摘要
目的 分析糖尿病肾病（DN）给予中医护理+健康指导对血糖、健康知晓的影响。方法 选取2020年6月至2021年8月收治的DN患者68例，随机分为观察组（中医护理+健康指导）和对照组（常规护理）各34例，对比效果。结果 观察组肾功能、血糖指标均优于对照组（P<0.05）；观察组健康知识掌握、生活质量评分高于对照组（P<0.05）。结论 中医护理同健康指导联合对DN患者干预可对其血糖、健康知晓情况有效改善，价值较高。
关键词： 血糖；健康指导；肾功能；中医护理；健康知晓；常规护理；糖尿病肾病
Abstract
Objective To analyze the effects of traditional Chinese medicine nursing + health awareness on blood sugar and health awareness of diabetic nephropathy (DN). Methods 68 cases of DN patients admitted from June 2020 to August 2021 were randomly divided into observation group (traditional Chinese medicine nursing + health guidance) and control group (conventional nursing), 34 cases each, to compare the effect. Results Renal function and blood glucose indexes in observation group were better than those in control group (P<0.05). The scores of health knowledge and quality of life in observation group were higher than those in control group (P<0.05). Conclusion The combined intervention of TCM nursing and health guidance in DN patients can effectively improve their blood sugar and health awareness, which is of high value.
Key words： Blood glucose; Health guidance; Kidney function; Traditional Chinese medicine nursing; Health awareness; Routine nursing; Diabetic nephropathy
参考文献 References
[1] 王未娟,张淋丹,郭清. 中医护理联合健康指导对改善糖尿病肾病血糖及健康知晓的效果[J]. 糖尿病新世界,2022,25(20):134-136,152.
[2] 陈颖南,张晓旭,常琛,等. 糖尿病肾病与慢性肾小球肾炎血液透析患者甲状旁腺激素水平研究[J]. 大连医科大学学报,2022,44(1):43-47.
[3] 贾岩,彭东婷. 血清胱抑素C、β2微球蛋白及中性粒细胞明胶酶相关载脂蛋白在糖尿病肾病早期诊断中的价值[J]. 健康必读,2021(15):49.
[4] 郑嘉琪, 葛茜. 耳穴贴压配合中医护理用于糖尿病肾病患者接受血液透析期间的价值[J]. 中西医结合护理（中英文）,2021,7(9):69-72.
[5] 董艳芳,李娟,高淑红,等. 中医护理模式在糖尿病肾病不同分期患者护理中的应用研究[J]. 现代中西医结合杂志,2020,29(29):3275-3278.
[6] 姜利,夏丹,张静. 共享决策感知对糖尿病肾病患者血液透析依从性、生活质量及并发症的影响[J]. 护理实践与研究,2022,19(22):3388-3392.
[7] 魏靖,朱慧楠. 糖尿病肾病患者血清胰岛素抵抗指数、胰岛素样生长因子-1与炎性因子表达水平的相关性[J]. 中国老年学杂志,2019,34(3):546-547.
[8] 易丽萍,张悦凤,李玉明,等. 血清HbA1c、IL-6、CysC与老年糖尿病肾病患者病变严重程度的相关性[J]. 中国老年学杂志,2020,40(18):3843-3845.
[9] 曾艳,张力,申鸿,等. 血清同型半胱氨酸、胱抑素C及尿液清蛋白、尿β2微球蛋白水平对糖尿病肾病的临床价值[J]. 实用临床医药杂志,2019,23(11):109-112.
[10] 白盟盟,江巍,姜立敏,等. 血清25-(OH)D 3、vaspin及Hcy对老年糖尿病肾病患者病变严重程度的评估价值 [J]. 国际泌尿系统杂志,2021,41(4):674-677.