Journal of Modern Nursing MedicineJPCNS

Objective To explore the clinical effect of introducing the concept of detailed nursing into the hemodialysis nursing of patients with end-stage diabetic nephropathy. Methods A total of 60 patients with end-stage diabetic nephropathy admitted to our hospital from November 2022 to November 2023 were selected and divided into study group (30 cases, detailed care) and control group (30 cases, routine care) according to random drawing method. Blood glucose level and renal function indexes, nutritional status (PG-SGA scale) and complications were compared between the two groups. Results The blood glucose levels of FBG and 2hPBG and renal function indexes of Cr and β-2MG in the study group after nursing were lower than those in the control group (P < 0.05). After nursing, the PG-SGA nutritional status scores of both groups were significantly decreased, and the PG-SGA scores of the study group were lower than those of the control group (P < 0.05). After nursing, the incidence of complications (hypoglycemia, hypotension, infection, bleeding tendency) in the study group was less than that in the control group (P < 0.05). Conclusion Taking detailed nursing measures can improve the nursing effect and prevent the risk of complications in end-stage diabetes patients with hemodialysis.

End-stage diabetic nephropathy; Hemodialysis; Detail care; Nutritional status