Volume 45 Issue 4
Apr.  2024
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Jing ZHOU, Linling LI, Haihong WANG, Yuqiong YANG. Effect and Psychological State of Triangle Hierarchical Management+LEARNS Model for Diabetes Nephropathy[J]. Journal of Kunming Medical University, 2024, 45(4): 197-202. doi: 10.12259/j.issn.2095-610X.S20240429
Citation: Jing ZHOU, Linling LI, Haihong WANG, Yuqiong YANG. Effect and Psychological State of Triangle Hierarchical Management+LEARNS Model for Diabetes Nephropathy[J]. Journal of Kunming Medical University, 2024, 45(4): 197-202. doi: 10.12259/j.issn.2095-610X.S20240429

Effect and Psychological State of Triangle Hierarchical Management+LEARNS Model for Diabetes Nephropathy

doi: 10.12259/j.issn.2095-610X.S20240429
  • Received Date: 2023-09-19
    Available Online: 2024-04-03
  • Publish Date: 2024-04-29
  •   Objective  To explore the improvement effect of Triangle hierarchical management+LEARNS model on blood sugar level, renal function level and psychological status of patients with diabetes nephropathy in nursing care.   Methods  A total of 74 diabetic nephropathy patients admitted to the Third People's Hospital of Yunnan Province from February 2022 to January 2023 were randomly selected as study subjects. The control group (n=37, receiving routine care during treatment) and the observation group (n=37, receiving Triangle hierarchical management+LEARNS care) were randomly sorted by Excel table. The improvement of blood pressure and renal function were evaluated.  Results  Comparing the blood sugar levels before and after the intervention in 2 groups, the postprandial 2-hour blood sugar and fasting blood sugar were lower in the observation group than in the control group after the intervention, with statistically significant differences (P < 0.05). Comparing the quality of life of patients, there was no difference before the intervention, but after the intervention, the observation group had higher scores on the QOLIE-31 scale compared to the control group, with statistically significant differences (P < 0.05). Comparing the negative emotional scores of patients, there was no difference in BAI and BDI scores before the intervention, but after the intervention, the observation group had lower scores than the control group, with statistically significant differences (P < 0.05). Comparing the kidney function levels of patients, the observation group had higher kidney function levels than the control group after the intervention, with statistically significant differences (P < 0.05). Comparing the self-management abilities of the 2 groups, the observation group was higher than the control group after the intervention, with statistically significant differences (P < 0.05).   Conclusion  The implementation of Triangle hierarchical management +LEARNS model in the nursing of patients with diabetic nephropathy can improve the blood glucose and renal function of patients, relieve the negative emotions of patients during treatment, and help patients recover.
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