【Key words】 Nursing prognosis； Combining traditional Chinese and western medicine； Diabetic nephropathy
First-author’s address：Xiaojinkou People’s Hospital in Huicheng District of Huizhou City，Huizhou 516023，China
doi：10.3969/j.issn.1674-4985.2015.17.027
糖尿病发病率近年来呈逐年上升趋势，胰岛素应用，人均寿命延长，导致慢性微血管合并糖尿病肾病发病率呈逐年上升趋势[1]。已经有研究显示[2]，糖尿病肾病是许多发达国家患者终末期肾病的主要因素，在我国报道中显示，终末肾病中糖尿病肾病占15%左右。因糖尿病肾病病程长、年龄较大，且随着病情的逐渐发展，导致患者出现肾功能减退及高血压等症状，导致病情加重。糖尿病肾病患者出现慢性肾衰竭，是患者出现肾功能性损伤的主要原因，但是目前尚未有确切方式能将其根治[3]。大多数糖尿病肾病患者对疾病认识不足，治疗依从性较差，导致病情控制不佳，严重影响患者预后结局。在本组研究中，对中西医结合治疗糖尿病肾病患者行个体化护理及健康教育，效果满意，报告如下。, 百拇医药(陈秀女)
【关键词】 护理干预； 中医学结合治疗； 糖尿病肾病
, 百拇医药
【Abstract】 Objective：To probe into the clinical effects of nursing intervention in treating diabetic nephropathy by combining traditional Chinese and western medicine.Method：78 diabetic nephropathy patients in our hospital from February 2012 to June 2014 were taken as the research objects，and they were treated by combining traditional Chinese and western medicine.They were divided into control group and observation group，with 39 in each group.In the control group，they were conducted the routine nursing while the observation group was conducted the individual nursing and health education.Then，the prognosis effects after nursing of two groups were analyzed.Result：The whole effective rate in the observation group was 92.31%，which was evidently higher than 71.79% in the control group (P<0.05)；before treatment，FBG，24 h Pro，Alb，BUN，SCr and other indications of two groups of patients did not have evident differences (P>0.05).After treatment，two groups of patients had evident differences and the indications in the observation group were better than the control group (P<0.05).The treatment compliance rate in the observation group was 94.87%，which was evidently better than 74.36% in the control group (P<0.05).Conclusion：The treatment effect for diabetic nephropathy by combining traditional Chinese and western medicine is good and has high safety.In addition，the individual nursing and systematic health education can effectively improve the clinical effects，improve patients’ related indications in laboratory，improve treatment compliance and improve patients’ long-term prognosis.Thus，it should be further applied in clinical application.
, 百拇医药
【Key words】 Nursing prognosis； Combining traditional Chinese and western medicine； Diabetic nephropathy
First-author’s address：Xiaojinkou People’s Hospital in Huicheng District of Huizhou City，Huizhou 516023，China
doi：10.3969/j.issn.1674-4985.2015.17.027
糖尿病发病率近年来呈逐年上升趋势，胰岛素应用，人均寿命延长，导致慢性微血管合并糖尿病肾病发病率呈逐年上升趋势[1]。已经有研究显示[2]，糖尿病肾病是许多发达国家患者终末期肾病的主要因素，在我国报道中显示，终末肾病中糖尿病肾病占15%左右。因糖尿病肾病病程长、年龄较大，且随着病情的逐渐发展，导致患者出现肾功能减退及高血压等症状，导致病情加重。糖尿病肾病患者出现慢性肾衰竭，是患者出现肾功能性损伤的主要原因，但是目前尚未有确切方式能将其根治[3]。大多数糖尿病肾病患者对疾病认识不足，治疗依从性较差，导致病情控制不佳，严重影响患者预后结局。在本组研究中，对中西医结合治疗糖尿病肾病患者行个体化护理及健康教育，效果满意，报告如下。, 百拇医药(陈秀女)