李雪艳

[摘要] 目的 观察1型糖尿病患儿整体护理效果。方法 该院收治的80例1型糖尿病患者为研究对象，随机分为对照组和观察组各40例患儿，对照组给予常规护理，观察组给予患儿针对性的个体化整体护理方案和措施，观察两组患儿的并发症总发生率和护理满意度。 结果 对照组并发症总发生率为27.50%，护理满意度为72.50%，观察组并发症总发生率为7.50%，护理满意度为95.00%，差异均有统计学意义（P<0.05或0.01）。结论 整体护理能够降低1型糖尿病患儿并发症发生率，提高护理满意度，值得推广应用。

[关键词] 1型糖尿病；整体护理；护理效果；临床观察

[中图分类号] R473 [文献标识码] A [文章编号] 1672-4062（2016）03（a）-0124-03

Clinical Observation of Holistic Nursing Effect of Type 1 Diabetes in Children

LI Xue-yan

Baicheng City hospital， Baicheng Jilin Province，137000 China

[Abstract] Objective To investigate with type 1 diabetes in children holistic nursing effect. Methods In our hospital， 80 patients with type 1 diabetes for the study， the children were randomly divided into targeted individual holistic nursing programs and measures in the control group and the observation group with 40 patients in the control group received routine care， observation group observed two groups of children overall incidence of complications and nursing satisfaction. Results In the control group， the overall complication rate was 27.50%， 72.50% satisfaction nursing observation group total complication rate was 7.50%， 95.00% nursing satisfaction， differences were statistically significant （P <0.05 or 0.01）. Conclusion The holistic nursing of children with type 1 diabetes can reduce the incidence of complications， improve nursing satisfaction， should be widely applied.

[Key words] Type 1 diabetes； Holistic nursing care； Nursing effect； Clinical observation

糖尿病是临床较常见的以血糖增高为特征的内分泌代谢疾病，胰岛素绝对或相对分泌不足所引起的三大营养素、水和电解质等代谢紊乱为其基本病理生理变化，重症者可出现酸碱平衡紊乱。在1型糖尿病患者中，75%为18岁以下儿童[1]。幼年发病、终身用药、并发症多是1型糖尿病的主要临床特点，如果患儿不能得到及时有效的治疗和护理，不但会影响身体生长发育，还会增加白内障、失明和酮症酸中毒等并发症的发生机会。为此，笔者以2013年1月以来该院收治的80例1型糖尿病患儿为研究对象，随机分为对照组和观察组各40例，对照组给予常规护理，观察组给予患儿针对性的个体化整体护理方案和措施，结果表明观察组效果优于对照组，现报道如下。

1 资料与方法

1.1 一般资料

以2013年1月以来该院收治的80例1型糖尿病患者为研究对象，其中男性患儿51例，女性患儿29例；年龄在0～17岁之间，平均（中位）年龄8.5岁。……