加强护理在糖尿病酮症酸中毒患者中的应用效果

Application effect of strengthening nursing on patients with diabetic ketoacidosis

目的观察加强护理对糖尿病酮症酸中毒患者的影响,探究糖尿病酮症酸中毒患者的有效护理方法,为临床制订护理方案提供参考。方法选取2021年12月—2023年4月天津医科大学朱宪彝纪念医院收治的糖尿病酮症酸中毒患者70例进行研究,随机分为对照组和加强护理组各35例。对照组患者实施常规护理干预,加强护理组患者在对照组基础上实施加强护理干预。比较两组酸中毒纠正时间、尿酮体转阴时间、住院时间、并发症发生率及护理满意率。结果加强护理组酸中毒纠正时间、尿酮体转阴时间、住院时间为(5.67±1.23)h、(20.65±2.10)h及(6.02±0.67)d,均短于对照组的(8.50±2.03)h、(26.23±2.16)h及(10.54±1.02)d,差异均有统计学意义(P<0.05)。加强护理组并发症发生率为5.71%,低于对照组的22.86%;护理满意率为97.14%,高于对照组的77.14%,差异均有统计学意义(χ^(2)=4.2000、6.2477,P<0.05)。结论加强护理对糖尿病酮症酸中毒患者具有积极影响,可促进患者病情好转及快速康复,降低并发症发生率,患者较为满意与认可,值得临床推广应用。

Objective To observe the effect of strengthening nursing on patients with diabetic ketoacidosis,to explore effective nursing methods for patients with diabetic ketoacidosis,and to provide reference for clinical nursing plan formulation.Methods A total of 70 patients with diabetic ketoacidosis who were admitted to Tianjin Medical University Chu Hsien-I Memorial Hospital from December 2021 to April 2023 were selected for the study.They were randomly divided into the control group and the strengthening nursing group,with 35 patients in each group.The control group patients received routine nursing interventions,while the strengthening nursing group patients received strengtheming nursing interventions on the basis of control group.The correction time of acidosis,the time of urine ketone body to turn negative,hospital stay,incidence rate of complication and nursing satisfaction rate between two groups were compared.Results The correction time of acidosis,the time of urine ketone body to turn negative and hospital stay in the strengthening nursing group were(5.67±1.23)h,(20.65±2.10)h and(6.02±0.67)d,which were all shorter than those in the control group with(8.50±2.03)h,(26.23±2.16)h and(10.54±1.02)d,and the differences were statistically significant(P<0.05).The incidence rate of complication in the strengthening nursing group was 5.71%,which was lower than 22.86%in the control group;the nursing satisfaction rate was 97.14%,which was higher than 77.14%in the control group,and the differences were statistically significant(χ^(2)=4.2000,6.2477,P<0.05).Conclusion Strengthening nursing had a positive impact on patients with diabetic ketoacidosis,which could promote the improvement of diseases conditions and rapid recovery of patients,reduce the incidence rate of complications,and patients were more satisfied and recognized,which was worthy of clinical promotion and application.