Clinical nursing papers on diabetes mellitus

A nursing paper is an expository article that analyzes, discusses and explains some nursing problems or research existing in nursing practice. So, how to write a clinical nursing paper on diabetes? Below I have compiled a model paper on clinical nursing of diabetes for you, hoping to help you! Clinical nursing papers of diabetes mellitus (1)

1. Materials and methods

1.1 Drug intervention: The drug use of patients is related to the effects of drugs, such as dosage, time, adverse reactions, etc., and it will also be affected by the patients' own cognitive level. Therefore, nurses should strengthen patients' awareness of diseases, improve their awareness of self-care, understand the importance of insisting on 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 it is easy to breed pathogenic bacteria and infection. Nursing staff should strengthen the patient's skin care, 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 damage or pressure sores. Therefore, for patients who stay in bed for a long time, the nursing staff should help the patients 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, clean and dry bedding in time, and 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, which lead to vascular embolism, and the 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 skin color and elasticity of their feet to prevent blisters and scratches. Strengthen foot function exercise, and don't sit cross-legged for a long time, or touch objects that are too cold and 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 patient's condition changes.

1.3 Observation items and indicators:

① Observe the nursing satisfaction of patients in two groups, and evaluate them from environmental facilities, nursing service attitude, skill level and work enthusiasm, and divide them into three grades: satisfaction, basic satisfaction and dissatisfaction, with the total satisfaction rate = satisfaction rate+basic satisfaction rate.

② The treatment compliance and biochemical indexes before and after nursing were compared between the two groups, including fasting blood glucose (FBG), urea nitrogen (BUN) and proteinuria.

1.4 statistical methods. SPSS18. software was used in the statistical analysis of this study, in which nursing satisfaction rate and treatment compliance were used as counting data, which were expressed by (n,%) and x2 test was used. Biochemical indicators are used as measurement data, expressed by (x-s) and tested by t. P < .5 shows that the difference is obvious and statistically significant.

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%), and the difference was statistically significant (P < .5).

2.2 comparison of biochemical indexes. The indexes of FBG, BUN and proteinuria in the observation group were better than those in the control group after nursing, and the difference was statistically significant (P < .5). 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 < .5). The results are shown in Table 3.

3. Discussion

The occurrence of diabetic nephropathy is mainly caused by 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 the recovery of patients. High-quality nursing measures carry out nursing services from the aspects of psychology, diet, medication and complications, so as to escort the clinical treatment of patients. 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, BUN and proteinuria were better than those of the control group, but also the treatment compliance in disease monitoring, medication management and diet planning were 9.5%, 97.6% and 85.7%, which were higher than those of the control group (71.4%, 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 of diabetes (2)

1. Methods

1.1 Psychological counseling nursing measures Because both 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 nurses, they should actively cooperate with the rehabilitation treatment of patients. That is, patiently explain the cause of the disease and the main treatment process and means of the disease to patients, encourage patients to face the disease positively, and establish self-confidence in fighting the disease. At the same time, for some patients, they are often worried about whether tuberculosis will be transmitted to their families. In this regard, nurses should patiently explain the cause of the disease to patients and their families, and take people who have recovered from hospital as examples to show their opinions. Let the patients get rid of the troubles of inferiority and loss, and when talking with the patients, the medical staff should always observe the patients' every move, find the patients' loss points according to the patients' body movements and facial expressions, and then prescribe the right medicine and communicate with the patients, so as to make the patients feel cheerful.

1.2 dietary care measures in 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, appropriately increase the intake of sugar, and not be too harsh. At the same time, the diet of three meals should be reasonable, and foods rich in protein, cellulose and carbohydrates should be guaranteed as much as possible at each meal. 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 should be added to the diet to promote the metabolism of body functions. Because tuberculosis has certain poisoning symptoms, it is one of the effective nursing measures to encourage patients to keep a certain amount of water every day to promote the discharge of toxins. It is one of the effective nursing measures to ensure the rapid recovery of diseases through nursing control of patients' diet.

1.3 Medication nursing measures Nurses should always observe the patient's medication and observe whether the patient has sequelae or adverse drug reactions. If any abnormality is found, they should get in touch with the attending doctor in time to try 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 the patient is using p-aminosalicylic acid preparation, Because of the influence of drugs, urine sugar will be false positive, and when patients take rifampicin, the urine will be orange-red, which will make patients feel anxious. Therefore, in the process of taking drugs, nurses should patiently explain the symptoms that may appear after taking drugs, so as to avoid patients from having bad ideological burden.

1.4 disinfection nursing measures because tuberculosis is contagious, when patients sneeze and cough, nursing staff should instruct patients to use double-layer paper towels, and at the same time, the tableware used by patients should be disinfected regularly or disposable tableware should be used. However, disposable tableware should be destroyed centrally after use to prevent the spread of germs, and the ward where patients live should also be disinfected and cleaned regularly to maintain ventilation and reduce the possibility of virus infection.

1.5 Rehabilitation nursing measures After the patient is discharged from 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 regular re-examination to check whether the indicators such as urine sugar, liver function and blood sugar are within the standard values. At the same time, if the patient finds any abnormality, he should get in touch with the attending doctor in time, and it is best to do physical exercise for a certain time every day to improve his vital capacity, and ensure the reasonable intake of water every day to improve his immunity.

2. Results

Through the nursing treatment of 44 cases of bone tuberculosis complicated with diabetes in our hospital for a period of time, the patient's condition has basically remained stable, and at the same time, the patient has basically mastered the main causes of the condition, and can check his blood sugar and blood pressure by himself, insist on taking medicine, and come to the hospital for reexamination regularly, and the nursing treatment effect is obvious.

3. Summary

Bone tuberculosis complicated with diabetes is a chronic disease with a long course of disease. If you want to treat both tuberculosis and diabetes, you need to make adequate 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 physical 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 promotion and use.