健康教育在上消化道出血合并糖尿病酮症酸中毒患者中的应用探究  

Application of Health Education in Patients with Upper Gastrointestinal Bleeding Complicated with Diabetic Ketoacidosis

作　　者：罗秀娟[1] 林晓芳[1] 叶小兰[1] LUO Xiujuan;LIN Xiaofang;YE Xiaolan(Department of Gastroenterology,No.907 Hospital,Joint Logistics Support Force of the Chinese People's Liberation Army,Nanping,Fujian Province,353000 China)

机构地区：[1]中国人民解放军联勤保障部队第九〇七医院消化科,福建南平353000

出　　处：《糖尿病新世界》2022年第13期97-100,109,共5页Diabetes New World Magazine

摘　　要：目的 探究上消化道出血合并糖尿病酮症酸中毒患者护理中健康教育的应用效果。方法 选取2020年1月—2021年6月中国人民解放军联勤保障部队第九〇七医院收治的60例上消化道出血合并糖尿病酮症酸中毒患者作为研究对象,按照入院顺序结合护理干预方案随机分为对照组(30例,常规护理)与观察组(30例,常规护理基础上加强健康教育),对其护理情况与效果进行统计分析。结果 护理干预后,观察组血糖控制、酸中毒纠正、出血症状消失以及住院时间为(6.05±1.36)、(5.58±1.65)、(3.08±1.02)、(15.54±2.36)d,短于对照组,差异有统计学意义(P<0.05);疾病复发率为0.00%,低于对照组的10.00%,但差异无统计学意义(P>0.05);护理干预后,观察组焦虑、抑郁评分低于对照组、健康知识(疾病、治疗、护理、预防保健)掌握度高于对照组、对治疗与护理遵从率(93.33%)高于对照组(73.33%),差异有统计学意义(P<0.05);观察组生活质量(生理功能、心理功能、社会功能、生活状态)评分高于对照组,并发症发生率(6.67%)低于对照组(26.67%),护理满意度(96.67%)高于对照组(66.67%),差异有统计学意义(P<0.05)。结论 上消化道出血合并糖尿病酮症酸中毒患者常规护理基础上加强健康教育,不仅有利于症状改善、病情恢复,也有利于健康知识掌握度提升,遵医行为改善,心理问题解决,并发症发生率降低,提高患者生活质量与护理满意度。Objective To explore the application effect of health education in nursing of patients with upper gastrointestinal bleeding complicated with diabetic ketoacidosis.Methods A total of 60 patients with upper gastrointestinal bleeding complicated with diabetic ketoacidosis were selected from the patients admitted to the No.907 Hospital,Joint Logistics Support Force of the Chinese People’s Liberation Army from January 2020 to June 2021 as the research objects.According to the order of admission and nursing intervention plan,they were randomly divided into control group(30 cases,routine nursing) and observation group(30 cases,strengthening health education on the basis of routine nursing).Statistical analysis of the nursing situation and effect.Results After nursing intervention,blood glucose control,acidosis correction,bleeding symptoms disappeared and hospital stay in the observation group were(6.05±1.36) d,(5.58±1.65) d,(3.08±1.02) d,(15.54±2.36) d,shorter than those in the control group,the difference was statistically significant(P0.05).After nursing intervention,anxiety and depression scores in the observation group were lower than control group,health knowledge(disease,treatment,nursing,prevention and health care) was higher than control group,treatment and nursing compliance rate was 93.33% higher than control group 73.33%,the difference was statistically significant(P<0.05).The score of quality of life(physiological function,psychological function,social function and life status) in the observation group was higher than that of the control group,the incidence of complications was 6.67% lower than that of the control group 26.67%,and nursing satisfaction was 96.67% higher than that of the control group 66.67%,the differences were statistically significant(P<0.05).Conclusion Strengthening health education on the basis of routine nursing for patients with upper gastrointestinal bleeding complicated with diabetic ketoacidosis is not only beneficial to symptom improvement and recovery,but also to improving he

关 键 词：健康教育 糖尿病 上消化道出血 糖尿病酮症酸中毒 护理 

分 类 号：R473.5[医药卫生—护理学]