新生儿糖尿病的全程精细化优质护理研究

The Study of Full-process Refined and High-quality Nursing of Neonatal Diabetes

目的探究全程精细化优质护理在新生儿糖尿病患儿中的应用价值。方法以该院2020年2—12月新生科接收的52例糖尿病患儿为研究对象,依据数字表法随机分为对照组(26例)与观察组(26例),前者实施常规护理,后者在此基础上实施全程精细化优质护理,对比两组各时段的血糖水平、恢复正常时间、并发症与家属满意度情况。结果护理后观察组血糖水平为(4.35±0.46)mmol/L,低于对照组的(5.64±0.52)mmol/L,差异有统计学意义(t=9.474,P<0.05);观察组恢复正常时间为(10.53±2.33)d短于对照组的(14.65±1.53)d,差异有统计学意义(t=7.537,P<0.05);观察组家属总满意度为96.15%,明显高于对照组的69.23%,差异有统计学意义(χ^(2)=4.837,P<0.05);观察组并发症总发生率(7.69%)低于对照组(30.77%),差异有统计学意义(χ^(2)=4.457,P<0.05)。结论经全程精细化护理可有效改善患儿血糖水平,促使患儿康复,且有效减少并发症发生,提高家属满意度,值得推广。

Objective Explore the application value of full-process refined and high-quality nursing in children with neonatal diabetes. Methods The 52 children with diabetes who were admitted to the new department of the hospital from February to December 2020 were the subjects of study. According to the digital table method, they were randomly divided into a control group(26 cases) and an observation group(26 cases). The former implemented routine care, and the latter implemented full-process refined and high-quality care on this basis. The blood glucose level, time to return to normal,complications and satisfaction of family members were compared between the two groups at each time period. Results After nursing, the blood glucose level of the observation group was(4.35±0.46) mmol/L, which was lower than that of the control group(5.64±0.52) mmol/L, the difference was statistically significant(t=9.474, P<0.05). The return to normal time of the observation group was(10.53 ±2.33) d shorter than that of the control group(14.65 ±1.53) d, and the difference was statistically significant(t=7.537, P<0.05). The total satisfaction of family members in the observation group was 96.15%,which was significantly higher than 69.23% in the control group, and the difference was statistically significant(χ^(2)=4.837, P<0.05). The total incidence of complications in the observation group(7.69%) was lower than that in the control group(30.77%),and the difference was statistically significant(χ^(2)=4.457, P <0.05). Conclusion The whole process of refined care can effectively improve the blood sugar level of children, promote the recovery of children, and effectively reduce the occurrence of complications, and improve family satisfaction, which is worthy of promotion.