Clinical value of nursing intervention for diabetic nephropathy based on Maslow's hierarchy theory
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摘要: 目的 探讨基于马斯洛层次论的糖尿病肾病护理干预的效果。 方法 选取长沙市第一医院自2017年4月—2018年4月收治的糖尿病肾病患者70例,依据随机数字表法,将患者分为2组,对照组患者采用常规护理模式,研究组患者在常规护理的基础上加入基于马斯洛层次论的护理干预。 结果 护理后,研究组患者的血糖、尿素氮、肌酐均低于对照组(均P<0.05);研究组患者的生理评分、社会评分、心理评分、疾病评分、满意度评分和护理总分均高于对照组的生理评分、社会评分、心理评分、疾病评分、满意度评分和护理总分(均P<0.05);护理前,对照组焦虑、抑郁评分分别是(54.1±6.3)分、(55.6±5.8)分,研究组焦虑、抑郁评分分别是(54.2±6.5)分、(55.8±5.7)分,护理后,对照组焦虑、抑郁评分为(47.8±7.4)分、(48.5±7.5)分,研究组焦虑、抑郁评分为(40.1±5.1)分、(41.1±5.1)分,均低于护理前,且研究组治疗后的焦虑、抑郁评分低于对照组(均P<0.05)。 结论 马斯洛层次论护理模式较常规护理模式,在糖尿病肾病患者的临床疗效上更为显著,患者血糖指标改善较好,其生活质量较常规护理显著提升,负性情绪也得到较强的控制,值得临床护理积极推广应用。
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关键词:
- 马斯洛层次论护理模式 /
- 糖尿病肾病 /
- 负性情绪 /
- 生活质量
Abstract: Objective To explore the effect of nursing intervention for diabetic nephropathy based on Maslow's hierarchy theory. Methods Seventy patients with diabetic nephropathy admitted to our hospital from April 2017 to April 2018 were divided into two groups according to random number table method. Patients in the control group were given routine nursing mode. Patients in the study group were given nursing intervention based on Maslow's hierarchy theory on the basis of routine nursing. Results After nursing, the blood sugar, urea nitrogen and creatinine of the study group were lower than those of the control group (all P<0.05). The physiological score, social score, psychological score, disease score, satisfaction score and total nursing score of the study group were higher than those of the control group (all P<0.05). Before nursing, the scores of anxiety and depression in the control group were (54.1±6.3) and (55.6±5.8), respectively, while those in the study group were (54.2±6.5) and (55.8±5.7). After nursing, the scores of anxiety and depression in the control group were (47.8±7.4) and (48.5±7.5). The scores of anxiety and depression in the study group were (40.1±5.1) and (41.1±5.1), respectively, which were lower than those before nursing, and were lower than those before nursing. The scores of anxiety and depression in the study group were lower than those in the control group (P<0.05). Conclusion Maslow's hierarchical nursing model is more effective than the conventional nursing model in the treatment of diabetic nephropathy. The blood sugar index of patients is improved better. Its quality of life is improved significantly compared with the conventional nursing. Negative emotions are also under strong control. It is worthy of active promotion and application in clinical nursing.
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