Impact of goal-oriented nursing interventions on the occurrence of hypoglycemia in diabetic patients undergoing hemodialysis
目标导向下护理干预对糖尿病患者血液透析中低血糖发生的影响

摘要

目的 探讨目标导向下护理干预在降低糖尿病患者血液透析中低血糖发生率的应用效果。方法 选取100 例 2024 年 5月-2025年5月在本院接受血液透析治疗的糖尿病患者，为配合本次研究，将其纳入对照组和观察组给予区别护理，每组各 50 例，即：常规护理以及目标导向下护理干预。获取两组临床相关研究数据对比低血糖发生率、血糖波动情况、自我管理能力、护理满意度组间差异。结果 干预 后，低血糖发生率观察组低于对照组，MAGE观察组小于对照组，DSCS 评分观察组高于对照组，护理满意度观察组高于对照组，两组数据组间见统计学差异（P＜0.05）。结论 对糖尿病血液透析患者实施目标导向下护理干预，可有效降低透析中低血糖发生率，减少血糖波动，提升患者自我管理能力与护理满意度，具有临床推广价值。

Abstract

Objective To explore the effectiveness of goal-oriented nursing interventions in reducing the incidence of hypoglycemia in diabetic patients undergoing hemodialysis.
Methods A total of 100 diabetic patients receiving hemodialysis at our hospital from May 2024 to May 2025 were selected. To cooperate with this study, they were divided into a control group and an observation group, each with 50 cases, receiving different nursing interventions: routine care and goal-oriented nursing intervention. Clinical data from both groups were collected to compare differences in hypoglycemia incidence, blood glucose fluctuations, self-management ability, and nursing satisfaction.
Results After the intervention, the observation group had a lower incidence of hypoglycemia than the control group, lower MAGE scores, higher DSCS scores, and higher nursing satisfaction, with statistically significant differences between the two groups (P<0.05).
Conclusion   Implementing goal-oriented nursing interventions for diabetic patients undergoing hemodialysis can effectively reduce the incidence of hypoglycemia during dialysis, decrease blood glucose fluctuations, and enhance patients’self-management ability and nursing satisfaction, showing clinical promotion value.