急診糖尿病酮癥酸中毒患者行整體護理的臨床效果報道

[摘要] 目的 探析急診糖尿病酮癥酸中毒患者實施整體護理的臨床效果。方法 將2018年1月—2019年1月在該院急診進行治療的78例糖尿病酮癥酸中毒患者選為研究對象，采用隨機數表法均分為對照組（n=39）與研究組（n=39）。對照組實施常規護理，研究組實施整體護理，對兩組護理效果、心理狀態評分及滿意度進行統計對比。結果 研究組護理總有效率為94.87%，對照組為79.49%，對比差異有統計學意義（P<0.05）。研究組護理后抑郁、焦慮評分均低于對照組，比較差異有統計學意義（P<0.05）。研究組滿意度為97.44%，對照組為82.05%，對比差異有統計學意義（P<0.05）。結論 急診糖尿病酮癥酸中毒患者實施整體護理后，可顯著提高臨床效果，改善患者心理狀態，同時提高患者滿意度，是一種值得臨床借鑒與應用的護理方式。

[關鍵詞] 急診;糖尿病;酮癥酸中毒;整體護理;護理效果

[中圖分類號] R47? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）03（a）-0021-03

Report on the Clinical Effect of Holistic Nursing for Emergency Diabetic Ketoacidosis Patients

MA Feng-yong

Emergency Outpatient Department of Jining First People's Hospital， Jining， Shandong Province， 272000 China

[Abstract] Objective To analyze the clinical effect of holistic nursing in emergency diabetic ketoacidosis patients. Methods A total of 78 patients with diabetic ketoacidosis who were treated in the emergency department of the hospital from January 2018 to January 2019 were selected as the research subjects. They were divided into control group（n=39） and study group （n=39） by random number table method. The control group received routine nursing care， and the study group received holistic nursing care. The nursing effect， mental state score， and satisfaction were statistically compared between the two groups. Results The total effective rate of nursing was 94.87% in the study group and 79.49% in the control group， with a significant difference（P<0.05）. The depression and anxiety scores of the study group after nursing were lower than those of the control group，the difference was statistically significant（P<0.05）. The satisfaction of the study group was 97.44%， and that of the control group was 82.05%， the difference was statistically significant（P<0.05）. Conclusion The implementation of holistic nursing for patients with diabetic ketoacidosis can significantly improve the clinical effect， improve the psychological state of patients， and improve patient satisfaction at the same time. It is a nursing method worthy of clinical reference and application.

[Key words] Emergency; Diabetic; Ketoacidosis; Holistic nursing; Nursing effect

酮癥酸中毒是糖尿病患者的常見并發癥，具有病情變化快、病情危重、病死率高等特點，應給予及時的治療，以此確保患者生命安全[1]。然而在治療過程中，因為患者依從性較差，加之糖尿病作為一種慢性全身性疾病，易使患者產生不良情緒，從而影響了患者的治療信心。為此，在治療過程中，一定要加強護理工作的落實，以此改善患者不良情緒，提高患者配合積極性，取得理想的治療效果。該文現將2018年1月—2019年1月在該院急診進行治療的78例糖尿病酮癥酸中毒患者選為研究對象，分析整體護理的實施效果。現報道如下。

1? 資料與方法

1.1? 一般資料

將在該院急診進行治療的78例糖尿病酮癥酸中毒患者選為研究對象，采用隨機數表法均分為對照組（n=39）與研究組（n=39）。對照組中，女18例，男21例;年齡最小為43歲，最大為76歲，平均為（60.26±3.27）歲。研究組中，女17例，男22例;年齡最小為41歲，最大為76歲，平均為（60.19±3.32）歲。兩組一般資料比較，差異無統計學意義（P>0.05）。