糖尿病酮症酸中毒患者行综合护理干预的效果观察(1)
[摘要] 目的 研究糖尿病酮症酸中毒患者施行综合护理干预的方法和效果。方法 选择2015年3月—2016年9月在该院收治的30例糖尿病酮症酸中毒患者作为该次的研究对象，将其随机分为对照组和观察组各15例。对照组患者行常规护理，观察组患者在此基础上施行综合护理干预。比较两组患者对护理工作满意度、糖尿病酮症酸中毒情况是否知晓及两组患的临床效果。结果 观察组患者的临床效果显著优于对照组，差异有统计学意义(P<0.05)；观察组患者对糖尿病酮症酸中毒情况的知晓情况也优于对照组，差异有统计学意义(P<0.05)；观察组患者对护理的满意度也显著优于对照组，差异有统计学意义(P<0.05)。结论 对糖尿病酮症酸中毒的患者施行综合的护理干预可以提高患者的临床治愈率，使患者更加了解了糖尿病酮症酸中毒相关知识，提高患者对护理工作的满意度，具有重要的临床意义。
[关键词] 综合护理干预；糖尿病酮症酸中毒；护理满意度；疾病知晓率
[中图分类号] R59 [文献标识码] A [文章编号] 1672-4062(2016)12(b)-0168-02
[Abstract] Objective To research the method and effect of general nursing intervention on diabetic ketoacidosis patients. Methods 30 cases of patients with diabetic ketoacidosis patients admitted and treated in our hospital from March 2015 to September 2016 were selected as the research objects and randomly divided into two groups with 15 cases in each， the control group adopted the routine nursing， while the observation group adopted the general nursing intervention on the basis of the control group， and the nursing work satisfactory degree， diabetic ketoacidosis situation and clinical effect of the two groups were compared. Results The clinical effect of the observation group was significantly better than that of the control group， the difference was statistically significant(P<0.05)；Patients in the observation group of diabetic ketoacidosis situation awareness is also better than the control group， the difference was statistically significant(P<0.05)；patients in the observation group nursing satisfaction was significantly better than the control group， the difference was statistically significant(P<0.05). Conclusion The general nursing intervention for patients with diabetic ketoacidosis can improve the clinical cure rate of patients， make patients more understand the diabetic ketoacidosis related knowledge and improve the satisfactory degree of patients to the nursing work， which is of important clinical significance.
[Key words] General nursing intervention； Diabetic ketoacidosis； Nursing satisfactory degree； Disease awareness rate
糖尿病酮症酸中毒是糖尿病患者中较为常见的一种急性并发症，主要以高血糖、高血酮、酮尿、脱水、电解质紊乱、代谢性酸中毒等作为主要临床症状。究其原因主要是由于饮食不当、胰岛素剂量不足或中断治疗、感染控制不理想而引发。其特点为病情变化快、病情重、发病急。为避免患者出现昏迷、休克、死亡等不良情况，就要及时进行积极的抢救及施行临床护理。该次研究糖尿病酮症酸中毒患者施行综合护理干预，取得了很好的疗效，现报道如下。
1 资料与方法
1.1 一般资料
选择2015年3月—2016年9月在该院收治的糖尿病酮症酸中毒患者30例作为该次研究的对象，男15例，女15例，年龄35～75岁，平均年龄为(55.2±6.4)岁，患者均伴有不同程度的恶心、呕吐、水及电解质紊乱。患者均符合1999年WHO制定的糖尿病诊断标准。实验室检查：空腹血糖为14.8～29.8 mmol/L，平均血糖为(22.3±5.2)mmol/L，尿糖尿酮强阳性，酮体(++)以上，血酮均在5 mmol/L以上，血液pH值在6.6～7.0之間。将患者随机分为对照组15例，观察组15例，两组患者在血糖、年龄、性别等基本资料方面比较差异无统计学意义(P<0.05)，具有可比性。, 百拇医药(覃应莲)
[关键词] 综合护理干预；糖尿病酮症酸中毒；护理满意度；疾病知晓率
[中图分类号] R59 [文献标识码] A [文章编号] 1672-4062(2016)12(b)-0168-02
[Abstract] Objective To research the method and effect of general nursing intervention on diabetic ketoacidosis patients. Methods 30 cases of patients with diabetic ketoacidosis patients admitted and treated in our hospital from March 2015 to September 2016 were selected as the research objects and randomly divided into two groups with 15 cases in each， the control group adopted the routine nursing， while the observation group adopted the general nursing intervention on the basis of the control group， and the nursing work satisfactory degree， diabetic ketoacidosis situation and clinical effect of the two groups were compared. Results The clinical effect of the observation group was significantly better than that of the control group， the difference was statistically significant(P<0.05)；Patients in the observation group of diabetic ketoacidosis situation awareness is also better than the control group， the difference was statistically significant(P<0.05)；patients in the observation group nursing satisfaction was significantly better than the control group， the difference was statistically significant(P<0.05). Conclusion The general nursing intervention for patients with diabetic ketoacidosis can improve the clinical cure rate of patients， make patients more understand the diabetic ketoacidosis related knowledge and improve the satisfactory degree of patients to the nursing work， which is of important clinical significance.
[Key words] General nursing intervention； Diabetic ketoacidosis； Nursing satisfactory degree； Disease awareness rate
糖尿病酮症酸中毒是糖尿病患者中较为常见的一种急性并发症，主要以高血糖、高血酮、酮尿、脱水、电解质紊乱、代谢性酸中毒等作为主要临床症状。究其原因主要是由于饮食不当、胰岛素剂量不足或中断治疗、感染控制不理想而引发。其特点为病情变化快、病情重、发病急。为避免患者出现昏迷、休克、死亡等不良情况，就要及时进行积极的抢救及施行临床护理。该次研究糖尿病酮症酸中毒患者施行综合护理干预，取得了很好的疗效，现报道如下。
1 资料与方法
1.1 一般资料
选择2015年3月—2016年9月在该院收治的糖尿病酮症酸中毒患者30例作为该次研究的对象，男15例，女15例，年龄35～75岁，平均年龄为(55.2±6.4)岁，患者均伴有不同程度的恶心、呕吐、水及电解质紊乱。患者均符合1999年WHO制定的糖尿病诊断标准。实验室检查：空腹血糖为14.8～29.8 mmol/L，平均血糖为(22.3±5.2)mmol/L，尿糖尿酮强阳性，酮体(++)以上，血酮均在5 mmol/L以上，血液pH值在6.6～7.0之間。将患者随机分为对照组15例，观察组15例，两组患者在血糖、年龄、性别等基本资料方面比较差异无统计学意义(P<0.05)，具有可比性。, 百拇医药(覃应莲)