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认知饮食方案在2型糖尿病肾病透析患者中的护理效果
刘佳丽,张众,迟爽,刘家汛,丁海彦
0
(哈尔滨医科大学附属第二医院内分泌科)
摘要:
【摘要】目的 探讨和分析认知饮食护理方案对2型糖尿病肾病透析患者的护理效果。方法 选取2015年1月~2016年5月间在本院诊治的2型糖尿病肾病透析患者76例作为研究对象,采用随机数字表法将患者分为常规护理组和认知饮食护理组,检测患者护理前及护理后6个月的各项生化指标,观察并发症情况。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)和WHO 生存质量测定量表(WHOQOLBREF)对两组患者护理前后的焦虑、抑郁症状和生活质量进行评价。结果 认知饮食护理组患者护理后BUN、TG、TC水平与常规护理组相比较差异均有统计学意义(P<005),而HbA1c、LDLC、Crea、TP、Alb水平与常规护理组相比较差异均无统计学意义(P>005);认知饮食护理组患者护理后高血压、急性心衰、重症高血钾、超重、SAS评分、SDS评分、心理领域、生理领域、环境领域及社会关系领域评分与常规护理组相比较差异均无统计学意义(P>005),两组患者在护理后饮食行为总分、进餐总量、进餐规律、进餐次数、食品加工方式、食盐量、饮食结构方面相比较差异均有统计学意义(P<005)。结论 认知饮食护理方案对于2型糖尿病肾病透析患者具有良好的饮食护理效果,并可以改善各项生化指标,降低并发症的发生率,改善患者生活质量。
关键词:  2型糖尿病肾病  透析  认知饮食护理方案  应用
DOI:
基金项目:黑龙江省教育厅科学技术项目
The effect of cognitive diet nursing program in patients with type 2 diabetic nephropathy
LIU Jiali,ZHANG Zhong,CHI Shuang,LIU Jiaxun,DING Haiyan
(Department of Endocrinology, The Second Affiliated Hospital of Harbin Medical University)
Abstract:
【Abstract】 Objective To observe and analyze the nursing effect of cognitive diet program on dialysis patients with type 2 diabetic nephropathy. Methods 76 patients with type 2 diabetes mellitus with renal disease were selected from January 2015 to May 2016. The patients were divided into two groups by random number table method. Group 1 was routine nursing group. The second group for the cognitive diet group, the patient before and after nursing care 6 months of the biochemical indicators and complications were observed. The anxiety and depressive symptoms of the two groups were evaluated by the selfrating anxiety scale (SAS) and the selfrating depression scale (SDS). WHOQOLBREF was used to evaluate the quality of life before and after treatment. Results The levels of BUN, TG and TC were significantly different between the two groups (P<005). The levels of HbA1c, LDLC, Crea, TP and Alb were not statistically significant (P> 005). In the cognitive diet group, the hypertension, acute heart failure, severe hyperkalemia, overweight, SAS score, SDS score, psychological field, physiology field, environmental field and social relationship scores were significantly different from those of routine nursing group t (P> 005). There were significant differences between the two groups in the total dietary behavior, the total amount of food, the law of eating, the number of meals, the way of food processing, the amount of salt and the dietary structure (P<005). Conclusion Cognitive diet nursing program for patients with type 2 diabetic nephropathy dialysis patients have a good diet care effect, and can improve the biochemical indicators, reduce the incidence of complications and improve the quality of life of patients.
Key words:  2 Diabetic nephropathy  Dialysis  Cognitive diet nursing program  Application

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