急救护理干预对急诊糖尿病酮症酸中毒患者的应用效果评价  

Evaluation of the Application Effect of Emergency Nursing Intervention on Patients with Emergency Diabetic Ketoacidosis

作　　者：李智海 温晓慧 郑菲菲 LI Zhihai;WEN Xiaohui;ZHENG Feifei(Department of Emergency,the First Affiliated Hospital of Xiamen University,Xiamen 361003,Fujian,China;De-partment of Internal Medicine,the First Affiliated Hospital of Xiamen University,Xiamen 361003,Fujian,China)

机构地区：[1]厦门大学附属第一医院急诊科,福建厦门361003 [2]厦门大学附属第一医院内科,福建厦门361003

出　　处：《糖尿病新世界》2025年第5期128-131,共4页Diabetes New World

摘　　要：目的分析急救护理干预对急诊糖尿病酮症酸中毒患者的应用效果。方法选取2022年3月—2024年5月于厦门大学附属第一医院急诊科接受治疗的糖尿病酮症酸中毒患者72例,根据不同护理方式将其分成两组,各36例,一组为对照组(接受常规护理),另一组为观察组(接受急救护理),对比两组血糖值、护理质量评分、心理状态评分、症状恢复时间等。结果护理后,观察组患者的血糖值、紧张评分、愤怒评分、疲劳评分、抑郁评分、慌乱评分与消极心理总分均低于对照组,酸中毒纠正时间、呼吸深快纠正时间均短于对照组,服务态度、护理环境、沟通交流、护理安全的评分及总分均高于对照组,差异均有统计学意义(P均<0.05)。结论通过急救护理干预,能够在较大限度上改善糖尿病酮症酸中毒患者的消极心理,降低血糖水平,促进患者恢复,并且能够提高护理质量。Objective To analyze the application effect of emergency nursing intervention on patients with emergency diabetic ketoacidosis.Methods A total of 72 patients with diabetic ketoacidosis who were treated in the Department of Emergency in the First Affiliated Hospital of Xiamen University from March 2022 to May 2024 were selected.According to different nursing methods,they were divided into two groups,36 cases in each group.One group was the control group(receiving routine nursing),and the other group was the observation group(receiving emergency nursing).The blood glucose value,nursing quality scores,psychological state scores and symptom recovery time of the two groups were compared.Results After nursing,the blood glucose level,tension score,anger score,fatigue score,depression score,panic score and total score of negative psychology in the observation group were lower than those in the control group,the correction time of acidosis and the correction time of deep breathing were shorter than those in the control group,and the scores of service attitude,nursing environment,communication,nursing safety and total scores were higher than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Emergency nursing intervention can improve the negative psychology of patients with diabetic ketoacidosis to a large extent,reduce blood glucose levels,promote patients recovery,and improve the quality of nursing.

关 键 词：急诊 糖尿病酮症酸中毒 急救护理 护理质量 

分 类 号：R473.5[医药卫生—护理学]