摘要
目的 探讨危急值护理在急诊糖尿病酮症酸中毒（DKA）患者中的应用效果。方法 选取2022年8月至2024年5月急诊收治的DKA患者76例，随机分为观察组（常规康复护理+危急值护理）和对照组（常规康复护理）各38例，对比效果（康复指标、血糖指标、生活质量、护理满意度）。结果 观察组酸中毒纠正时间等康复指标均低于对照组（P<0.05）；观察组糖化血红蛋白等血糖指标均低于对照组（P<0.05）；观察组心理功能等生活质量评分高于对照组（P<0.05）；观察组业务技能等护理满意度评分高于对照组（P<0.05）。结论 急诊DKA患者采取危急值护理对于血糖指标、临床症状的改善效果良好，同时可提升生活质量及护理满意度，值得应用。
关键词： 危急值护理；生活质量；急诊；护理满意度；糖尿病酮症酸中毒；血糖指标
Abstract
Objective To investigate the effect of critical value nursing in patients with emergency diabetic ketoacidosis (DKA). Methods A total of 76 DKA patients admitted to the emergency department from August 2022 to May 2024 were randomly divided into the observation group (routine rehabilitation nursing + critical nursing) and the control group (routine rehabilitation nursing) with 38 cases each, and the comparison effect (rehabilitation index, blood sugar index, quality of life, nursing satisfaction) was compared. Results Rehabilitation indexes such as acidosis correction time in observation group were lower than those in control group (P<0.05). Blood glucose indexes such as glycosylated hemoglobin in observation group were lower than those in control group (P<0.05). The scores of psychological function and quality of life in the observation group were higher than those in the control group (P<0.05). The nursing satisfaction score of the observation group was higher than that of the control group (P<0.05). Conclusion Emergency nursing for DKA patients has a good effect on improving blood glucose index and clinical symptoms, and can also improve the quality of life and nursing satisfaction, which is worthy of application.
Key words： Critical nursing; Quality of life; Emergency treatment; Nursing satisfaction; Diabetic ketoacidosis; Blood glucose index
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