Study on the influence of targeted nursing intervention on diabetic nephropathy patients
针对性护理干预对糖尿病肾病患者的影响探究

摘要

目的 对临床糖尿病肾病患者血液透析治疗过程中针对性护理干预的应用效果进行探讨。方法 从我院2021年1月至2023年3月间所收治的100例糖尿病肾病患者作为研究对象，按照入学顺序均分为观察组（n=50）及对照组（n=50），针对对照组患者利用常规护理模式进行干预，而观察者患者则在常规护理基础之上全面实施了针对性护理进行干预。对两组患者经护理干预后的生活质量以及负面情绪情况进行全面对比，同时对两组患者经护理干预后的并发症发生情况及护理满意度情况进行对比。结果 经护理干预后相较于对照组，观察组患者的SAS以及SDS评分明显更低，差异显著，P<0.05。经护理干预后对照组患者的护理满意度为78%（39/50），观察组患者的护理满意度为94%（47/50），两组患者相比较，观察组患者护理满意度明显更高，差异显著，P<0.05。观察组患者在护理之后并发症整体发生率为8%（4/50），对照组患者的并发症整体发生率为22%（11/50），两者相比较，观察组并发症发生理论性更低，差异显著，P<0.05。结论 在临床糖尿病肾病患者治疗过程中针对性护理但也效果显著，可对患者负面情绪进行有效缓解，同时也可使患者生活质量以及预后得到积极改善，全面提升治疗中的护理满意度，在临床上具有巨大推广价值。

Abstract

Objective To investigate the effect of targeted neglect intervention in hemodialysis treatment of diabetic nephropathy patients.
Methods 100 patients with diabetic nephropathy admitted to our hospital from January 2021 to March 2023 were selected as research objects. According to the admission order, they were divided into observation group (n=50) and control group (n=50). Conventional nursing mode was used to intervene patients in control group. While the observer patients comprehensively implemented targeted nursing intervention on the basis of routine nursing. The quality of life and negative emotions of the two groups of patients after nursing intervention were comprehensively compared. At the same time, the occurrence of complications and nursing satisfaction of the two groups of patients after nursing intervention were compared.
Results After nursing intervention, the SAS and SDS scores of the observation group were significantly lower than those of the control group, the difference was significant (P<0.05). After nursing intervention, the nursing satisfaction of patients in the control group was 78% (39/50), the nursing satisfaction of patients in the observation group was 94% (47/50), the two groups of patients compared, the nursing satisfaction of patients in the observation group was significantly higher, the difference was significant, P<0.05. The overall incidence of complications after nursing was 8% (4/50) in the observation group and 22% (11/50) in the control group. Compared with the two, the theoretical incidence of complications in the observation group was lower, and the difference was significant (P<0.05).
Conclusion   Targeted nursing in the treatment of clinical diabetic nephropathy patients, but also significant effect, can effectively alleviate the negative emotions of patients, but also can make patients' quality of life and prognosis can be positively improved, comprehensively improve the nursing satisfaction in the treatment, has a great promotion value in clinical.