目的 对基于路径式的护理干预模式在糖尿病周围神经病变患者治疗期间的应用及对患者生活质量的影响进行分析比较.方法 选择我院收治糖尿病周围神经病变患者作研究对象,病例数74例,时间2018年5月-2021年5月,采用双盲信封法分成两组,分别为对照组(常规护理)和实验组(记录路径式的护理),每组各37例,比较护理满意率、血糖指标、生活质量.结果 实验组护理满意率(97.30％)明显高于对照组(81.08％),差异显著(P<0.05);两组餐前血糖、餐后2h血糖、糖化血红蛋白值在护理干预前比较差异不显著(P>0.05),护理干预后两组餐前血糖、餐后2h血糖、糖化血红蛋白值均出现明显降低,且实验组下降幅度显著大于对照组,差异显著(P<0.05);与护理干预前比较,两组患者生活质量SF-36评分中各项得分均提升,且实验组显著大于对照组,差异显著(P<0.05).结论 在糖尿病周围神经病变患者护理中应用基于路径式的护理干预模式,容易被患者接受与认可,护理满意率高,同时患者血糖水平得到有效控制与改善,生活质量明显提高,具有很高的护理价值,值得应用.

目的 探讨以保护动机理论为指导的护理干预对糖尿病高危足患者健康行为及血糖水平的影响.方法 选择2019年1月—2020年6月糖尿病高危足患者84例,按照组间基本特征匹配原则分为观察组与对照组,每组42例.对照组实施常规护理,观察组实施以保护动机理论为指导的护理.比较两组干预前后健康行为及血糖水平.结果 干预前,两组糖尿病自我管理行为量表(SDSCA)评分、空腹血糖(FBG)、餐后2 h血糖(2h BG)比较,差异无统计学意义(P>0.05);干预后6个月,观察组SDSCA评分高于对照组,FBG、2h BG低于对照组,差异有统计学意义(P<0.05).结论 以保护动机理论为指导的护理干预可有效控制糖尿病高危足患者血糖水平,促进健康行为提升.

Objective:To investigate the factors related with depression occurring in the patients with Chronic renal disease and provided basement for clinical nursing.Methods:80 cases of patients with Chronic renal disease were studied by using Self-Rating Depression Scale (SDS),self-developed inventory of self-feeling emotion factors related with depression and general information scale about patients under the rule of agreement.Results:The rate of depression occurring was 60.0% in the patients with Chronic renal disease,The hospitalized days ,temperament, financial condition ,self-care ability and support system have significant related with the depression occurring.Conclusion:The depression occurring in patient with Chronic renal disease was related with various factors and the psychological intervention should be done early.