基于循证理论的临床护理路径在糖尿病患儿中的应用效果  

Application effects of clinical nursing pathway based on evidence-based theory in children with diabetes mellitus

作　　者：张汛滔 程淑园 张广超 ZHANG Xuntao;CHENG Shuyuan;ZHANG Guangchao(Department of Pediatrics of the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000 Henan,China)

机构地区：[1]郑州大学第一附属医院儿科,河南郑州450000

出　　处：《中国民康医学》2025年第3期177-179,183,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:分析基于循证理论的临床护理路径在糖尿病患儿中的应用效果。方法:回顾性分析2021年2月至2022年2月该院收治的100例糖尿病患儿的临床资料,根据不同护理方式将其分为对照组与观察组各50例。对照组实施常规护理,观察组实施基于循证理论的临床护理路径。比较两组不同时间血糖指标达标率,护理前后早起空腹血糖水平、单日平均血糖波动幅度,并发症发生率,以及家长满意度。结果:护理后,观察组早起空腹血糖、早餐后2 h血糖、糖化血红蛋白等血糖指标达标率均高于对照组,差异有统计学意义(P<0.05);护理后,两组早起空腹血糖水平、单日平均血糖波动幅度均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组并发症发生率比较,差异无统计学意义(P>0.05);观察组家长满意度为96.00%(48/50),高于对照组的80.00%(40/50),差异有统计学意义(P<0.05)。结论:基于循证理论的临床护理路径应用于糖尿病患儿可提高血糖指标达标率和家长满意度,以及降低血糖水平和单日平均血糖波动幅度的效果优于单纯常规护理效果。Objective:To analyze application effects of clinical nursing pathway based on evidence-based theory in children with diabetes mellitus.Methods:The clinical data of 100 children with diabetes admitted to this hospital from February 2021 to February 2022 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,50 cases in each group.The control group was given routine nursing,while the observation group was given the clinical nursing pathway based on evidence-based theory.The blood glucose index qualified rate at different time,the blood glucose level before and after the nursing,the average daily blood glucose fluctuation level,the incidence of complications,and the parental satisfaction were compared between the two groups.Results:After the nursing,the blood glucose index qualified rates such as early fasting blood glucose,2 h blood glucose after breakfast and glycosylated hemoglobin in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the levels of early fasting blood glucose and daily average blood glucose fluctuation in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of complications between the two groups(P>0.05).The parental satisfaction in the observation group was 96.00%(48/50),which was higher than 80.00%(40/50)in the control group,and the difference was statistically significant(P<0.05).Conclusions:The clinical nursing pathway based on evidence-based theory in the children with diabetes can improve the blood glucose index qualified rate and the parental satisfaction,and reduce the blood glucose levels and the average daily blood glucose fluctuation levels.Moreover,it is superior to simple routine nursing.

关 键 词：糖尿病 循证理论 临床护理路径 血糖 并发症 

分 类 号：R473.72[医药卫生—护理学]