饮食干预和健康教育对糖尿病酮症酸中毒患者的护理效果观察  

Dietary interventions and health education for patients with diabetic ketoacidosis

作　　者：朱艺成[1] 刘汉娇[1] 张惠珍[1] Zhu Yicheng;Liu Hanjiao(Zhang Huizhen Bao ＇an Hospital of Traditional Chinese Medicine,Shenzhen 518133,China)

机构地区：[1]深圳市宝安区中医院,518133

出　　处：《国际医药卫生导报》2018年第16期2474-2477,共4页International Medicine and Health Guidance News

摘　　要：目的 研究糖尿病酮症酸中毒患者采取饮食干预与健康教育的护理效果.方法 选择本院2015年7月至2017年3月纳入的110例糖尿病酮症酸中毒患者,按照随机数字法分为两组,各55例;研究组采取饮食干预与健康教育,对照组采取常规护理,对比两组临床护理效果.结果 研究组患者酸中毒纠正时间为（5.6±1.7）d、血糖控制时间为（6.3±2.1）d,住院时间为（6.7±2.2）d,对照组分别为（7.0±2.2）d、（8.5±2.6）d、（9.4±3.0）d,两组各指标比较,差异均有统计学意义（均P＜ 0.05）;治疗前两组相关评分差异无统计学意义（P＞0.05）,治疗后研究组认知能力、生活质量评分均较对照组高（均P＜ 0.05）,但焦虑评分较对照组低（P＜0.05）;研究组满意度为94.55％,较对照组的81.82％高（P＜0.05）.结论 糖尿病酮症酸中毒患者采取饮食干预与健康教育效果更好,能缩短治疗时间,快速控制病情,提高认知能力,改善生活质量,调节不良情绪,维持良好医患关系.Objective To study the nursing effect of dietary interventions and health education for patients with diabetic ketoacidosis.Methods 110 patients with diabetic ketoacidosis treated at our hospital from July,2015 to March,2017 were selected and randomly divided into a study group and a control group,55 cases for each group.The dietary interventions and health education were performed in the study group;and the conventional nursing care was performed in the control group.The nursing effects were compared.Results The acidosis correction time,control time of blood glucose,and hospitalization time were statistically shorter in the study group than in the control group [（5.6±1.7） d vs.（7.0±：2.2） d,（6.3±2.1） d vs.8.5±2.6） d,and （6.7±2.2） d vs.（9.4±3.0） d],with statistical differences （all P 〈 0.05）.Before the intervention,there were no statistical differences in related scores between the two groups （all P 〉 0.05）.After the intervention,the scores of cognitive competence and quality of life were higher and the anxiety scores were lower in the study group than in the control group （all P 〈 0.05）.The clinical satisfaction was significantly higher in the study group than in the control group （94.55% vs.81.82%,P 〈 0.05）.Conclusion Dietary interventions and health education patients with diabetic ketoacidosis can significantly shorten the treatment time,control the disease,improve the cognitive competence and quality of life,adjust the negative emotions,and maintain favorable doctor-patient relationship.

关 键 词：护理效果 饮食干预 糖尿病酮症酸中毒 健康教育 

分 类 号：R473.5[医药卫生—护理学]