Effects of TCM characteristic nursing program on gastrointestinal symptoms in hemodialysis patients with end-stage diabetic nephropathy
中医特色护理方案对终末期糖尿病肾病血液透析患者胃肠道症状的影响

摘要

目的 浅析终末期糖尿病肾病血液透析患者采用中医特色护理方案治疗，缓解胃肠道症状和其他不适，达到辅助治疗的目的。方法 选取2024年4月至2025年2月本院接受治疗且签署知情同意书的终末期糖尿病肾病血液透析患者80例，采取随机原则将纳入本次研究患者平均分成选择中医特色护理方案的观察组和常规护理的对照组，对比临床护理效果。结果 观察组患者胃肠道症状评分优于对照组，对比差异显著（P＜0.05）；此外，观察组患者血糖水平和肾功能指标优于对照组，对比差异显著（P＜0.05）。结论 针对终末期糖尿病肾病血液透析患者实施中医特色护理方案的效果显著，有助于改善血糖水平和肾功能指标，在缓解胃肠道症状上干预效果确切，值得推广。

Abstract

Objective To investigate the efficacy of a TCM-based nursing protocol in end-stage diabetic nephropathy (ESN) hemodialysis patients, aiming to alleviate gastrointestinal symptoms and other discomforts as an adjunctive therapy.
Methods A total of 80 ESN hemodialysis patients who signed informed consent forms at our hospital between April 2024 and February 2025 were randomly divided into two groups for comparison: the observation group receiving TCM-based care and the control group receiving standard care.
Results The observation group demonstrated significantly better gastrointestinal symptom scores (P<0.05) compared to the control group. Additionally, both blood glucose levels and renal function indicators showed statistically significant improvements in the observation group.
Conclusion   The TCM-based nursing protocol effectively improves blood glucose levels and renal function parameters in ESN hemodialysis patients, with proven efficacy in alleviating gastrointestinal symptoms. This approach is recommended for clinical practice.