协同护理干预对糖尿病肾病患者饮食依从性和相关代谢指标的影响

[摘要] Abstract：Objective To investigate the effects of collaborative nursing model on dietary adherence and levels of metabolic index in patients with diabetic nephropathy. Methods A total of 104 patients with diabetic nephropathy were randomly divided into the observation group (n=52) and the control group(n=52), both with conventional treatment and nursing care. The observation group was applied with additional nursing measures based on collaborative nursing model. The dietary adherence and levels of metabolic index before and after intervention were compared, and the nursing satisfaction after intervention was assessed. Results ① In terms of dietary adherence , the score of “days of adherence to dietary in last 7 days”, “days of highfat food intake in last 7 days” and “days of monitoring body weight in last 7 days” were significantly higher in the observation group than those in the control group after intervention (P＜0.05). ② Levels of urea nitrogen and urine protein were decreased after intervention in both of two groups(P＜0.05). The observation group had lower level of 2hPG、urea nitrogen and urine protein compared with the control group (P＜0.05or P＜0.01). ③ The nursing satisfaction rate was 92.31% in the observation group and was 65.39% in the control group, with a significant difference (P＜0.01). Conclusion Collaborative nursing model can improve the dietary adherence and levels of metabolic index in patients with diabetic nephropathy.

[学科分类] 护理学

[关键词] 协同护理;糖尿病肾病;糖代谢;饮食依从性