目的 分析思维导图式多维度护理在糖尿病酮症酸中毒患者中的应用效果.方法 选取2020-06-01-2022-06-01郑州市第九人民医院住院治疗的116例糖尿病酮症酸中毒患者为研究对象,采用随机数表法将其分为观察组和对照组,各58例,分别给予思维导图式多维度护理和常规临床干预,比较2组不同时刻血糖水平、恢复时间、健康行为评分和并发症情况.使用Excel 2016进行数据汇总,使用SPSS 23.0进行研究资料分析.研究资料中的计量数据,均通过正态性检验,以(-x)±s描述,2组间的比较为成组t检验或校正t检验,2组前后观测资料的比较为单因素协方差分析.多时点重复观测资料行重复测量方差分析+两两组间比较LSD-t检验+两两时间比较差值t检验.计数资料以例数及率描述,两组比较为x2检验或校正x2检验.重复测量分析及分割检验的多次比较按Bonferroni校正法进行检验水准调整.检验水准 a=0.05(双尾).结果 观察组血糖水平 1 h 为(25.43±2.35)mmol/L、3 h 为(13.85±1.94)mmol/L、12 h 为(7.66±0.85)mmol/L,均低于对照组的 1 h(28.17±2.45)mmol/L、3 h(13.85±1.94)mmol/L、12 h(9.89±1.42)mmol/L,差异有统计学意义,t值分别为303.525、3 396.218、54.603,均P＜0.001.观察组酮体转阴时间为(16.26± 1.41)h、临床症状缓解时间为(13.10±2.26)h、住院时间为(6.23±1.14)h,均低于对照组的酮体转阴时间(25.46± 3.26)h、临床症状缓解时间(24.11±3.65)h、住院时间(10.48±1.39)h,差异有统计学意义,t值分别为19.726、19.532、18.005,均P＜0.001.观察组并发症总发生率为6.90％,低于对照组的25.86％,差异有统计学意义,x2=7.616,P=0.006.结论 糖尿病酮症酸中毒患者采用思维导图式多维度护理后可促进血糖水平恢复和临床康复,且能够改善患者的健康行为,减少并发症.
The application of mind map multi-dimensional nursing in patients with diabetes ketoacidosis
Objective To analyze the application effect of mind map multi-dimensional nursing in patients with diabetes ke-toacidosis.Methods Totally 116 patients with diabetic ketoacidosis hospitalized in the Ninth People's Hospital of Zheng-zhou City from June 1,2020 to June 1,2022 were selected as the research objects.They were randomly divided into an observation group and a control group,with 58 cases in each group.They were given mind map-guided multi-dimensional nursing and routine clinical intervention.The blood glucose level,recovery time,health behavior scores and complications were compared in the two groups at different times.Excel 2016 was used for data aggregation and SPSS 23.0 for research data analysis.The econometric data in the research data were all tested for normality and described by(-x)±s.The compar-ison between the two groups was conducted using either group Z-test or adjusted t-test,and the comparison of the obser-vation data before and after the two groups was conducted using one-way covariance analysis.Multiple time point repeated observation data were subjected to repeated measurement analysis of variance,LSD-t-test for comparison between two groups,and t-test for difference in time comparison between two groups.Counting data were described in terms of exam-ples and rates,and comparisons of the two groups were conducted with x2 test or corrected x2 test.Multiple comparisons of repeated measurement analysis and segmentation testing were adjusted for testing levels using the Bonferroni correction method.Inspection level a=0.05(double tailed).Results The blood glucose levels in the observation group were(25.43±2.35)mmol/L at 1 hour,(13.85±1.94)mmol/L at 3 hours,and(7.66±0.85)mmol/L at 12 hours,all lower than those in the control group at 1 hour(28.17±2.45)mmol/L,3 hours(13.85±1.94)mmol/L,and 12 hours(9.89 ±1.42)mmol/L,with statistically significant differences.The t values were 303.525,3 396.218,and 54.603,respec-tively,with all P＜0.001.The observation group had a ketone body negative conversion time of(16.26±1.41)hours,clinical symptom relief time of(13.10±2.26)hours,and hospitalization time of(6.23±1.14)hours,all of which were lower than the control group's ketone body negative conversion time of(25.46±3.26)hours,clinical symptom relief time of(24.11±3.65)hours,and hospitalization time of(10.48±1.39)hours.The differences were statistically significant,with t values of 19.726,19.532,and 18.005,all P＜0.001.The total incidence of complications in the observation group was 6.90％,lower than the control group's 25.86％,with a statistically significant difference of 7.616,x2=7.616,P=0.006.Conclusion The multi-dimensional nursing of diabetes ketoacidosis patients with mind map can promote the re-covery of blood sugar level and clinical rehabilitation,improve the health behavior of patients,and reduce complications.
diabetes ketoacidosismulti-dimensional nursing based on mind mappingblood glucosehealth behavior
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