循证护理用于糖尿病酮症酸中毒患者护理的临床分析

Clinical Analysis of Evidence-Based Nursing for Patients with Diabetes Ketoacidosis

目的观察糖尿病酮症酸中毒患者给予循证护理的有效性.方法选取2021年7月至2023年7月济南市天桥人民医院收治的60例糖尿病酮症酸中毒患者,根据患者所用护理方法不同予以分组,对照组(30例)实施常规护理,研究组(30例)接受循证护理,对比不同组别尿酮体转阴时间、护理效果等指标情况.结果不同组别实施护理前空腹、餐后2h血糖水平不具有统计学差别(P>0.05);研究组与对照组接受相应的护理后空腹血糖分别为(5.49±1.17)mmol/L和(7.18±1.26)mmol/L,且研究组餐后2h血糖水平控制情况优于对照组,差异有统计学意义(P<0.05);对照组对护理工作满意度低于研究组,差异有统计学意义(P<0.05);对照组尿酮体转阴时间为(18.69±6.17)h,研究组为(12.19±5.21)h,且研究组酸中毒纠正时间早于对照组,差异有统计学意义(P<0.05)(P<0.05).结论糖尿病酮症酸中毒患者给予循证护理干预,不仅可以改善患者相关症状,也能提升患者对护理工作的满意度,对于控制患者血糖水平具有重要的意义.

Objective To observe the effectiveness of evidence-based nursing for patients with diabetes ke-toacidosis.Methods The 60 patients with diabetes ketoacidosis from the emergency department of our hospital from July 2021 to July 2023 were selected.They were divided into groups according to the different nursing methods received by the patients.The control group(30 cases)received routine nursing,and the study group(30 cases)re-ceived evidence-based nursing.Results The time of urine ketone body turning negative,nursing effect and other indicators of different groups were compared.There was no statistically significant difference in fasting and 2-hour postprandial blood glucose levels among different groups before nursing implementation(P>0.05);After receiving corresponding care,the abdominal blood glucose levels of the study group and the control group were(5.49±1.17)mmol/L and(7.18±1.26)mmol/L respectively,and the control group had better control of blood glucose levels at 2 hours after meals than that of the control group,with significant differences(P<0.05);The satisfaction of the con-trol group with nursing work was lower than that of the study group,with significant differences(P<0.05);The time for urine ketone body to turn negative in the control group was(18.69±6.17)hours,while in the study group it was(12.19±5.21)hours,and the correction time for acidosis in the study group was earlier than that in the control group,with significant differences(P<0.05).Conclusion Evidence based nursing intervention for patients with diabetes ketoacidosis can not only improve their symptoms,but also improve their satisfaction with nursing work,which is of great significance for controlling their blood sugar level.