循证护理在糖尿病酮症酸中毒住院患者护理中的应用效果评价

Evaluation of application effect of evidence-based nursing care on hospitalized patients with diabetic ketoacidosis

目的探讨分析循证护理在糖尿病酮症酸中毒住院患者护理中的应用效果。方法选取2011年1月至2014年6月我院64例糖尿病酮症酸中毒患者,随机平分为对照组和观察组,对照组采用常规护理模式,观察组采用循证护理,比较两组患者空腹血糖、餐后2小时血糖、酮体转阴平均时间及低血糖发生次数及患者的护理满意度。结果观察组患者护理后的空腹血糖、餐后2小时血糖、酮体转阴时间及低血糖发生次数均明显低于对照组,P<0.05;观察组32例患者护理满意31例,护理满意度为96.9%较对照组32例患者护理满意24例,75.0%的护理满意度具有明显优势,P<0.05。结论循证护理在患者护理后血糖、酮体转阴时间及低血糖发生次数上均有较佳的临床治疗效果,同时提高了患者对我们的护理服务质量的满意程度,是一种较为理想的临床护理模式。

Objective To investigate the effect of evidence-based nursing application in diabetic ketoacidosis. Methods 64 patients with diabetic ketoacidosis in our hospital were chosen from January 2011 to June 2014,randomly and equally divided into contrast group and observed group,contrast group using regular nurse,observed group using evidence-based nursing,comparing fasting glucose,2-hour postprandial blood glucose,ketones negative average time and frequency of hypoglycemia and patient satisfaction with care of two groups. Results The fasting glucose,2-hour postprandial blood glucose,ketone bodies clearance time and frequency of hypoglycemia of observed group were significantly lower than the contrast group,P〈0. 05; 32 patients in the observation group with 31 cases of nursing satisfaction,satisfaction care was 96. 9% compared with the control group of 24 cases of nursing satisfaction in 32 patients,75. 0% of nursing satisfaction,having obvious advantages,P〈0. 05. Conclusions Evidence-based nursing has a good clinical effect on the number of blood glucose,ketone bodies clearance time and hypoglycemia occurred after patients, meanwhile, improves the satisfaction rate of our service quality,which is an ideal clinical care model.