文献类型：期刊文献

中文题名：需要理论下的层级护理在糖尿病肾病患者中的应用

英文题名：Application of Hierarchical Nursing based on Theory of Needs in Patients with Diabetic Nephropathy

作者：周巧玲[1];杨慧琴[2];卢凯利[1]

第一作者：周巧玲

机构：[1]甘肃中医药大学附属医院,甘肃兰州730020;[2]甘肃省妇幼保健院

第一机构：甘肃中医药大学第二附属医院

年份：2022

卷号：28

期号：1

起止页码：19

中文期刊名：齐鲁护理杂志

外文期刊名：Journal of Qilu Nursing

语种：中文

中文关键词：糖尿病肾病;需要层次理论;社会功能;依从性;生活质量

外文关键词：Diabetic nephropathy;Hierarchy theory of needs;Social function;Compliance;Quality of life

摘要：目的:探讨需要理论下的层级护理在糖尿病肾病(DN)患者中的应用效果。方法:将2017年6月1日~2018年6月30日收治的64例DN患者作为对照组,采用常规护理干预;将2018年7月1日~2019年6月1日收治的76例作为观察组,在对照组基础上实施需要理论下的层级护理。比较两组干预前后生活质量[采用2型糖尿病患者生存质量量表(DMQLS)]、社会功能[采用社会功能缺陷筛选表(SDSS)]、依从性及DN相关实验室指标[包括空腹血糖(FBG)、血肌酐(SCr)、总胆固醇(TC)]。结果:干预12周后,观察组DMQLS、SDSS评分及社会功能缺陷情况均低于对照组(P<0.01);观察组饮食依从性、用药依从性、定期监测评分均高于对照组(P<0.05,P<0.01);干预12周后,两组FBG、SCr及TC均低于干预前(P<0.05),且观察组低于对照组(P<0.05,P<0.01)。结论:将需要理论下的层级护理应用于DN患者中,能改善患者社会功能和生活质量,有利于控制血糖。
Objective:To explore the application effect of hierarchical nursing based on theory of needs in patients with diabetic nephropathy(DN).Methods:A total of 140 DN patients admitted during June 1,2017 to June 30,2018 were divided into the control group with 64 cases,the control group was given routine nursing intervention.A total of 140 DN patients admitted during July 1,2018 to June 1,2019 were divided into the observation group with 76 cases,and the observation group was given hierarchical nursing based on theory of needs on the basis of the control group.The quality of life by Type 2 Diabetes mellitus Quality of Life Scale(DMQLS),social function by Social Disability Screening Schedule(SDSS),compliance and DN-related laboratory indicators including fasting blood glucose(FBG),serum creatinine(SCr)and total cholesterol(TC)were compared between the two groups.Results:After 12 weeks of intervention,the scores of DMQLS,SDSS and the social deficit in the observation group were lower than those in the control group(P<0.05).The scores of dietary compliance,medication compliance and regular monitoring in the observation group were higher than those in the control group(P<0.05).After 12 weeks of intervention,the FBG,SCr and TC in the two groups were lower than those before intervention(P<0.05),and lower in the observation group than those in the control group(P<0.05,P<0.01).Conclusion:Hierarchical nursing based on theory of needs in patients with diabetic nephropathy(DN)can improve the social function and quality of life in patients with DN,so as to benefit the control of blood glucose level.