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综合护理在糖尿病酮症酸中毒患儿中的应用效果

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目的 分析综合护理干预在糖尿病酮症酸中毒患儿中的应用效果.方法 前瞻性单纯随机选取2021年9月—2023年9月首都儿科研究所附属儿童医院收治的60例糖尿病酮症酸中毒患儿为研究对象,依据不同护理方法分为A组、B组,各30例.A组采用常规护理,B组采用综合护理.比较两组患儿的血糖水平、并发症发生情况、护理依从性及患儿家属满意度.结果 护理后,两组患儿的的空腹血糖及餐后2 h血糖均低于护理前,且B组空腹血糖和餐后2 h血糖分别为(6.17±1.51)mmol/L、(7.24±2.32)mmol/L,均低于A组的(7.89±1.92)mmol/L、(9.38±2.65)mmol/L,差异有统计学意义(t=3.857、3.328,P均<0.05).B组的并发症总发生率为10.00%(3/30),低于A组的33.33%(10/30),差异有统计学意义(χ2=4.812,P<0.05).B组的护理总依从性及家属总满意度均优于对照组,差异有统计学意义(P均<0.05).结论 对糖尿病酮症酸中毒患儿应用综合护理有利于调控其血糖水平,提高患儿依从性及其家属满意度,降低并发症发生风险.
Application Effect of Comprehensive Nursing in Children with Diabetic Ketoacidosis
Objective The application effect of comprehensive nursing intervention in children with diabetic ketoaci-dosis was analyzed.Methods A total of 60 children with diabetic ketoacidosis admitted to Children's Hospital Affili-ated to Capital Institute of Pediatrics from September 2021 to September 2023 were prospective simple randomly se-lected as the research objects.According to the different nursing methods,they were divided into group A and group B,with 30 cases in each group.Group A was given routine nursing,and group B was given comprehensive nursing.The blood glucose level,complications,nursing compliance and family satisfaction of clinical in two groups were com-pared.Results After nursing,the fasting blood glucose and 2-hour postprandial blood glucose of clinical in two groups were lower than those before nursing,and the fasting blood glucose and 2-hour postprandial blood glucose of group B were(6.17±1.51)mmol/L and(7.24±2.32)mmol/L,respectively,which were both lower than those of group A(7.89±1.92)mmol/L,(9.38±2.65)mmol/L,the differences were statistically significant(t=3.857,3.328,both P<0.05).The to-tal incidence of complications in group B was 10.00%(3/30),which was lower than 33.33%(10/30)in group A,and the difference was statistically significant(χ2=4.812,P<0.05).The total nursing compliance and family satisfaction of group B were better than those of the control group,and the differences were statistically significant(both P<0.05).Conclusion The application of comprehensive nursing for children with diabetic ketoacidosis is conducive to regulat-ing their blood glucose levels,improving their compliance and family satisfaction,and reducing the risk of complica-tions.

Diabetes ketoacidosisChildrenBlood glucose levelsNursing satisfactionComplianceComplication

高志利、王彦华、周丽丽

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首都儿科研究所附属儿童医院内分泌科,北京 100020

糖尿病酮症酸中毒 患儿 血糖水平 护理满意度 依从性 并发症

2023年首都儿科研究所所级科研项目

HLYJ-2023-15

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(22)