Experience of humanistic nursing in hemodialysis nursing for patients with diabetic kidney disease

World Journal of Diabetes Pub Date : 2024-02-15 DOI:10.4239/wjd.v15.i2.186

Xiaoying Chai, Xiao-Yan Bao, Ying Dai, Xing-Xing Dai, Yu Zhang, Yu-Ling Yang

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Abstract

BACKGROUND 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. AIM To explore the experience of humanistic nursing in hemodialysis nursing for DKD patients. METHODS 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. RESULTS No significant difference in negative emotion markers between the two clusters were observed before nursing (P > 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% vs 85.42%, P < 0.05). Blood glucose parameters were not significantly different between the groups prior to nursing (P > 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 (P < 0.05). The incidence rate of complications was significantly lower in the study group compared to the control cluster (6.25% vs 20.83%, P < 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 (P < 0.05). Finally, the nursing satisfaction rate was 93.75% in the study cluster, compared to 75% in the control cluster (P < 0.05). CONCLUSION 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.

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糖尿病肾病患者血液透析护理中的人文护理体会

背景糖尿病肾病（DKD）是糖尿病的一种常见并发症，通常需要进行血液透析治疗。在护理领域，越来越多的人认识到人文关怀的重要性，它关注患者的整体需求，包括情感、心理和社会福祉。然而，人文护理在 DKD 患者血液透析中的应用仍相对欠缺。目的探讨 DKD 患者血液透析护理中的人文护理经验。方法将2020年3月至2022年6月期间接受血液透析治疗的96例DKD患者纳入研究，按照不同的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。对比两组患者护理前后负性情绪指数、血糖、肾功能、并发症发生率、生活指数和护理满意度的差异。结果护理前两组患者的负性情绪指标无明显差异（P>0.05），护理后两组患者的负性情绪指标均有所下降。研究组的汉密尔顿焦虑量表和汉密尔顿抑郁量表指标均低于对照组。研究组患者的痊愈率明显高于对照组（97.92% vs 85.42%，P < 0.05）。两组患者在护理前的血糖指标无明显差异（P > 0.05）。但在护理后，研究组的血尿素氮和血清肌酐（SCr）水平低于对照组（P < 0.05）。与对照组相比，研究组的并发症发生率明显较低（6.25% vs 20.83%，P < 0.05）。在护理前，两个组群的生命指标没有明显差异。护理后，两组的生活指数均有所上升，但研究组的 36 项健康量表指数高于对照组（P < 0.05）。最后，研究组的护理满意度为 93.75%，而对照组为 75%（P < 0.05）。结论在DKD患者血液透析中，实施人性化护理取得了理想的效果，有效降低了患者的心理负性情绪指标，使其能够积极配合诊疗护理，有利于血糖的控制和残余肾功能的维持，减少并发症的发生，最终提高了患者的生活质量和护理满意度。值得广泛推广应用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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World Journal of Diabetes

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