临床护理干预应用于重症糖尿病酮症酸中毒伴呼吸衰竭患者疗效的分析  

Analysis of the Effect of Clinical Nursing Intervention in Patients with Severe Diabetic Ketoacidosis and Respiratory Failure

作　　者：杨美玲 陈磊[1] YANG Meiling;CHEN Lei(The Fourth Department of Critical Care Medicine,Fujian Provincial Hospital,Fuzhou,Fujian Province,350001 China)

机构地区：[1]福建省立医院重症医学四科,福建福州350001

出　　处：《糖尿病新世界》2021年第8期138-141,共4页Diabetes New World Magazine

摘　　要：目的体会对重症糖尿病酮症酸中毒伴呼吸衰竭患者开展临床护理干预的价值。方法该研究选择2019年3月-2020年5月该院接收的50例重症糖尿病酮症酸中毒伴呼吸衰竭患者,遵从护理差异分组原则,将其分为对照组(23例,常规护理)和观察组(27例,临床护理干预),观察护理后两组患者临床各指标用时、血酮、血糖指标水平改善情况以及低血钾、感染等并发症发生率。结果①经护理后观察组患者中毒症状解除、病情好转、机械通气、血糖达标以及平均住院指标用时明显较对照组短,差异有统计学意义(t=3.935、6.446、4.650、3.832、4.825,P<0.05)。②护理前两组患者血酮、血糖指标水平相较,差异无统计学意义(P>0.05);经护理后观察组血酮、血糖水平较对照组低,差异有统计学意义(t=10.876、10.598、7.430,P<0.05)。③观察组并发症发生率较对照组低(3.7%vs 26.0%),差异有统计学意义(χ^(2)=5.168,P<0.05)。结论对重症糖尿病酮症酸中毒伴呼吸衰竭患者开展临床护理干预,建议以常规护理模式为基准,而后联合开展临床护理干预模式,在缩短临床症状用时、降低血酮和血糖指标水平、减少低血钾、感染等并发症发生率方面具有显著价值。Objective To understand the value of clinical nursing intervention for patients with severe diabetic ketoacidosis with respiratory failure.Methods The study period was from March 2019 to May 2020.The subjects of the study were 50 patients with severe diabetic ketoacidosis with respiratory failure accepted by the hospital.They were divided into control group(23 cases,routine nursing)and observation group(27 cases,clinical nursing intervention)in accordance with the principle of difference in nursing care,observed the clinical indicators time of the two groups after nursing,the improvement of blood ketones,blood glucose levels,and the incidence of complications such as hypokalemia and infection.Results 1.After nursing,patients in the observation group took significantly less time for symptoms of poisoning,improvement,mechanical ventilation,blood sugar compliance,and average hospitalization indicators than those of the control group,and the difference was statistically significant(t=3.935,6.446,4.650,3.832,4.825,P<0.05).2.The blood ketones and blood glucose levels of the two groups before nursing were not statistically different(P>0.05);after nursing,the blood ketones and blood sugar levels of the observation group were lower than those of the control group,and the difference was statistically significant(t=10.876,10.598,7.430,P<0.05).3.The incidence of complications in the observation group was lower than that in the control group(3.7%vs 26.0%),and the difference was statistically significant(χ^(2)=5.168,P<0.05).Conclusion To carry out clinical nursing intervention for patients with severe diabetic ketoacidosis with respiratory failure,it is recommended to take the conventional nursing model as the benchmark,and then jointly carry out the clinical nursing intervention model to shorten the clinical symptom time,reduce blood ketone and blood glucose index levels,and reduce low blood pressure.There is significant value in the incidence of complications such as serum potassium and infection.

关 键 词：重症糖尿病酮症酸中毒 呼吸衰竭 临床护理 血酮血糖 低血钾 

分 类 号：R47[医药卫生—护理学]