Abstract:

Objective To investigate the effects of outpatient nursing interventions on blood glucose levelsin patients with simultaneous pancreas-kidney transplantation. Methods A total number of 28 patients undergoing simultaneous pancreas-kidney transplantation in the Department of Urology，8th Medical Center of PLA General Hospital were divided into an observation group and a control group，with 14 patients in each group. The control group received routine nursing care and health education during outpatient follow-up，while the observation group received outpatient nursing intervention.After 6 months，the dietary compliance，exercise habits，adherence to lifestyle changes，disease knowledge，and blood glucose control level were evaluated in both groups. The satisfaction with nursing services was also compared between the two groups. Results The observation group showed better dietary compliance，exercise habits，adherence to lifestyle changes，and disease knowledge compared to the control group. Additionally，the blood glucose levels in the observation group were lower than those in the control group. The patients in the observation group expressed higher satisfaction with nursing services compared to the control group. These differences were statistically significant （all P ＜ 0.05）. Conclusion Outpatient nursing intervention can effectively improve blood glucose levels in patients undergoing simultaneous pancreas-kidney transplantation. It also enhances patients' self-care abilities，adherence to medical recommendations，and satisfaction with nursing services. Therefore，outpatient nursing intervention is worthy of clinical promotion and application. 

Key words:

Simultaneous pancreas-kidney transplantation , Diabetes , Blood sugar , Nursing interventions, Follow-up

摘要：

目的 门诊护理干预对接受胰肾联合移植患者血糖水平的影响。 方法 将中国人民解放军总医院第八医学中心泌尿外科门诊随访的 28 例胰肾联合移植患者作为研究对象，将其分为观察组和对照组，各 14 例，其中对照组在门诊随访时进行护理和健康宣教等常规工作，观察组实施本研究特定的护理干预方法，6 个月后评价两组患者饮食、运动、生活习惯依从性，疾病知识掌握程度以及血糖控制水平的指标结果，比较两组患者对护理服务的满意度。结果 观察组患者饮食、运动、生活习惯依从性和掌握疾病知识程度均优于对照组，血糖值低于对照组，且护理服务满意度优于对照组，差异均具有统计学意义（均 P ＜ 0.05）。 结论 门诊护理干预可以有效改善胰肾联合移植患者血糖水平，增强患者自护能力和遵医行为，提升护理服务满意度，值得临床推广应用。 

关键词:

胰肾联合移植 , 糖尿病 , 血糖 , 护理干预 , 随访