危机管理联合链式急救护理流程管理对糖尿病酮症酸中毒的应用效果

Effect of Crisis Management Combined with Chain Emergency Nursing Process Management on Patients with Diabetic Ketoacidosis

目的探讨危机管理联合链式急救护理流程管理对糖尿病酮症酸中毒的应用效果。方法回顾性选取济南市第七人民医院于2021年10月—2023年10月收治的68例糖尿病酮症酸中毒患者的临床资料,根据不同的护理方法分为观察组与对照组,各34例。对照组采取常规急救护理,观察组采取危机管理联合链式急救护理流程管理。比较两组的急救效率(急救总时间、接诊到确诊时间、分诊到会诊时间、接诊到分诊时间、出诊反应时间)、空腹血糖水平、血酮水平、不良反应(感染、水肿、恶心/呕吐)发生率、并发症(低血钾、低血糖)发生率、生活质量(物质生活、心理健康、社会功能、躯体健康)评分。结果观察组急救总时间、接诊到确诊时间、分诊到会诊时间、接诊到分诊时间以及出诊反应时间均短于对照组,差异有统计学意义(P均<0.05)。急救护理24 h后,两组患者空腹血糖、血酮水平均降低,且观察组低于对照组,差异有统计学意义(P均<0.05)。观察组不良反应总发生率低于对照组,差异有统计学意义(P<0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。护理后,两组生活质量评分均升高,且观察组高于对照组,差异有统计学意义(P均<0.05)。结论危机管理联合链式急救护理流程管理对糖尿病酮症酸中毒应用过程中可提高急救效率,且能够辅助进一步降低患者血糖及血酮水平,减少不良反应发生率,提升患者生活质量。

Objective To explore the application effect of crisis management combined with chain emergency nursing process management on diabetic ketoacidosis.Methods Clinical data of 68 patients with diabetic ketoacidosis admit-ted to the Jinan Seventh People's Hospital from October 2021 to October 2023 were retrospectively selected.Accord-ing to different nursing methods,they were divided into observation group and control group,with 34 cases in each group.The control group was given routine emergency nursing,while the observation group was given crisis manage-ment combined with chain emergency nursing process management.The first aid efficiency(total first aid time,time from reception to diagnosis,time from triage to consultation,time from reception to triage,response time),fasting blood glucose level,blood ketone level,incidence of adverse reactions(infection,edema,nausea/vomiting),incidence of complications(hypokalemia,hypoglycemia)and quality of life(material life,mental health,social function,physical health)score were compared between the two groups.Results The total time of first aid,the time from reception to di-agnosis,the time from triage to consultation,the time from reception to triage and the response time of the observation group were shorter than those of the control group,and the differences were statistically significant(all P<0.05).After 24 hours of first aid nursing,the fasting blood glucose and blood ketone levels of the two groups decreased,and those in the observation group were lower than the control group,and the differences were statistically significant(both P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in total incidence of complications between the two groups(P>0.05).The quality of life scores of the two groups increased after nursing,and the observation group were higher than the control group,the differences were statistically significant(all P<0.05).Conclusion Crisis management combined with chain emergency nursing process management can improve the effi-ciency of first aid in the application of diabetic ketoacidosis,and can help to further reduce the level of blood glucose and blood ketone,reduce the incidence of adverse reactions,and improve the quality of life of patients.