整體護理在小兒糖尿病合并重癥肺炎ICU中的護理效果分析

莊緒云 于世花

[摘要] 目的 將整體護理在小兒糖尿病合并重癥肺炎ICU中的護理效果進行分析。方法 隨機選取2017年11月—2019年11月期間在該院ICU治療的小兒糖尿病合并重癥肺炎患兒48例，依據電腦隨機選取法給予分組，分成對照組與觀察組，每組患兒24例，兩組分別應用常規護理和整體護理模式，將兩組最終護理效果進行對比。結果 護理后觀察組患兒護理干預總有效率明顯提高，發生的并發癥較少，血糖水平控制良好，家屬對護理滿意度評分也較高，組間數據差異有統計學意義（P<0.05）。結論 對ICU小兒糖尿病合并重癥肺炎患兒實施整體護理干預，可有效提高患兒臨床治療效果，減少患兒并發癥發生，從而促進患兒的身體恢復速度，患兒的血糖水平得到良好控制，發生的并發癥也較少，最終護理得到了患兒家屬的高度認可及滿意。

[關鍵詞] 整體護理;小兒糖尿病;重癥肺炎;ICU護理

[中圖分類號] R47? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）10（a）-0006-03

[Abstract] Objective To analyze the effect of holistic care in the ICU of children with diabetes and severe pneumonia. Methods Randomly select 48 children with pediatric diabetes and severe pneumonia who were treated in the ICU of the hospital from November 2017 to November 2019. According to the computer random selection method， they were divided into control group and observation group， each with 24 children， the two groups applied conventional nursing and holistic nursing models respectively， and compared the final nursing effects of the two groups. Results After nursing， the total effective rate of nursing intervention for children in the observation group was significantly improved， there were fewer complications， blood glucose levels were well controlled， and family members had higher scores of nursing satisfaction. There was statistically significant difference in data between groups（P<0.05）. Conclusion Implementing holistic nursing intervention for children with diabetes in ICU with severe pneumonia can effectively improve the clinical treatment effect of children， reduce the incidence of complications in children， and promote the recovery speed of children. The blood glucose level of children can be well controlled. Complications were also less， and the final care was highly recognized and satisfied by the families of the children.

[Key words] Holistic care; Pediatric diabetes; Severe pneumonia; ICU care

近年隨著人們飲食及生活方式的不斷改變，長期不合理的飲食方式導致小兒糖尿病患兒人數明顯上升，該病主要是由于胰島素分泌不足或作用缺陷導致的代謝性疾病，其具有危險性大、并發癥多及病情變化快等特征[1]。若病情控制不佳，長期處于高血糖狀態會嚴重降低患兒的機體免疫能力，并且會對患兒的身體各項機能及器官造成嚴重損傷，進而容易并發各種感染疾病，其中重癥肺炎便是小兒糖尿病患兒常見的并發癥，發病后會導致患兒出現不同程度的發熱、肺啰音、咳嗽、喘息及呼吸困難等癥狀，因此嚴重影響了患兒的治療效果，嚴重者可直接危及患兒的生命安全[2]。所以應加強對小兒糖尿病合并重癥肺炎疾病的護理治療研究，通過多方面干預，提高患兒的臨床治療效果，是目前確?；純航】蛋踩年P鍵?！?br>