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

Jing ZHOU; Linling LI; Haihong WANG; Yuqiong YANG

doi:10.12259/j.issn.2095-610X.S20240429

Volume 45 Issue 4

Apr. 2024

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2024 > 45(4): 197-202

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

Citation:

PDF( 601 KB)

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

doi: 10.12259/j.issn.2095-610X.S20240429

Dept. of Nephrology，The 3rd People’s Hospital of Yunnan Province，Kunming Yunnan 650011，China

Received Date: 2023-09-19
Available Online: 2024-04-03
Publish Date: 2024-04-29

Abstract

Abstract

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.
- Diabetes nephropathy,
- Triangle hierarchical management,
- LEARNS mode,
- Psychological state

FullText(HTML)

References(15)

References

[1]	薛耀明. 重视糖尿病肾脏病患者的心血管风险评估与管理[J]. 中华糖尿病杂志,2020,12(10):42-45.
[2]	戴梦飞,李舒悦,王宝彦,等. 基于Triangle理论的华法林抗凝患者分级管理模式的建立与实践[J]. 中国药学杂志,2022,57(21):52-54.
[3]	宋丽妮,刘敬怡,张怡尘,等. 糖尿病肾病早期诊断标志物的研究新进展[J]. 首都医科大学学报,2017,38(2):61-63.
[4]	杨小玲,袁丽,古艳. 糖尿病Triangle分层分级管理流程的构建[J]. 中华糖尿病杂志,2018,10(5):71-73.
[5]	Issar T,Arnold R,Kwai N C G,et al. Relative contributions of diabetes and chronic kidney disease to neuropathy development in diabetic nephropathy patients[J]. Clinical Neurophysiology,2019,130(11):2088-2095. doi: 10.1016/j.clinph.2019.08.005
[6]	周晨. 基于马斯洛需求理论的护理对糖尿病肾病病人肠道微生态、代谢指标和心理状态的影响[J]. 广州医科大学学报,2022,50(01):126-129.
[7]	Steinke J M,Sinaiko A R,Kramer M S,et al. The early natural history of nephropathy in Type 1 Diabetes: III. Predictors of 5-year urinary albumin excretion rate patterns in initially normoalbuminuric patients.[J]. Diabetes,2005,54(7):2164-2171. doi: 10.2337/diabetes.54.7.2164
[8]	尤晓婷,刘俊芬. 综合护理在CRRT治疗糖尿病肾病急性肾衰竭患者中的作用——《实用重症监护技术》[J]. 中国实验方剂学杂志,2022,28(22):18-23.
[9]	爱红,肇炜博. 积极筛查,全面评估,分级诊治糖尿病足——糖尿病足的筛查要点和诊疗策略探讨[J]. 中国全科医学,2021,24(24):63-65.
[10]	覃照菊,覃爱芳,韦美爱,等. 基于互联网平台的血糖分级护理模式在糖尿病患者血糖管理中的应用[J]. 重庆医学,2022,51(S02):399-401.
[11]	黄素俭,黄小娟,陈碧玲,等. 问题导引-目标链接式护理干预在糖尿病肾病血液透析者低血糖预防中的应用效果[J]. 护理实践与研究,2021,18(16):2434-2436.
[12]	张丽,刘文文. 护患沟通在老年糖尿病护理过程中的作用效果及对改善患者病情的影响[J]. 沈阳药科大学学报,2021,38(S01):28-31.
[13]	申东雯,刘俊杰,赵微,等. LEARNS模式健康教育对2型糖尿病患者的干预效果分析[J]. 中国健康教育,2022,38(9):845-848.
[14]	SarrajuA,Li J W,Cannon C P,et al. Effects of canagliflozin on cardiovascular,renal,and safety outcomes in participants with type 2 diabetes and chronic kidney disease according to history of heart failure: Results from the CREDENCE trial[J]. American Heart Journal,2021,233(45):141-148.
[15]	范良月,陆丽娜,刘梦莹. 糖尿病肾病维持性血液透析老年患者行三位一体延续性护理对白蛋白和前白蛋白的效果分析[J]. 糖尿病新世界,2021,24(8):5-9.

Relative Articles(20)

Relative Articles

[1]	Xiao CHEN. Development of Predictive Scale for Diabetic Kidney Disease Progression Based on Decision Tree Classification Model. Journal of Kunming Medical University, 2024, 45(8): 109-116. doi: 10.12259/j.issn.2095-610X.S20240816
[2]	Yuxin XIONG, Ying YANG. Research Progress of Diabetic Tubulopathy. Journal of Kunming Medical University, 2023, 44(9): 148-154. doi: 10.12259/j.issn.2095-610X.S20230920
[3]	Ling ZHAO, Hongling ZHONG, Xinru GAO, Mei LI, Tingting MAO, Rongyong LI, Tingyu KE. Clinical Observation of SGLT-2 Inhibitors in Delaying the Progression of Diabetic Nephropathy. Journal of Kunming Medical University, 2023, 44(5): 60-65. doi: 10.12259/j.issn.2095-610X.S20230527
[4]	Guo-qiang XUE, Xin-xin WEI, Na YAO, Wen-hua ZHAO. Metformin Protects Type II Diabetic Kidneys by Regulating PARP-1 Activity. Journal of Kunming Medical University, 2021, 42(6): 29-37. doi: 10.12259/j.issn.2095-610X.S20210632
[5]	Yi ZENG, Yun-juan LIAO, Ying LI, Zhen-kun HE. Efficacy of Dapagliflozin on Early Diabetic Nephropathy and Its Effect on Serum MCP-1 and IL-6. Journal of Kunming Medical University, 2021, 42(12): 41-46. doi: 10.12259/j.issn.2095-610X.S20211218
[6]	Yang Dan . Effect of Paracrine Function of Mesenchymal Stem Cells on Diabetic Nephropathy. Journal of Kunming Medical University,
[7]	Xiang Xi . The Correlation between Vitamin D Receptor Gene FokI Single Nucleotide Polymorphism and Diabetic Kidney Disease. Journal of Kunming Medical University,
[8]	Zhan Zi Lan . Influence of Nursing Intervention on Mental State, Complications and Satisfaction in Patients with Cerebral Hemorrhage. Journal of Kunming Medical University,
[9]	Zhang Xi Jun . . Journal of Kunming Medical University,
[10]	Xiang Xi . . Journal of Kunming Medical University,
[11]	An Xin Huan . . Journal of Kunming Medical University,
[12]	Li Hui Fang . . Journal of Kunming Medical University,
[13]	Zhang Qiong Yu . . Journal of Kunming Medical University,
[14]	Mao Wen Wen . . Journal of Kunming Medical University,
[15]	Lu Fang Li . . Journal of Kunming Medical University,
[16]	Du Xing Hua . . Journal of Kunming Medical University,
[17]	Liu Jin Ru . . Journal of Kunming Medical University,
[18]	Tang Li Li . . Journal of Kunming Medical University,
[19]	. Protective Effect of α-Thioctic Acid on Early Type 2 Diabetics Nephropathy. Journal of Kunming Medical University,
[20]	Li Mei Rui . . Journal of Kunming Medical University,