Guo Yujuan, Song Qi, Cui Yuhong, Wang Caihong
Obstetrics Department, Chengyang District People's Hospital, Qingdao, Shandong, China.
Department of Blood Purification, The Third People's Hospital of Qingdao, Qingdao, Shandong, China.
Evid Based Complement Alternat Med. 2022 Aug 9;2022:1011415. doi: 10.1155/2022/1011415. eCollection 2022.
To assess the clinical effects of primary nursing on diabetic nephropathy patients undergoing hemodialysis and its impact on inflammatory responses.
Between July 2019 and April 2021, 80 patients with diabetic nephropathy who underwent hemodialysis in our institution were recruited and assigned at a ratio of 1 : 1 to receive either routine nursing (routine group) or primary nursing (primary group). The outcome measures included nursing outcomes, inflammatory factor levels, and psychological status.
Primary nursing resulted in lower levels of blood creatinine, fasting glucose, urea nitrogen, and proteinuria versus routine nursing ( < 0.05). Patients receiving primary nursing showed significantly lower levels of interleukin (IL)-6, high-sensitivity C-reactive protein (hs-CRP), and tumor necrosis factor-alpha (TNF-) versus those given routine nursing ( < 0.05). The patients in the primary group had significantly lower scores on the self-rating anxiety scale (SAS) and self-rating depression scale (SDS) versus those in the routine group ( < 0.05).
Primary nursing improves the renal function of diabetic nephropathy patients undergoing hemodialysis, reduces the inflammatory response, and eliminates their negative emotions, which shows great potential for clinical application.
评估责任制护理对接受血液透析的糖尿病肾病患者的临床效果及其对炎症反应的影响。
2019年7月至2021年4月，选取在我院接受血液透析的80例糖尿病肾病患者，按1∶1比例分为两组，分别接受常规护理（常规组）和责任制护理（责任制组）。观察指标包括护理效果、炎症因子水平及心理状态。
与常规护理相比，责任制护理可降低患者血肌酐、空腹血糖、尿素氮及蛋白尿水平（P<0.05）。与常规护理相比，接受责任制护理的患者白细胞介素（IL）-6、高敏C反应蛋白（hs-CRP）及肿瘤坏死因子-α（TNF-α）水平显著降低（P<0.05）。责任制组患者的焦虑自评量表（SAS）和抑郁自评量表（SDS）评分显著低于常规组（P<0.05）。
责任制护理可改善接受血液透析的糖尿病肾病患者的肾功能，减轻炎症反应，消除负面情绪，具有较大的临床应用潜力。
