个体化饮食管理联合人文护理应用于DKA患者的效果分析  

Analysis of the Effect of Individualized Diet Management Combined with Humanistic Nursing in DKA Patients

作　　者：李特奇 帅萍萍 LI Teqi;SHUAI Pingping(Emergency Department,South China Hospital Affiliated to Shenzhen University,Shenzhen,Guangdong Province,518111China;Department of General Surgery,South China Hospital Affiliated to Shenzhen University,Shenzhen,Guangdong Province,518111 China)

机构地区：[1]深圳大学附属华南医院急诊科,广东深圳518111 [2]深圳大学附属华南医院普外科,广东深圳518111

出　　处：《中外医疗》2021年第33期184-186,194,共4页China & Foreign Medical Treatment

摘　　要：目的分析个体化饮食管理联合人文护理对糖尿病酮症酸中毒(DKA)患者酮体水平、生活质量的影响。方法简单随机选取该院收治的50例2018年1月—2019年8月DAK患者作为研究对象,随机分为对照组(基本护理,n=25)、研究组(个体化饮食管理联合人文护理,n=25),比较两组间血糖恢复正常、血酮恢复正常、总住院时间,生活质量评分(SF-36),以及并发症发生率。结果干预后,研究组血糖恢复正常、血酮恢复正常、总住院时间分别为(5.56±0.54)d、(16.67±1.56)h、(9.12±1.01)d均短于对照组,差异有统计学意义(t=13.545、19.167、9.187,P<0.05);研究组SF-36各项评分均高于对照组,差异有统计学意义(P<0.05);研究组感染、急性肾损伤(AKI)、低钾血症、脑水肿总发生率为8.00%低于对照组的32.00%,差异有统计学意义(P<0.05)。结论DKA患者为糖尿病严重并发症,住院期间实施个体化饮食管理联合人文护理可促进病情恢复,改善生活质量,降低并发症的发生。Objective To analyze the effect of individualized diet management combined with humanistic care on the level of ketone bodies and quality of life in patients with diabetic ketoacidosis(DKA).Methods 50 patients with DKA admitted to the hospital from January 2018 to August 2019 were simple randomly selected as the research objects,and they were randomly divided into the control group(basic care,n=25)and the study group(individualized diet management combined with humanistic care,n=25),compared the normalization of blood glucose,normalization of blood ketones,total length of hospital stay,quality of life score(SF-36),and the incidence of complications between the two groups.Results After the intervention,the study group's blood glucose returned to normal,blood ketones returned to normal,and the total hospitalization time was(5.56±0.54)d,(16.67±1.56)h,and(9.12±1.01)d,shorter than those of the control group.The difference was statistically significant(t=13.545,19.167,9.187,P<0.05);the scores of SF-36 in the study group were higher than those in the control group,and the difference was statistically significant(P<0.05).The total incidence of infection,aoute renal injury(AKI),hypokalemia,and cerebral edema in the study group was 8.00%lower than 32.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion DKA patients have serious complications of diabetes.The implementation of individualized diet management combined with humanistic nursing during hospitalization can promote the recovery of the disease,improve the quality of life,and reduce the occurrence of complications.

关 键 词：个体化饮食管理 人文护理 DKA 血酮体 生活质量 

分 类 号：R587.1[医药卫生—内分泌]