系统化健康教育与饮食管理在糖尿病酮症酸中毒患者中的应用分析  

Analysis of Systematic Health Education and Dietary Management in Patients with Diabetic Ketoacidosis

作　　者：陈彩云 朱玉英 蔡秀萍 CHEN Caiyun;ZHU Yuying;CAI Xiuping(Department of Critical Care Medicine,Putian Licheng District Hospital,Putian,Fujian Province,351100 China)

机构地区：[1]莆田市荔城区医院重症医学科,福建莆田351100

出　　处：《糖尿病新世界》2022年第20期161-164,共4页Diabetes New World Magazine

摘　　要：目的探讨糖尿病酮症酸中毒(diabetic ketoacidosis,DKA)患者应用系统化健康教育联合饮食管理取得的效果。方法选取2019年4月—2021年3月期间莆田市荔城区医院收治的60例DKA患者作为研究对象,以随机数表将其划分为对照组(30例)与研究组(30例)。对照组采取常规护理,研究组在此基础上应用系统化健康教育与饮食管理。比较两组酸中毒纠正时间、血糖控制时间、住院时间、健康知识掌握度、护理满意度及生活质量。结果研究组酸中毒纠正时间、血糖控制时间、住院时间均短于对照组,差异有统计学意义(P<0.05)。研究组健康知识的总掌握率96.67%高于对照组73.33%,差异有统计学意义(χ^(2)=4.706,P<0.05)。研究组护理总满意率100.00%高于对照组80.00%,差异有统计学意义(χ^(2)=4.630,P<0.05)。研究组健康调查12条简表评分高于对照组,差异有统计学意义(P<0.05)。结论DKA患者应用系统化健康教育联合饮食管理能够有效提高健康知识掌握度与护理满意度,加快康复进程,保障生活质量。Objective To explore the effect achieved by applying systematic health education combined with dietary management in patients with diabetic ketoacidosis(DKA).Methods Sixty patients with DKA admitted to Licheng District Hospital in Putian City during April 2019 to March 2021 were selected as study subjects.They were divided into the control group(30 cases)and the study group(30 cases)according to the random number table.The control group took conventional care,and the study group applied systematic health education and diet management on this basis.The two groups were compared in terms of acidosis correction time,blood glucose control time,hospitalization time,health knowledge mastery,nursing satisfaction and quality of life.Results The time of acidosis correction,blood glucose control time and hospitalization time in the study group were shorter than those in the control group,and the difference was statistically significant(P<0.05).The total mastery rate of health knowledge in the study group was 96.67%higher than that in the control group 73.33%,and the difference was statistically significant(χ^(2)=4.706,P<0.05).The total satisfaction rate of nursing in the study group was 100.00%higher than that of the control group 80.00%,and the difference was statistically significant(χ^(2)=4.630,P<0.05).The 12 short form scores of health survey were higher in the study group than in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of systematic health education combined with dietary management in DKA patients can effectively improve the degree of health knowledge mastery and nursing satisfaction,accelerate the recovery process and guarantee the quality of life.

关 键 词：系统化健康教育 饮食管理 糖尿病酮症酸中毒 

分 类 号：R59[医药卫生—内科学]