Schatz Sharon R
Lumberton Dialysis/DaVita, Cherry Hill, NJ, USA.
Nephrol Nurs J. 2008 Jul-Aug;35(4):403-5.
Diabetes is present in the majority of patients who dialyze. If comprehensive care is to be delivered, the enormity of diabetes and its non-renal complications need to be appreciated. These influences on the treatment process, medical nutrition therapy, and glycemic control all interact with one another to determine dialysis adequacy, nutritional status, and degree of glycemic control. By gaining a further understanding of these dynamics, care management strategies can be improved and more thorough patient education provided to achieve better outcomes for this high-risk population.
大多数透析患者都患有糖尿病。如果要提供全面护理，就需要认识到糖尿病及其非肾脏并发症的严重性。这些对治疗过程、医学营养治疗和血糖控制的影响相互作用，共同决定透析充分性、营养状况和血糖控制程度。通过进一步了解这些动态变化，可以改进护理管理策略，并提供更全面的患者教育，从而为这一高危人群取得更好的治疗效果。
