急診糖尿病酮癥酸中毒患者行整體護(hù)理對(duì)療效和滿意度的價(jià)值研究

曾秋鳳

[摘要] 目的 探討急診糖尿病酮癥酸中毒患者行整體護(hù)理對(duì)療效和滿意度的價(jià)值。方法 選擇2017年8月—2019年6月該院收治的60例急診糖尿病酮癥酸中毒患者，按照隨機(jī)數(shù)字表法分為對(duì)照組30例、觀察組30例，對(duì)照組施行常規(guī)護(hù)理，觀察組施行整體護(hù)理，比較血糖水平、酮體β-羥丁酸水平、動(dòng)脈血二氧化碳分壓、護(hù)理滿意度。結(jié)果 護(hù)理后，觀察組空腹血糖、餐后2 h血糖均低于對(duì)照組（t=5.676、4.404，P<0.05）。護(hù)理后，觀察組酮體β-羥丁酸水平、動(dòng)脈血二氧化碳分壓均低于對(duì)照組（t=4.458、4.141，P<0.05）。護(hù)理總滿意率觀察組96.67%，對(duì)照組80.00%，觀察組高于對(duì)照組（χ2=4.043，P<0.05）。結(jié)論 整體護(hù)理用于急診糖尿病酮癥酸中毒患者中，可有效控制血糖水平和酮體水平，糾正動(dòng)脈血?dú)猱惓Ｇ闆r，使患者更加滿意于護(hù)理服務(wù)。

[關(guān)鍵詞] 糖尿病;酮癥酸中毒;整體護(hù)理;滿意度;療效

[中圖分類號(hào)] R47? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1672-4062（2020）10（a）-0022-03

[Abstract] Objective To explore the value of holistic care for patients with emergency diabetic ketoacidosis on the efficacy and satisfaction. Methods A total of 60 emergency diabetic ketoacidosis patients admitted to the hospital from August 2017 to June 2019 were selected and divided into a control group of 30 cases and an observation group of 30 cases according to the random number table method. The control group received routine care and observation group performed holistic care， comparing blood glucose levels， ketone β-hydroxybutyric acid levels， arterial carbon dioxide partial pressure， and nursing satisfaction. Results After nursing， fasting blood glucose and 2 h postprandial blood glucose in the observation group were lower than that in the control group（t=5.676， 4.404， P<0.05）. After nursing， the levels of ketone body β-hydroxybutyric acid and the arterial carbon dioxide partial pressure in the observation group were lower than those in the control group（t=4.458， 4.141， P<0.05）. The overall satisfaction rate of nursing care was 96.67% in the observation group and 80.00% in the control group. The observation group was higher than that in the control group （χ2=4.043， P<0.05）. Conclusion Holistic care for emergency diabetic ketoacidosis patients can effectively control blood glucose levels and ketone body levels， correct arterial blood gas abnormalities， and make patients more satisfied with nursing services.

[Key words] Diabetes; Ketoacidosis; Holistic care; Satisfaction; Efficacy

糖尿病是一種以高血糖為特征的臨床常見病，屬于慢性代謝性疾病，患者血糖長(zhǎng)期處于異常高表達(dá)狀態(tài)，易引發(fā)多種并發(fā)癥[1]。糖尿病酮癥酸中毒是一種糖尿病中常見的并發(fā)癥，酮癥酸中毒發(fā)生后，患者病情進(jìn)展快速，一旦發(fā)病，需將患者盡快送院，盡快對(duì)患者開展急診救治，否則可能會(huì)發(fā)展為酮癥酸中毒昏迷，危及患者的生命安全[2-3]。而在糖尿病酮癥酸中毒患者急診救治期間，患者面臨著血糖水平波動(dòng)、動(dòng)脈血?dú)猱惓５蕊L(fēng)險(xiǎn)，對(duì)其治療效果會(huì)造成一定的干擾，為保證更好地治療效果，還需采取護(hù)理措施對(duì)患者進(jìn)行干預(yù)。整體護(hù)理是一種以護(hù)理服務(wù)整體化為特色的護(hù)理模式，強(qiáng)調(diào)在醫(yī)療活動(dòng)中對(duì)患者實(shí)施整體化的護(hù)理服務(wù)，其護(hù)理方案形成了一個(gè)整體，充分體現(xiàn)了護(hù)理服務(wù)的整體性特點(diǎn)[4]，該研究選擇2017年8月—2019年6月該院收治的60例急診糖尿病酮癥酸中毒患者進(jìn)行分組對(duì)照研究，一組施行常規(guī)護(hù)理，另一組施行整體護(hù)理，通過比較護(hù)理效果，以探討急診糖尿病酮癥酸中毒患者施行整體護(hù)理的效果，現(xiàn)報(bào)道如下。……