Clinical nursing papers on diabetes (1) 1, data and methods.
1. 1 medication intervention: the medication situation of patients is related to the drug's function, such as dosage, time and adverse reactions. And it will also be affected by the patient's own cognitive level. Therefore, nurses should strengthen patients' awareness of disease, improve patients' awareness of self-care, understand the importance of adhering to medication, and will not stop or reduce medication at will. When using insulin, guide the correct injection method and master the hypoglycemic mechanism and common adverse reactions; Sterilize the syringe and change the injection site regularly.
1.2 Nursing care of complications:
1 skin care. Because of the high sugar content in patients, it will reduce the bactericidal ability of cells and easily breed pathogenic bacteria and infections. Nursing staff should strengthen the skin care of patients, keep the skin clean, change clothes frequently and actively treat folliculitis.
② Nursing care of pressure sore. The lack of protein in patients will increase the occurrence of edema, and the skin is prone to injury or pressure sore. Therefore, for patients who stay in bed for a long time, the nursing staff should help them turn over in time, and the time interval should be 2~4 hours to ensure gentle movements. It is also necessary to develop good personal hygiene habits, wipe your body regularly, and clean dry bedding in time to reduce the occurrence of pressure ulcers. Patients with pressure ulcers should strengthen daily monitoring and promote venous return by raising limbs.
③ Foot care. Diabetic patients are prone to vascular and nerve endings lesions, leading to vascular embolism, and common ones are foot ulcers and gangrene. Nursing staff should remind patients to protect their feet, understand the relevant knowledge of diabetic feet, and regularly observe the color and elasticity of foot skin to prevent blisters and scratches. Strengthen foot function exercise, don't sit cross-legged for a long time, and don't touch objects that are too cold or too hot.
(4) hypoglycemia. For patients with renal insufficiency, the dosage of insulin should be reduced to prevent hypoglycemia. If the patient has signs of hypoglycemia, immediately measure the blood sugar level, supplement sweets or inject glucose, and pay attention to the changes of the patient's condition.
1.3 observation items and indicators:
① Observe the nursing satisfaction of patients in the two groups, and evaluate them from the aspects of environmental facilities, nursing service attitude, skill level and work enthusiasm, and divide them into three grades: satisfaction, basic satisfaction and dissatisfaction. Total satisfaction rate = satisfaction rate+basic satisfaction rate.
② The treatment compliance and biochemical indexes, including fasting blood glucose (FBG), urea nitrogen (BUN) and proteinuria, were compared between the two groups before and after nursing.
1.4 statistical method. SPSS 18.0 software was used in the statistical analysis of this study, in which the nursing satisfaction rate and treatment compliance were used as counting data, expressed by (n,%), and x2 test was used; Biochemical indicators as measurement data, expressed by (x-s), with T test, P < 0.05 indicates significant difference, with statistical significance.
2. Results
2. 1 nursing satisfaction. By comparison, the total satisfaction rate of patients in the observation group (95.2%) was significantly higher than that in the control group (78.6%), with statistical significance (P < 0.05).
2.2 Comparison of biochemical indicators. After nursing, FBG, urea nitrogen and proteinuria in the observation group were better than those in the control group, with statistical significance (P < 0.05). The results are shown in Table 2.
2.3 Comparison of treatment compliance. The compliance of patients in the observation group in disease monitoring, medication management and diet planning was significantly higher than that in the control group, with statistical significance (P < 0.05). The results are shown in Table 3.
Step 3 discuss
The occurrence of diabetic nephropathy is mainly due to the increase of blood sugar level of patients, which leads to microvascular damage and increases the risk of death. The application of nursing measures can provide favorable conditions for patients' rehabilitation. High-quality nursing measures carry out nursing services from the aspects of psychology, diet, medication, complications, etc., and escort patients' clinical treatment. In this study, the nursing satisfaction rate of 42 patients in the observation group reached 95.2%, which was higher than that of the control group (78.6%), which was consistent with Liu Xia's research results.
After nursing, not only the biochemical indexes such as FBG, urea nitrogen and proteinuria were better than those of the control group, but also the treatment compliance was 90.5%, 97.6% and 85.7%, which were higher than those of the control group (765, 438 0.4%, 83.3% and 66.7%), with statistical significance. To sum up, the implementation of quality care for patients with diabetic nephropathy has a good effect, which can improve nursing satisfaction and treatment compliance, improve various biochemical indicators and promote the recovery of the disease, and is worthy of clinical promotion.
Clinical nursing papers on diabetes (2) 1, methods
1. 1 Psychological counseling and nursing measures Because bone tuberculosis and diabetes are chronic diseases, patients are prone to produce pessimistic and negative emotions during their illness, which will affect the recovery of the disease and the immune function of the body to varying degrees. At this time, as a nurse, we should actively cooperate with the patient's rehabilitation treatment, that is, patiently explain to the patient the cause of the disease and the main treatment process and means of the disease. Encourage patients to face the disease positively and establish self-confidence to overcome the disease. At the same time, for some patients, they are often worried about whether tuberculosis will be transmitted to their families. In view of this, nurses should patiently explain the causes of the whole disease to patients and their families, and show themselves by taking people who have recovered from hospital as an example to get rid of patients' feelings of inferiority and loss. In addition, when talking with patients, medical staff should always observe their every move, according to their limbs
1.2 dietary care measures: In the course of dietary care for patients, it should be considered that although patients suffer from bone tuberculosis complicated with diabetes, they should not only pay attention to the dietary care of one disease, but also take into account the conditions of the two diseases, reasonably match the diet and appropriately increase the intake of sugar, and should not be too harsh. At the same time, the diet of three meals should be reasonable, and every meal should be rich in protein, cellulose and carbohydrates. In order to increase patients' slow absorption of glucose and release of insulin, at the same time, high-protein foods such as milk and prawns are added to the diet to promote the metabolism of body functions. Because pulmonary tuberculosis has certain poisoning symptoms, it is one of the effective nursing measures to encourage patients to keep a certain amount of drinking water every day and promote the discharge of toxins. Nursing control of patients' diet is one of the effective nursing measures to ensure the rapid recovery of diseases.
1.3 medication nursing measures Nurses should always observe patients' medication and observe whether patients have sequelae or adverse drug reactions. If you find any abnormality, you should contact the attending doctor in time to avoid the negative situation caused by adverse drug reactions from affecting the whole treatment process. However, the medication of bone tuberculosis complicated with diabetes is complicated, and the reaction after taking the medicine is complicated. For example, when patients use the preparation of p-aminosalicylic acid, urine sugar will be false positive because of the influence of drugs, and when patients take rifampicin, urine will be orange red, which will make patients feel anxious. Therefore, in the process of taking medicine, nurses should patiently explain the symptoms that may appear after taking medicine to avoid patients from having a bad ideological burden.
1.4 disinfection nursing measures because tuberculosis is contagious, nurses should instruct patients to use double-layer paper towels when they sneeze or cough. At the same time, the tableware used by patients should be disinfected regularly or disposable tableware should be used. But disposable tableware should be destroyed after use to prevent the spread of germs. At the same time, the patient's ward should be disinfected and cleaned regularly to keep ventilation and reduce the possibility of virus infection.
1.5 Rehabilitation nursing measures After the patient leaves the hospital, the nursing staff should teach the patient how to use insulin and other drugs, and ask the patient to come to the hospital for re-examination regularly to check whether the urine sugar, liver function, blood sugar and other indicators are within the standard range. At the same time, if the patient finds any abnormality, he should contact the attending doctor in time, and it is best to do physical exercise for a certain period of time every day to improve his vital capacity, and ensure a reasonable intake of water every day to improve his immunity.
2. Results
After a period of nursing treatment, 44 patients with bone tuberculosis complicated with diabetes in our hospital were basically stable. At the same time, the patients basically grasped the main causes of the disease, were able to test their blood sugar and blood pressure by themselves, and insisted on taking medicine and coming to the hospital for regular review. The effect of nursing treatment is obvious.
3. Summary
Bone tuberculosis complicated with diabetes is a chronic disease with a long course. In order to treat tuberculosis and diabetes at the same time, we need to make full preparations in all aspects to ensure the stability of the treatment process. Nursing treatment of bone tuberculosis complicated with diabetes can effectively guide the treatment from psychological and physiological aspects and improve the rehabilitation of patients. Therefore, the nursing treatment of bone tuberculosis complicated with diabetes provides support and help for drug treatment, which is worthy of clinical application.