目的:分析探讨路径式健康教育对糖尿病肾病患者肾功能的影响。
方法:选取2018年1月至2021年1月我院收治的糖尿病肾病患者162例,参与者被随机分为研究组(n=79)和对照组(n=83)。对照组给予常规护理。而研究组接受路径式健康教育。GQOLI-74,MUIS-A得分,生化指标,膳食指标,认知,血糖水平,比较两组患者的肾功能。
结果:两组的GQOLI-74评分明显较高,而MUIS-A评分明显较低,虽然研究组的变化比对照组更显著(P<0.05)。两组生化指标均显著下降,但研究组比对照组变化更显著(P0.05);两组营养指标值均显著增加,但研究组的营养指标值与对照组相比显著升高(P0.05);对照组对药物治疗的认识,基础知识,锻炼,饮食占79.4%,78.9%,73.4%,91.0%,分别,以及研究组对药物治疗的认识,基础知识,锻炼,饮食占90.3%,96.4%,92.8%,94.0%。研究组知晓率高于对照组(P0.05)。两组的血糖指标均显著降低;然而,研究组血糖水平较对照组下降更明显(P0.05)。两组的肾功能指标均明显降低,但研究组肾功能指标明显低于对照组(P0.05)。
结论:路径式健康教育是一种新的可调整营养指标的护理方法,改善血糖和肾功能,并显著提高患者对疾病的认识,这可以进一步提高患者对治疗的依从性。该护理方法具有较高的应用可行性和临床应用价值。
OBJECTIVE: Analyze and examine the effectiveness of path-based health education for patients with diabetic nephropathy and renal function.
METHODS: The 162 diabetic nephropathy patients admitted to our hospital from January 2018 to January 2021 were selected, and participants were randomly assigned to groups: study group (n = 79) and control group (n = 83). The control group received routine nursing care, whereas the study group received path-type health education. GQOLI-74, MUIS-A scores, biochemical indicators, dietary indicators, cognition, blood glucose levels, and renal function were compared between the two groups.
RESULTS: The GQOLI-74 score of the two groups was substantially higher, while the MUIS-A score was significantly lower, although the study group changed more significantly (P < 0.05) than the control group. The biochemical markers in both groups decreased significantly, but the study group changed more dramatically (P0.05) than the control group; the nutritional index values of both groups increased significantly, but the study group\'s nutritional index values increased significantly (P0.05) when compared to those of the control group; the control group\'s awareness of drug treatment, basic knowledge, exercise, and diet was 79.4 percent, 78.9 percent, 73.4 percent, and 91.0 percent, respectively, and the study group\'s awareness of drug treatment, basic knowledge, exercise, and diet was 90.3%, 96.4%, 92.8%, and 94.0%. The study group exhibited greater awareness (P0.05) than the control group. The blood glucose indices of both groups were dramatically lowered; however, the study group\'s blood glucose level declined more significantly (P0.05) than the control group. The renal function indices of both groups were considerably lower, but the study group\'s renal function indexes were significantly lower (P0.05) than those of the control group.
CONCLUSIONS: Pathway health education is a new nursing method that can adjust nutritional indicators, improve blood sugar and kidney function, and significantly increase patients\' awareness of the disease, which can further improve patient compliance with treatment. This nursing method has high application feasibility and high clinical value.