急诊糖尿病酮症酸中毒采取危急值护理干预的临床效果

Clinical Effect of Critical Care Intervention in Emergency Diabetic Ketoacidosis

目的探讨危急值护理干预应用于急诊糖尿病酮症酸中毒(diabetic ketoacidosis,DKA)患者中的临床效果。方法选取2021年7月—2022年6月广州市第一人民医院南沙医院急诊科收治的82例急诊DKA患者为研究对象,根据随机摸球法分成干预组(n=41)与对照组(n=41),对照组采用常规护理干预,干预组采用危急值护理干预。比较两组临床指标、血糖水平、生活质量、护理满意度。结果干预组酸中毒纠正时间、尿酮体转阴时间及住院时间较对照组明显更短,差异有统计学意义(P<0.05);干预后,两组空腹血糖、糖化血红蛋白明显降低,且干预组较对照组明显更低,差异有统计学意义(P<0.05);干预后两组心理功能、躯体功能、生理功能明显提高,且干预组较对照组明显更高,差异有统计学意义(P<0.05);干预组护理服务态度、沟通技巧、护理责任心及业务技能较对照组明显更高,差异有统计学意义(P<0.05)。结论急诊DKA患者给予危急值护理干预可缩短酸中毒纠正时间、尿酮体转阴时间及住院时间,降低血糖水平,改善生活质量,提高护理满意度。

Objective To explore the clinical effect of critical care interventions applied to patients with emergency diabetic ketoacidosis(DKA).Methods A total of 82 patients with emergency DKA admitted to the Department of Emergency Medicine,Nansha Hospital,Guangzhou First People's Hospital from July 2021 to June 2022 were selected as study subject.The patients were divided into intervention group(n=41)and control group(n=41)according to random ball mapping method,and the control group used conventional nursing intervention and the intervention group used critical value nursing intervention.The clinical indexes,blood glucose level,quality of life,and nursing satisfaction of the two groups were compared.Results The time to correction of acidosis,time to conversion of urinary ketone bodies and hospital stay were significantly shorter in the intervention group than in the control group,the difference was statistically significant(P<0.05).Fasting blood glucose and glycated hemoglobin were significantly lower in both groups after intervention,and compared with the control group,the intervention group were lower,the difference was statistically significant(P<0.05).Psychological function,somatic function,and physiological function were significantly higher in both groups after the intervention,and compared with the control group,the intervention group were significantly higher,the difference was statistically significant(P<0.05).Compared with the control groupNursing service attitude,communication skills,nursing responsibility and business skills were significantly higher in the intervention group,the difference was statistically significant(P<0.05).Conclusion Critical value nursing interventions given to patients with emergency DKA can shorten the time to correction of acidosis,the time to conversion of urinary ketone bodies and the length of hospital stay,which reduces blood glucose levels,improves quality of life,and increases nursing satisfaction.