一体化急救护理模式在糖尿病酮症酸中毒患者中的应用效果  

Applicatioin of integrated model of emergency care in patients with diabetic ketoacidosis

作　　者：王丹[1] 王玲玲[2] 朱传英[1] Wang Dan Wang Lingling Zhu Chuanying(First Aid Station, the Second People＇s Hospital of Liaocheng, Shandong Province, Liaocheng 252600, China Emergency Department, the Second People＇s Hospital of Liaocheng, Shandong Province, Liaocheng 252600, China)

机构地区：[1]山东省聊城市第二人民医院急救站,252600 [2]山东省聊城市第二人民医院急诊科,252600

出　　处：《中华现代护理杂志》2017年第24期3150-3152,共3页Chinese Journal of Modern Nursing

摘　　要：目的 探讨一体化急救护理模式在糖尿病酮症酸中毒患者急救中的应用效果.方法 选取2014年6月—2015年5月急诊急救糖尿病酮症酸中毒患者30例为对照组,2015年6月—2016年5月急诊急救糖尿病酮症酸中毒患者30例为一体化组,对照组给予常规急救护理,而一体化组在常规急救护理基础上实施一体化急救护理,统计分析两组患者抢救成功率、尿酮体转阴时间、低血糖发生率、一体化实施前后护理人员急救专业技能考试情况.结果 一体化组患者抢救成功率为100.00%,明显高于对照组的76.67%,差异有统计学意义（χ2=5.82,P〈0.05）;一体化组尿酮体转阴时间为（1.68±0.87）d,对照组为（2.19±0.95）d,差异有统计学意义（t=2.16,P〈0.05）;一体化组低血糖发生率为3.33%,明显低于对照组的26.67%,差异有统计学意义（χ2=4.71,P〈0.05）.实施一体化急救护理模式后护理人员急救专业技能测试合格率高于实施前,差异有统计学意义（P〈0.05）.结论 一体化急救护理模式不仅能改善糖尿病酮症酸中毒患者急救效果,还能提高急诊护理人员急救专业技能水平.Objective To investigate the application effects of integrated model of emergency care in patients with diabetic ketoacidosis.Methods A number of 30 patients with diabetic ketoacidosis from June 2014 to May 2015 were selected as the control group. Another 30 patients with diabetic ketoacidosis from June 2015 to May 2016 were selected as the experimental group. Patients in the control group were given conventional first aid, while patients in the experimental group received additional integrated emergency nursing. The rescue success rate, urine ketone bodies clearance time, incidence of hypoglycemia, professional skills of nurses before and after the integration of emergency nursing were analyzed and compared between the two groups. Results The rescue success rate of the experimental group （100.00%） was higher than that of the control group （76.67%）, with a statistically significant difference （χ2=5.82,P〈0.05）. The urine ketone bodies clearance time were （1.68±0.87） d in the experimental group and （2.19±0.95） d in the control group, and the difference was statistically significant （t=2.16,P〈0.05）. The incidence of hypoglycemia of the experimental group （3.33%） was significantly lower than that of the control group （26.67%）, and the difference was statistically significant （χ2=4.71,P〈0.05）. The pass rate of professional skills test of nurses after the integration of emergency care was statistically significant higher than before the implementation （P〈0.05）.Conclusions Integrated model of emergency care can improve the emergency treatment in patients with diabetic ketoacidosis and increase the professional skills in emergency nursing of nurses.

关 键 词：急救医疗服务 急救 糖尿病酮症酸中毒 一体化急救护理模式 

分 类 号：R473.5[医药卫生—护理学]