钟琳 苏慧娜

DOI：10.16658/j.cnki.1672-4062.2020.20.185

[摘要] 目的 該次实验将采用急诊护理策略对糖尿病酮症酸中毒患者进行临床病症改善，提升治疗成效。方法 该次实验选取了2018年11月—2019年10月前来该院进行疾病检查及治疗的患者为对象，经过专业的科室检查，其属于糖尿病酮症酸中毒，并需要开展对症治疗。在自愿参与实验调查的患者中，采用硬币随机法，对50例患者进行病情结果讨论。对照组患者采用常规护理措施，观察组则为急诊护理干预，分析临床应用成果。 结果 从护理质量上看，观察组患者的治疗总有效率为96%（24/25），对照组为80%（20/25），组间对比差异有统计学意义（P<0.05）。与此同时，在尿酮酸转阴时间、酸中毒就诊时间上，观察组分别为（13.5±3.1）h和（5.2±1.0）h，对照组则为（18.2±5.0）h和（8.2±1.9）h，而在住院时间上，观察组用时更短。最后，在护理满意度的调查上，观察组患者的满意度为92%（23/25），明显优于对照组的76%（19/25），差异有统计学意义（P<0.05）。 结论 采用急诊护理策略有利于糖尿病酮症酸中毒患者的康复，并有助于控制低血糖，有效地缩短的治疗时间，患者的康复速度更快。

[关键词] 糖尿病;酮症酸中毒;急诊护理

[中图分类号] R47          [文献标识码] A          [文章编号] 1672-4062（2020）10（b）-0185-03

Discussion on Emergency Nursing Strategies for Patients with Diabetic Ketoacidosis

ZHONG Lin， SU Hui-na

Emergency Department， the First Affiliated Hospital of Xiamen University， Xiamen， Fujian Province， 361022 China

[Abstract] Objective This experiment will adopt emergency nursing strategies to improve the clinical symptoms of patients with diabetic ketoacidosis and improve the effectiveness of treatment. Methods In this experiment， patients who came to the hospital for disease examination and treatment from November 2018 to October 2019 were selected as subjects. After examination by professional departments， they belonged to diabetic ketoacidosis and required symptomatic treatment. Among the patients who voluntarily participated in the experimental investigation， the coin randomization method was used to discuss the disease results of 50 patients. Patients in the control group were treated with routine nursing measures， while the observation group was treated with emergency nursing interventions to analyze the results of clinical application. Results From the perspective of nursing quality， the total effective rate of treatment in the observation group was 96% （24/25） and the control group was 80% （20/25）. The difference between the groups was significant and statistically significant （P<0.05）. At the same time， the time for urinary ketoacids to become negative and the time to visit for acidosis were（13.5±3.1）h and （5.2±1.0）h in the observation group， and（18.2±5.0）h and（8.2±1.9） h in the control group， while in the hospital stay， the observation group took shorter time. Finally， in the survey of nursing satisfaction， the satisfaction of patients in the observation group was 92% （23/25）， which was significantly better than 76%（19/25） of the control group. The difference was statistically significant（P<0.05）. Conclusion Adopting emergency care strategy is beneficial to the recovery of patients with diabetic ketoacidosis， and helps to control hypoglycemia， effectively shorten the treatment time， and the patients recover faster.

[Key words] Diabetes; Ketoacidosis; Emergency care

糖尿病酮症酸中毒作为疾病并发症，已经严重威胁到身体健康，并具有发展快，病情急的特点。在常规的护理中主要是配合医护人员完成全面的救治工作，而缺乏了主观能动性，甚至缺乏了对患者心理问题、救治细节问题的关注，这些都是一种护理策略上的缺失，不利于患者的全面性治疗。在护理过程中，一定要配合科学化的护理措施，并提升急诊救治的效果。而提升糖尿病酮症酸中毒患者的护理质量，能够协助患者实现快速抢救，并提升了护理的依从性，能够实现稳定血糖指标的目的，并有助于良好预后[1]。该次实验选取了2018年11月—2019年10月前来该院进行疾病检查及治疗的患者为对象，经过专业的科室检查，其属于糖尿病酮症酸中毒，并需要开展对症治疗。……