以目标理论为指导的全面护理在急诊重症监护室糖尿病合并危重疾病患者中的应用效果  

Application effects of goal theory-guided comprehensive nursing in critically ill patients with diabetes mellitus complicated with critical diseases in emergency intensive care unit

作　　者：陈晓希 江焯桥 胡国华 CHEN Xiaoxi;JIANG Zhuoqiao;HU Guohua(Emergency Comprehensive Ward of the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510140 Guangdong,China)

机构地区：[1]广州医科大学附属第三医院急诊综合病区,广东广州510140

出　　处：《中国民康医学》2024年第21期166-168,172,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察以目标理论为指导的全面护理在急诊重症监护室(EICU)糖尿病合并危重疾病患者中的应用效果。方法:选取2021年7月至2022年7月该院EICU收治的100例糖尿病合并危重疾病患者进行前瞻性研究,按随机数字表法将其分为研究组与对照组各50例。对照组采用常规护理,研究组在对照组基础上采用以目标理论为指导的全面护理,比较两组血糖指标[糖化血红蛋白(HbA1c)、空腹血糖(FPG)、餐后2 h血糖(2hPG)]水平、EICU停留时间、氧疗时间、预后情况[急性生理与慢性健康状况评分系统Ⅱ(APACHEⅡ)]评分和不良事件发生率。结果:离开EICU时,两组HbA1c、FPG、2hPG水平均低于入院时,且研究组低于对照组,差异有统计学意义(P<0.05);研究组EICU停留时间和氧疗时间均短于对照组,差异有统计学意义(P<0.05);离开EICU时,两组APACHEⅡ评分均低于入院时,且研究组低于对照组,差异有统计学意义(P<0.05);研究组不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上采用以目标理论为指导的全面护理可降低EICU糖尿病合并危重疾病患者血糖指标水平、APACHEⅡ评分和不良事件发生率,以及缩短EICU停留时间和氧疗时间的效果优于单纯常规护理。Objective:To observe application effects of goal theory-guided comprehensive nursing in critically ill patients with diabetes mellitus complicated with critical diseases in emergency intensive care unit(EICU).Methods:A prospective study was conducted on 100 critically ill patients with diabetes mellitus complicated with critical diseases admitted to EICU of the hospital from July 2021 to July 2022.According to the random number table method,they were divided into study group and control group,50 cases in each group.The control group was given routine nursing,while the study group was given the goal theory-guided comprehensive nursing on the basis of that of the control group.The levels of blood glucose indexes[glycosylated hemoglobin(HbA1c),fasting blood glucose(FPG),2 hour postprandial blood glucose(2hPG)],the EICU stay time,the oxygen therapy time,the prognosis[acute physiology and chronic health evaluation(APACHEⅡ)]score,and the incidence of adverse events were compared between the two groups.Results:When leaving EICU,the levels of HbA1c,FPG and 2hPG in the two groups were lower than those at admission,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).The EICU stay time and the oxygen therapy time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).At the time of leaving EICU,the APACHEⅡscores of the two groups were lower than those at admission,that in the study group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of adverse events in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusions:On the basis of the routine nursing,the goal theory-guided comprehensive nursing can reduce the levels of blood glucose indexes,the APACHEⅡscores and the incidence of adverse events in the critically ill patients with diabetes mellitu

关 键 词：急诊重症监护室 糖尿病合并危重疾病 目标理论 全面护理 血糖 不良事件 

分 类 号：R473.5[医药卫生—护理学]