急诊糖尿病酮症酸中毒急救护理临床探讨  

Clinical Study on Emergency Nursing Care of Emergency Diabetic Ketoacidosis

作　　者：黄美凤 邱宝琴 HUANG Mei-feng;QIU Bao-qin(Emergency Department,Xinglin Branch of the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361022 China)

机构地区：[1]厦门大学附属第一医院杏林分院急诊科,福建厦门361022

出　　处：《糖尿病新世界》2020年第24期162-163,169,共3页Diabetes New World Magazine

摘　　要：目的主要针对糖尿病患者在出现酮症酸中毒后实施急救护理的临床效果进行有效的观察及其分析。方法选择该院急诊科在2018年10月—2019年10月收治的60例糖尿病酮症酸中毒患者作为该次研究的观察对象,将其分为常规组和观察组,每组30例,常规组患者主要采用常规的护理方式,而观察组患者则是采用急救护理方式,两组患者均参照血糖水平、护理总有效率以及护理满意度进行有效对比。结果两组患者治疗后的血糖水平对比,常规组为(15.89±2.67)mmol/L,观察组为(13.68±1.01)mmol/L,观察组显著优于常规组,差异有统计学意义(P<0.05);两组患者护理总有效率对比,常规组为73.3%(22/30),观察组为96.6%(29/30),其护理满意度对比,常规组为70.0%(21/30),观察组为96.6%(29/30),在护理总有效率以及护理满意度两项指标对比中,观察组均显著优于常规组,差异有统计学意义(P<0.05)。结论对糖尿病患者在出现酮症酸中毒后实施急救护理,能确保急救成功的概率进一步提高,有利于促进患者预后恢复。Objective To effectively observe and analyze the clinical effects of emergency care for diabetic patients after ketoacidosis.Methods From October 2018 to October 2019 in the hospital,60 patients with diabetic ketoacidosis admitted in the emergency department were selected as the observation objects of this study,and they were divided into routine group and observation group,each group of 30 cases,patients in the routine group mainly adopted conventional nursing methods,while patients in the observation group adopted emergency nursing methods.The two groups of patients were effectively compared with reference to blood glucose levels,total nursing efficiency and nursing satisfaction.Results The blood glucose levels of the two groups were compared after treatment.The conventional group was(15.89±2.67)mmol/L and the observation group was(13.68±1.01)mmol/L.The observation group was significantly better than the conventional group,the difference was statistically significant(P<0.05).The comparison between the two groups was significant;the total effective rate of nursing care between the two groups was 73.3%(22/30)in the conventional group and 96.6%(29/30)in the observation group.The nursing satisfaction rate was compared with 70.0%(21/30),96.6%(29/30)in the observation group.The observation group was significantly better than the routine group in the comparison of the total nursing effectiveness and nursing satisfaction,the difference was statistically significant(P<0.05).Conclusion The implementation of emergency care for diabetic patients after ketoacidosis can ensure that the probability of successful emergency treatment is further improved,and is beneficial to promote the patient's prognosis recovery.

关 键 词：糖尿病 酮症酸中毒 急救护理 护理效果 

分 类 号：R47[医药卫生—护理学]