健康教育配合饮食管理应用于糖尿病酮症酸中毒患者效果及对生活质量的影响

Effects of health education combined with diet management on patients with diabetic ketoacidosis and its influence on quality of life

目的:探讨健康教育配合饮食管理应用于糖尿病酮症酸中毒(DKA)患者效果及对生活质量的影响。方法:132例DKA患者随机分为两组,其中66例给予常规护理为对照组,另外66例在此基础上给予健康教育配合饮食管理为观察组,观察并对比两组的护理效果、生活质量、健康教育知晓度及护理满意度。结果:观察组的血糖控制时间、酸中毒纠正时间及住院时间均低于对照组(P<0.05);观察组的心理健康、身体健康、社会功能及物质生活条件4个维度评分均显著高于对照组(P<0.05);观察组和对照组的健康教育知晓度分别为87.88%(58/66)和72.73%(48/66)(P<0.05),护理满意度分别为95.45%(63/66)和83.33%(55/66)(P<0.05)。结论:DKA患者经健康教育配合饮食管理干预后,能帮助患者快速控制血糖水平,加快其改善酸中毒进度,促进其及早康复出院,从而改善患者的生活质量,患者健康教育知晓度及护理满意度高。

Objective： To explore the effects of health education combined with diet management on patients with diabetic ketoacidosis（ DKA） and its influence on quality of life. Methods： 132 cases of DKA patients were randomly divided into two groups,of which 66 cases given routine nursing were selected as control group and another 66 cases given health education combined with diet management on this basis were selected as observation group. The nursing effects,quality of life,health education awareness and nursing satisfaction were observed and compared between the two groups. Results：The control time of blood glucose,correction time of acidosis and hospital stay in observation group were lower than those in control group（ P〈0. 05）. The scores of 4 dimensions of mental health,physical health,social function and material living conditions in observation group were all higher than those in control group（ P〈0. 05）. The awareness of health education was 87. 88%（ 58/66） in observation group and 72. 73%（ 48/66） in control group（ P〈0. 05）,and the nursing satisfaction were 95. 45%（ 63/66） and 83. 33%（ 55/66） respectively（ P〈0. 05）. Conclusions： Health education and diet management intervention for DKA patients can help quickly control blood glucose levels,speed up the progress of improving acidosis,and promote the early rehabilitation and discharge,thereby improving the quality of life and having high health education awareness and high nursing satisfaction.