Effect of nursing intervention in improving early diagnosis of diabetic nephrosis
10.3760/cma.j.issn.1674-2907.2010.35.009
- VernacularTitle:护理干预对糖尿病肾病早期诊断的影响
- Author:
Chun-E LUO
1
;
Liu-Ping GAN
;
Yi-Ling LIANG
;
Xiang-Yang HUANG
;
Hui-Xing QIN
;
Jin-Long ZHANG
Author Information
1. 545005,柳州,广西医科大学第四附属医院肾内科
- Keywords:
Diabetes nephrosis;
Nursing intervention;
Early diagnose
- From:
Chinese Journal of Modern Nursing
2010;16(35):4247-4250
- CountryChina
- Language:Chinese
-
Abstract:
Objective To block or postpone the process of diabetic nephrosis (DN) by nursing intervention and reduce the occurrence of final stage of renal failure. Methods Health education on DN prevention and treatment was implemented in the public benefit activities on World Renal Disease Day, World Diabetes Day and Nurses' Day and among the non-hospitalized diabetes patients in the community irregularly.Early DN would be diagnosed if urinary protein test was negative and urinary mALB was 20 ～200 μg/min or 30 ～ 300 mg/24 h (the normal value is less than 10 μg/min). Clinical DN would be diagnosed if urinary protein test was positive and urinary mALB was more than 200 μg/min or 300 mg/24 h. Both groups received nursing intervention of diet and controlling blood pressure, blood glucose and blood lipid. The reversion of nephrosis and lesion were compared between the two groups after intervention. Results There was no significant difference in awareness of DN knowledge between the two groups (P ＞ 0. 05) before intervention. Patients with early DN obtained better reversion of nephrosis and lower urinary mALB than those with clinical DN. There was significant difference between the two groups after intervention (P ＜ 0. 01). Conclusions The occurrence of final renal failure will be reduced if DN process is blocked or postponed. The publicity of knowledge of DN prevention and treatment, improvement of the awareness and regular test of urinary mALB are most important.
