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<正>糖尿病肾病(diabetic kidney disease,DKD)是糖尿病最主要的微血管并发症之一,是目前引起终末期肾病(end stage renal disease,ESRD)的首要原因[1]。研究显示,DKD发展成为ESRD的发生率为40. 8/1 000人年,需要进行透析或移植等肾脏替代治疗,医疗费用巨大,给社会和家庭带来沉重的经济负担[2]。此外,DKD患者的心血管疾病发病率及死亡率显著升高[3],严重影响居民的生活质量。同其他慢性病类似,采用合适的医学治疗,加强对糖尿病患者的疾病教育,提高患者对DKD自我认知,有助于延缓肾病进展,甚至终止ESRD的进程[4]。疾病自我认知是指患者对自身罹患疾病有清楚的认知,并明白疾病控制不佳可能导致的严重
Abstract：[1]柴剑丽，吴春燕，王文娟，等．糖尿病肾病患者血液透析中低血糖管理的持续质量改进[J]．中华护理杂志，2015,50(2):170-174.
[2]刘颖，张春艳．认知护理干预在糖尿病肾病行血液透析患者中的应用[J]．护理实践与研究，2017,14(10):37-38.
[3] Chinnadurai R,Chrysochou C,Kalra PA. Increased risk for cardiovascular events in patients with diabetic kidney disease and non-alcoholic fatty liver disease[J]. Nephron,2018,11(1):1-7.
[4]侯莉，尹秋生，刘伟，等．行为改变教育对糖尿病肾病病人自尊、睡眠质量和生活质量的影响[J]．护理研究，2016,30(1):38-40.
[5]周红玉．糖尿病肾病病人自我管理影响因素研究进展[J]．护理研究，2016,30(9):3217-3219.
[6] Burrows NR,Hora I,Geiss LS,et al. Incidence of end-stage renal disease attributed to diabetes among persons with diagnosed diabetes-United States and Puerto Rico,2000-2014[J]. Morb Mortal Wkly Rep,2017,66(43):1165-1170.
[7] Koye DN,Magliano DJ,Nelson RG,et al. The global epidemiology of diabetes and kidney disease[J]. Adv Chronic Kidney Dis,2018,25(2):121-132.
[8] Ninomiya H,Katakami N,Matsuoka TA,et al. Association between poor psychosocial conditions and diabetic nephropathy in Japanese type 2 diabetes patients:a cross-sectional study[J]. J Diabetes Investig,2018,9(1):162-172.
[9]中华医学会糖尿病学分会微血管并发症学组．糖尿病肾病防治专家共识(2014年版)[J]．中华糖尿病杂志，2014,6(11):792-801.
[10] Wang S,Chen R,Liu Q,et al. Prevalence,awareness and treatment of chronic kidney disease among middle-aged and elderly:the China health and retirement longitudinal study[J]. Nephrology,2015,20(7):474-84.
[11] Szczech LA,Stewart RC,Su H-L,et al. Primary care detection of chronic kidney disease in adults with type-2 diabetes:the ADD-CKD study(awareness,detection and drug therapy in type 2 diabetes and chronic kidney disease)[J]. PLo S One,2014,9(11):e110535.
基本信息:
DOI：
中图分类号:R587.2;R692.9
引用信息:
[1]黄正月,朱燕,何英姿,等.影响2型糖尿病患者对糖尿病肾病自我认知因素的分析[J].海军医学杂志,2020,41(02):219-222.
基金信息:
上海交通大学附属第六人民医院院级课题(2143)