心理护理在糖尿病肾病患者透析中负性情绪的应用效果
| 作者: |
1赵莉,
1马开颜
1 陕西省商洛市中心医院内分泌代谢科(内十科)，陕西 商洛 726000 |
| 通讯: |
赵莉
Email: zhaoli197504@126.com |
| DOI: | 10.3978/j.issn.2095-6959.2016.10.037 |
摘要
目的：探究心理护理在糖尿病肾病患者透析中的负性情绪的应用效果。方法：选取本院从2014年5月至2015年5月的90例老年早期糖尿病肾病患者，将入组的患者按随机数表法随机分为两组，观察组和对照组，每组分别为45例，对照组实施持续质量改进模式，观察组实施持续质量改进模式联合心理护理，共进行2周。观察记录两组患者透析过程中不同时间段患者发生低血糖的例数；观察记录两组患者透析过程中不同时间点的血糖水平；观察记录两组患者护理前后负性情绪情况，负性情绪包括抑郁、焦虑情绪。结果：比较两组患者透析过程中不同时间段患者发生低血糖例数，观察组1、2、4 h的低血糖患者例数分别为5、9、7例，对照组1、2、4 h低血糖患者例数分别为12、21、13例，观察组在1、2、4 h时患者发生低血糖的例数明显少于对照组，差异具有统计学意义(P<0.05)；比较两组患者透析过程中不同时间点患者血糖水平，观察组透析开始时、透析2 h时、透析结束时患者血糖水平分别为(6.68±3.23)、(2.35±1.23)、(5.95±3.43) mmol/L，对照组透析开始时、透析2 h时、透析结束时患者血糖水平分别为(6.67±3.21)、(1.98±1.25)、(3.85±2.09) mmol/L，透析开始前两组患者血糖水平差异不大，无统计学意义(P>0.05)，透析2 h时两组患者血糖水平下降，对照组患者血糖水平低于观察组患者，差异明显，具有统计学意义(P<0.05)，透析结束时两组患者血糖水平均提高，观察组患者血糖水平提高，与对照组差异明显，具有统计学意义(P<0.05)；护理后观察组SDS、SAS评分分别降为(36.43±5.33)、(39.45±5.22)分，对照组SDS、SAS评分分别降为(54.52±6.11)、(56.45±5.53)分，心理护理后两组患者的SDS评分、SAS评分均降低，且观察组患者SDS评分、SAS评分均明显低于对照组患者，差异明显，具有统计学意义(P<0.05)。结论：心理护理在糖尿病肾病患者应用能够有效改善抑郁、焦虑负性情绪，促进患者健康恢复。
关键词：
持续质量改进模式
心理护理
糖尿病肾病
透析
低血糖
负性情绪
Effect of continuous quality improvement model combined with psychological nursing in the application of low blood sugar management and negative emotion in patients with diabetic nephropathy
CorrespondingAuthor: ZHAO Li Email: zhaoli197504@126.com
DOI: 10.3978/j.issn.2095-6959.2016.10.037
Abstract
Objective: To explore the effect of psychological nursing in the application of negative emotion in patients with diabetic nephropathy. Methods: 90 cases with diabetic nephropathy in our hospital during May 2014 to May 2015 were selected. And the patients were randomly divided into observation group and the control group according to the random number table method grouping, with 45 cases in each. Results: The incidence of hypoglycemia in patients with different time periods of the two groups was compared. The number of patients with hypoglycemia of the observation group were 5, 9, and 7 cases in 1, 2, and 4 h, the number of patients with hypoglycemia of the control group were 12, 21, 13 cases in 1, 2, 4 h. The number of patients with hypoglycemia of the observation group was significantly less than that of the control group in 1, 2, 4 h and the difference was statistically significant (P<0.05); the blood glucose levels of two groups were compared at different time points, the blood glucose levels of the observation group were (6.68±3.23), (2.35±1.23), (5.95±3.43) mmol/L at the beginning of dialysis, dialysis 2 h, the end of the dialysis, and were respectively (6.67±3.21), (1.98±1.25), (3.85±2.09) mmol/L in the control group. There was no significant difference in blood glucose levels between the two groups before the start of dialysis (P>0.05). The blood glucose level of the control group decreased more than that of the observation group at dialysis 2 h, the difference was significant (P<0.05); the blood glucose level of the two groups were increased at the end of dialysis, and the difference between the two groups was statistically significant (P<0.05). SDS, SAS scores of the observation group were reduced to (36.43±5.33), (39.45±5.22) score after nursing, and (54.52±6.11), (56.45±5.53) score in the control group. SDS, SAS scores of the two groups were decreased, and SDS, SAS scores in the observation group were significantly lower than that in the control group, the difference was significant (P<0.05). Conclusion: Psychological nursing can improve depression, anxiety and negative emotions, and promote patient health recovery.