根因分析法在急诊糖尿病酮症酸中毒患者急救护理中的应用研究  

Application of Root Cause Analysis in Emergency Care of Patients with Diabetic Ketoacidosis

作　　者：施金娜 乐彩凤 谢文莉[1] SHI Jinna;LE Caifeng;XIE Weni(Department of Emergency,the Second Hospital Affiliated to Fujian Medical University,Quanzhou,Fujian Province,362241 China)

机构地区：[1]福建医科大学附属第二医院急诊科,福建福州362241

出　　处：《糖尿病新世界》2023年第9期123-126,135,共5页Diabetes New World Magazine

摘　　要：目的研究根因分析法在急诊糖尿病酮症酸中毒患者急救护理中的应用价值。方法选取2021年1月—2022年1月福建医科大学附属第二医院收治的90例急诊糖尿病酮症酸中毒患者为研究对象,按照时间分组,2021年1—6月收治的患者划分对照组(45例),2021年7月—2022年1月收治的患者划分为研究组(45例)。对照组采取常急救护理干预,研究组则采取经根因分析法后调整的急救护理,对比两组患者护理后的血糖水平(空腹、餐后2 h血糖、糖化血红蛋白、糖化白蛋白)、生活质量、自我效能评分以及不良反应发生率。结果护理后,研究组空腹血糖、餐后2 h血糖和糖化血红蛋白、糖化白蛋白水平均明显低于对照组,差异有统计学意义(P<0.05);研究组生活质量和自我效能评分均明显高于对照组,差异有统计学意义(P<0.05);研究组不良反应总发生率为4.44%,明显低于对照组的17.78%,差异有统计学意义(P<0.05)。结论将根因分析法运用于急诊糖尿病酮症酸中毒患者护理中,有利于及时发现和整改护理方法的不足,可为其提供优质的急救护理。Objective To study the application value of root cause analysis in emergency care of patients with diabetic ketoacidosis.Methods A total of 90 patients with emergency diabetic ketoacidosis admitted to the Second Affiliated Hospital of Fujian Medical University from January 2021 to January 2022 were selected as the research objects.Ac-cording to the time group,the patients admitted from January to June 2021 were divided into the control group(45 cases),and the patients admitted from July 2021 to January 2022 were divided into the study group(45 cases).The control group was given routine emergency nursing intervention,while the study group was given emergency nursing adjusted by root cause analysis.The blood glucose levels(fasting,2 h postprandial blood glucose,glycosylated hemo-globin,glycated albumin),quality of life,self-efficacy score and incidence of adverse reactions were compared be-tween the two groups.Results After nursing,the levels of fasting blood glucose,2 h postprandial blood glucose,glyco-sylated hemoglobin and glycosylated albumin in the study group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The quality of life and self-efficacy scores of the study group were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the study group was 4.44%,which was significantly lower than 17.78%in the control group,the difference was statistically significant(P<0.05).Conclusion The application of root cause analysis in the nursing of emergency diabetic ketoacidosis patients is conducive to timely detection and rectifica-tion of the shortcomings of nursing methods,and can provide high-quality emergency nursing.

关 键 词：根因分析法 糖尿病酮症酸中毒 急救护理 血糖 

分 类 号：R587[医药卫生—内分泌]