一体化急救护理对糖尿病酮症酸中毒患者的效果

Effect of integrated emergency nursing on patients with diabetic ketoacidosis

目的观察糖尿病酮症酸中毒患者实施一体化急救护理干预的临床效果,以探究糖尿病酮症酸中毒患者的有效急救护理方法,为制订临床护理方案提供依据。方法选取2021年10月—2023年6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86例为研究对象,随机分为对照组和观察组各43例。对照组实施常规护理,观察组在对照组的基础上实施一体化急救护理。比较两组抢救成功率、并发症发生率、酸中毒纠正时间、尿酮体转阴时间及护理干预满意率。结果两组抢救成功率均为100.00%,差异无统计学意义(P>0.05)。观察组并发症发生率为4.65%,低于对照组的18.60%,差异有统计学意义(χ^(2)=4.0737,P<0.05)。观察组酸中毒纠正时间以及尿酮体转阴时间均短于对照组,差异均有统计学意义(P<0.05)。观察组护理干预满意率为95.35%,高于对照组的79.07%,差异有统计学意义(χ^(2)=5.1079,P<0.05)。结论糖尿病酮症酸中毒患者实施一体化急救护理干预效果较好,患者抢救成功率高,且并发症发生率低,患者恢复快及满意率高,值得临床推广应用。

Objective To observe the clinical effect of integrated emergency nursing intervention on patients with diabetic ketoacidosis,to explore effective emergency nursing methods for patients with diabetic ketoacidosis,in order to provide basis for formulating clinical nursing programs.Methods A total of 86 patients with diabetic ketoacidosis who were admitted to Tianjin Medical University Chu Hsien-I Memorial Hospital from October 2021 to June 2023 were selected as the research objects,and were randomly divided into the control group and the observation group with 43 cases in each group.The control group received routine nursing,while the observation group received integrated emergency nursing on the basis of the control group.The success rate of rescue,incidence rate of complications,corection time of acidosis,time of urine ketone body to turn negative and satisfaction rate of nursing interventions between two groups were compared.Results The success rates of rescue in both groups were 100.00%,and the difference was not statistically significant(P>0.05).The incidence rate of complications in the observation group was 4.65%,which was lower than 18.60%in the control group,and the difference was statistically significant(χ^(2)=4.0737,P<0.05).The correction time of acidosis and the time of urine ketone body to turn negative in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The satisfaction rate of nursing intervention in the observation group was 95.35%,which was higher than 79.07%in the control group,and the difference was statistically significant(χ^(2)=5.1079,P<0.05).Conclusion The effect of integrated emergency nursing intervention for patients with diabetic ketoacidosis was good.The success rate of patients'rescue was high,the incidence rate of the complication was low,the patiens'recovery was fast and the satisfaction rate was high,which was worthy of clinical promotion and application.