A nursing paper is an expository article that analyzes, discusses, and explains certain nursing issues or research that exist in nursing practice. So, how to write a clinical nursing paper on diabetes? Below I have compiled a sample clinical nursing paper on diabetes for you, I hope it can help you! Clinical nursing papers on diabetes (1)
1. Materials and methods
1.1 Medication intervention: The patient’s medication is related to the effect of the drug, such as dosage, time, adverse reactions, etc. It will also be affected by the patient's own cognitive level. To this end, nursing staff should strengthen patients' disease awareness, improve self-care awareness, understand the importance of persisting in medication, and not stop or reduce medication at will. When applying insulin, guide the correct injection method, understand the hypoglycemic mechanism and common adverse reactions; disinfect the syringe and change the injection site regularly.
1.2 Complication care:
①Skin care. Because the high sugar content in the patient's body will reduce the bactericidal ability of cells, it is easy for pathogenic bacteria to breed and infection will occur. Nursing staff should strengthen the patient's skin care, keep the skin hygienic and clean, change clothes frequently, and actively treat folliculitis.
②Pressure ulcer care. The lack of protein in the patient's body will increase the occurrence of edema, and the skin is prone to breakage or pressure sores. Therefore, for patients who have been bedridden for a long time, nursing staff should help the patients turn over in time, with a time interval of 2 to 4 hours, and ensure gentle movements. It is also necessary to develop good personal hygiene habits, wipe the body regularly, wash and dry bedding in time, and reduce the occurrence of pressure ulcers. Patients who develop pressure ulcers should receive increased daily monitoring and promote venous return by raising their limbs.
③Foot care. Diabetic patients are prone to lesions of blood vessels and nerve endings, which can lead to vascular embolism. The most common ones are foot ulcers and gangrene. Nursing staff should remind patients to protect their feet, understand relevant knowledge about diabetic feet, and regularly observe the skin color and elasticity of their feet to prevent blisters, scratches, etc. Strengthen foot function exercises and avoid sitting cross-legged for long periods of time or touching items that are too cold or hot.
(4) Hypoglycemia. For patients with renal insufficiency, the dose of insulin should be reduced to prevent hypoglycemic reactions. If the patient has shown signs of hypoglycemia, measure the blood sugar value immediately, add sweets or inject glucose, and pay attention to changes in the patient's condition.
1.3 Observation items and indicators:
① Observe the nursing satisfaction of the two groups of patients, evaluate it from the environmental facilities, nursing service attitude, skill level, and work enthusiasm, and divide it into satisfaction, There are three levels of basic satisfaction and dissatisfaction. Total satisfaction rate = satisfaction rate + basic satisfaction rate.
②Compare the treatment compliance of the two groups of patients, as well as the biochemical indicators before and after care, including fasting blood glucose (FBG), urea nitrogen (BUN), and proteinuria.
1.4 Statistical methods. The statistical analysis of this study used SPSS 18.0 software. Nursing satisfaction rate and treatment compliance were used as counting data, expressed by (n, %), and the x2 test was used; biochemical indicators were used as measurement data, expressed by (x—±s). , using t test. P<0.05 indicates that the difference is obvious and statistically significant.
2. Results
2.1 Nursing satisfaction. After comparison, the overall nursing satisfaction rate of patients in the observation group (95.2%) was significantly higher than that of the control group (78.6%), and the difference was statistically significant (P<0.05).
2.2 Comparison of biochemical indicators. After nursing, the FBG, BUN, and proteinuria indicators of the patients in the observation group were better than those in the control group, and the difference was statistically significant (P<0.05). The results are shown in Table 2.
2.3 Comparison of treatment compliance. The treatment compliance of patients in the observation group in terms of condition monitoring, medication management, and dietary planning was significantly higher than that in the control group, and the difference was statistically significant (P<0.05). The results are shown in Table 3.
3. Discussion
The occurrence of diabetic nephropathy is mainly due to the increase in blood sugar levels in patients, which leads to microvascular damage and increases the risk of death. The application of nursing measures can provide favorable conditions for the patient's recovery. High-quality nursing measures provide nursing services from the aspects of psychology, diet, medication, complications, etc. to protect 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 78.6% in the control group, which was consistent with Liu Xia's research results.
After the patient’s care, not only the biochemical indicators such as FBG, BUN, and proteinuria were better than those of the control group, but the treatment compliance in terms of condition monitoring, medication management, and diet planning were 90.5%, 97.6%, and 85.7% respectively. It was higher than 71.4%, 83.3%, and 66.7% of the control group, and the difference was statistically significant. In summary, high-quality nursing care for patients with diabetic nephropathy has good results, can improve nursing satisfaction and treatment compliance, improve various biochemical indicators, and promote disease recovery, and is worthy of clinical promotion. Clinical nursing papers on diabetes (2)
1. Methods
1.1 Psychological counseling and nursing measures Since both bone tuberculosis and diabetes are chronic diseases, patients can easily become pessimistic and negative during the illness. Emotions that affect the recovery of the disease and the body's immune function are affected to varying degrees. At this time, as a nursing staff, we must actively cooperate with the patient's rehabilitation treatment, that is, patiently explain to the patient the cause of the disease and the main treatment processes and methods. , encourage patients to face the disease positively and build confidence in fighting the disease. At the same time, for some patients, they are often worried about whether tuberculosis will be transmitted to their family members. Regarding this, nursing staff must be patient. Explain the entire cause of the disease to patients and their families, and use people who have recovered and been discharged from hospital as examples to give their own experiences to help patients get rid of the troubles of low self-esteem and depression. Medical staff should always observe every move of the patient when talking to the patient. Find the patient's point of failure based on the patient's body movements and facial expressions, and then prescribe the right medicine to communicate with the patient to make the patient feel cheerful.
1.2 Dietary care measures When providing dietary care to patients, it should be considered that although the patient suffers from bone tuberculosis and diabetes, he cannot only pay attention to the dietary care of one disease, but must take into account the conditions of both diseases. Properly match the diet, increase the intake of sugar appropriately, and do not be too strict. At the same time, the diet of the three meals should be reasonable, and try to ensure that there are foods rich in protein, fiber, and carbohydrates in each meal, so as to increase the patient's appetite. The slow absorption of glucose increases the 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. Since tuberculosis has certain symptoms of poisoning, patients should be encouraged to maintain One of the effective nursing methods is to drink a certain amount of water to promote the excretion of toxins and to ensure rapid recovery from the disease through nursing and controlling the patient's diet.
1.3 Medication Nursing Measures Nursing staff should always observe the patient’s medication status and observe whether the patient has sequelae or adverse drug reactions. If any abnormalities are found, they should contact the attending doctor in time to try to avoid the risk of adverse drug reactions. The negative situations caused by the reaction affect the entire process of treatment, but the medication for bone tuberculosis combined with diabetes is more complicated, and the reaction after taking the medication is more complicated. For example, when a patient uses para-aminosalicylic acid preparations, he will produce urine due to the influence of the drug. There is a problem of false positives for sugar. When a patient takes rifampicin, the urine will appear orange-red, making the patient anxious. Therefore, when the patient is taking the medication, the nurse should patiently explain to the patient that the symptoms may occur after taking the medication. symptoms and try to avoid the patient’s negative ideological burden.
1.4 Disinfection and Nursing Measures Since tuberculosis is contagious to a certain extent, nursing staff should instruct patients to use double-layer tissues when patients sneeze or cough. At the same time, the tableware used by patients must be disinfected regularly. Or use disposable tableware, but disposable tableware must be destroyed centrally after use to prevent the spread of germs. At the same time, the wards where patients live must be disinfected and cleaned regularly to maintain ventilation to reduce the possibility of viral infection.
1.5 Rehabilitation treatment and nursing measures After the patient is discharged from the hospital, the nursing staff should teach the patient how to use insulin and other drugs, and instruct the patient to come to the hospital for regular reexamination to detect urine glucose, liver function, blood sugar and other indicators. Within the standard value range, if the patient finds any abnormality, he should contact the attending doctor in time. It is best to exercise for a certain period of time every day to increase lung capacity, and to ensure a reasonable intake of water every day to improve immunity.
2. Results
After a period of nursing and management of 44 cases of bone tuberculosis complicated with diabetes admitted to our hospital, the patient's condition has been basically maintained stable, and the patient has basically mastered the disease. After identifying the main cause of the condition, he was able to detect blood sugar and blood pressure by himself, insisted on taking medication, and came to the hospital for regular check-ups. The effect of nursing care and treatment was obvious.
3. Summary
Bone tuberculosis combined with diabetes is a chronic disease with a long course. If you want to treat both tuberculosis and diabetes, you need to be fully prepared in all aspects. To ensure the stability of the treatment process, nursing and treatment of bone tuberculosis combined with diabetes can effectively provide psychological and physical counseling and improve the patient's recovery. Therefore, the nursing and treatment of bone tuberculosis combined with diabetes provides support and help for drug treatment and is worthy of clinical promotion and use.