糖尿病酮症酸中毒患者生活方式及护理对策探讨

Lifestyle of diabetic ketoacidosis patients and related nursing measures

目的分析糖尿病酮症酸中毒(DKA)患者存在的不良生活方式,并探讨护理对策。方法选取92例DKA患者,对其生活方式进行调查分析,并提出个性化护理对策。结果 92例患者中不坚持运动72例(78.3%),饮食控制不佳或不规律68例(73.9%),不定期检测血糖59例(64.1%),吸烟26例(28.3%),饮酒13例(14.1%),睡眠质量不佳5例(5.4%)。经治疗和综合护理后,92例患者半年内均未再次发生DKA,其中78例坚持运动,86例饮食控制良好,81例定期检测血糖,21例已戒烟,13例已戒酒。结论根据DKA患者不同的不良生活方式,给予个性化的护理对策,加强健康教育,可提高患者自我管理能力。

Objective To analyze the lifestyle of diabetic ketoacidosis（ DKA） patients and to discuss the related nursing measures. Methods The investigation on lifestyle was carried out in92 DKA patients. The related nursing measures on different issues in blood glucose control were provided. Results Of 92 patients investigated,72 cases without regular exercise,68 cases without regular dietary,59 cases without regular check on blood glucose,26 cases of smoking behavior,13 cases with alcoholic habit,5 cases with poor sleeping quality. All patients discharged from hospital after receiving comprehensive treatment and personalized nursing care. Of 92 patients,78 cases adopted a consistent exercise,86 cases controlled dietary well,81 cases checked blood glucose regularly,21 cases had quitted smoking and 13 cases had quitted alcohol dirking. Conclusion It is required to carry out personalized nursing measures for DKA patients,in order to improve their self-management ability.