Chai Xiao-Ying, Bao Xiao-Yan, Dai Ying, Dai Xing-Xing, Zhang Yu, Yang Yu-Ling
Department of Nephrology, The Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China.
Department of Hemodialysis, The Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China.
World J Diabetes. 2024 Feb 15;15(2):186-195. doi: 10.4239/wjd.v15.i2.186.
Diabetic kidney disease (DKD) is a prevalent complication of diabetes that often requires hemodialysis for treatment. In the field of nursing, there is a growing recognition of the importance of humanistic care, which focuses on the holistic needs of patients, including their emotional, psychological, and social well-being. However, the application of humanistic nursing in the context of hemodialysis for DKD patients remains relatively unexplored.
To explore the experience of humanistic nursing in hemodialysis nursing for DKD patients.
Ninety-six DKD patients treated with hemodialysis from March 2020 to June 2022 were included in the study and divided into the control cluster (48 cases) and the study cluster (48 cases) according to different nursing methods; the control cluster was given routine nursing and the study cluster was given humanized nursing. The variances of negative emotion mark, blood glucose, renal function, the incidence of complications, life mark and nursing satisfaction before and after nur-sing were contrasted between the two clusters.
No significant difference in negative emotion markers between the two clusters were observed before nursing ( > 0.05), and the negative emotion markers of the two clusters decreased after nursing. The Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale markers were lower in the study cluster than the control cluster. The healing rate of patients in the study cluster was significantly higher than the control cluster (97.92% 85.42%, < 0.05). Blood glucose parameters were not significantly different between the groups prior to nursing ( > 0.05). However, after nursing, blood urea nitrogen and serum creatinine (SCr) levels in the study cluster were lower than those in the control cluster ( < 0.05). The incidence rate of complications was significantly lower in the study group compared to the control cluster (6.25% 20.83%, < 0.05). There was no significant difference in the life markers between the two clusters before nursing. While the life markers increased after nursing for both groups, the 36-item health scale markers in the study cluster were higher than those within the control cluster ( < 0.05). Finally, the nursing satisfaction rate was 93.75% in the study cluster, compared to 75% in the control cluster ( < 0.05).
In hemodialysis for DKD patients, the implementation of humanistic nursing achieved ideal results, effectively reducing patients' psychological negative emotion markers so that they can actively cooperate with the diagnosis and nursing, facilitate the control of blood glucose and the maintenance of residual renal function, reduce the occurrence of complications, and finally enhance the life quality and nursing satisfaction of patients. It is worthy of being widely popularized and applied.
糖尿病肾病（DKD）是糖尿病常见的并发症，常需血液透析治疗。在护理领域，人们越来越认识到人文关怀的重要性，人文关怀关注患者的整体需求，包括其情感、心理和社会幸福感。然而，人文护理在DKD患者血液透析中的应用仍相对未得到充分探索。
探讨人文护理在DKD患者血液透析护理中的应用经验。
选取2020年3月至2022年6月接受血液透析治疗的96例DKD患者纳入研究，根据不同护理方法分为对照组（48例）和研究组（48例）；对照组给予常规护理，研究组给予人性化护理。对比两组护理前后负面情绪评分、血糖、肾功能、并发症发生率、生活质量评分及护理满意度的差异。
护理前两组负面情绪评分差异无统计学意义（P>0.05），护理后两组负面情绪评分均降低。研究组汉密尔顿焦虑量表和汉密尔顿抑郁量表评分低于对照组。研究组患者治愈率显著高于对照组（97.92%比85.42%，P<0.05）。护理前两组血糖参数差异无统计学意义（P>0.05）。但护理后，研究组血尿素氮和血清肌酐（SCr）水平低于对照组（P<0.05）。研究组并发症发生率显著低于对照组（6.25%比20.83%，P<0.05）。护理前两组生活质量评分差异无统计学意义。两组护理后生活质量评分均升高，但研究组36项健康量表评分高于对照组（P<0.05）。最后，研究组护理满意度为93.75%，对照组为75%（P<0.05）。
在DKD患者血液透析中实施人文护理取得了理想效果，有效降低了患者的心理负面情绪评分，使其能积极配合诊疗护理，有利于血糖控制和残余肾功能维持，减少并发症发生，最终提高患者生活质量和护理满意度。值得广泛推广应用。
