【摘要】 目的研究心理护理联合常规护理在老年人早期糖尿病肾病(DN)患者中的疗效。方法选取2016年10月～2017年10月我院收治的230例早期DN患者作为研究对象,按照随机数字表法分为对照组和研究组,每组各115例。对照组采用常规护理方法,研究组除给予常规护理外,进行心理护理。比较两组的糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2 h血糖(2 h PG)、胰岛素抵抗指数(HOMA-IR)等血糖指标及护理满意度。结果两组治疗后的HbA1c、FPG、2hPG、HOMA-IR较治疗前均有显著下降(P<0.05),研究组治疗后各项指标显著低于对照组(P<0.05);研究组护理总满意度明显高于对照组,差异有统计学意义(P<0.05)。结论在早期DN患者护理中选择心理护理更有效,对患者的康复更有帮助。更多还原

【Abstract】 Objective To study the effect of psychological nursing combined with routine nursing in the elderly patients with early diabetic nephropathy(DN). Methods A total of 230 patients with early DN admitted to our hospital from October 2016 to October 2017 were selected as the research objects. They were divided into control group and research group according to the random number table method, 115 cases in each group. The control group was given routine nursing methods, and the research group was given psychological nursing besides routine nursing. The glycosylated hemoglobin(HbA1c), fasting blood glucose(FPG), postprandial 2 h blood glucose(2h FPG), insulin resistance index(HOMA-IR), and nursing satisfaction were compared between the two groups. Results After treatment, the levels of HBA1c, FPG, 2h FPG, HOMA-IR in the two groups were significantly lower than those before treatment(P<0.05), the indexes in the research group were significantly lower than those in the control group(P<0.05), and the nursing total satisfaction of the research group was significantly higher than that of the control group(P<0.05). Conclusion Choosing psychological nursing in early DN patients is more effective and can be more helpful to the rehabilitation of patients.更多还原