急诊风险管理对糖尿病高渗性昏迷患者血糖波动的影响  

Impact of Emergency Risk Management on Blood Glucose Fluctuations in Patients with Diabetic Hyperosmolar Coma

作　　者：马敏吉 吴昭军 潘莉莉 MA Minji;WU Zhaojun;PAN Lili(Department of Emergency,Wuxi Huishan District People's Hospital,Wuxi 214000,Jiangsu,China)

机构地区：[1]无锡市惠山区人民医院急诊科,江苏无锡214000

出　　处：《糖尿病新世界》2024年第11期140-143,共4页Diabetes New World

摘　　要：目的探讨急诊风险管理在糖尿病高渗性昏迷患者急诊中应用效果。方法选取2021年1月—2023年10月无锡市惠山区人民医院收治的56例糖尿病高渗性昏迷患者为研究对象。按不同护理方法将患者分为对照组(接受常规干预)与观察组(实施急诊风险管理干预),各28例。比较两组患者的血糖波动情况(血糖的最高值、血糖最低值、波动差值)、护理满意度及生活质量(生理功能、社会功能、心理功能、生活能力)评分。结果观察组最高血糖值低于对照组,最低血糖值高于对照组,血糖波动差值小于对照组,差异有统计学意义(P均<0.05)。观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。观察组生活质量各方面评分均高于对照组,差异有统计学意义(P均<0.05)。结论急诊风险管理在糖尿病高渗性昏迷患者的治疗中能有效控制血糖波动,提高护理满意度及其生活质量。Objective To explore the application effect of emergency risk management in emergency treatment of dia⁃betic patients with hyperosmolar coma.Methods A total of 56 patients with diabetic hyperosmolar coma admitted to Wuxi Huishan District People's Hospital from January 2021 to October 2023 were selected as the study subjects.Ac⁃cording to different nursing methods,the patients were divided into control group(receiving routine intervention)and observation group(implementing emergency risk management intervention),with 28 cases in each group.The blood glucose fluctuation(the highest value of blood glucose,the lowest value of blood glucose,the fluctuation difference),nursing satisfaction and quality of life(physiological function,social function,psychological function,life ability)scores were compared between the two groups.Results The highest blood glucose value of the observation group was lower than that of the control group,the lowest blood glucose value was higher than that of the control group,and the blood glucose fluctuation differences was smaller than that of the control group,and the differences were statistically significant(all P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The scores of quality of life in the observation group were higher than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Emergency risk management can effectively control blood glucose fluctuations and improve nursing satisfaction and quality of life in the treatment of diabetic with hyperosmolar coma with patients.

关 键 词：糖尿病 高渗性昏迷 急诊风险管理 血糖波动 康复进程 

分 类 号：R473[医药卫生—护理学]