CAJ | 학술논문

目的：探讨分析循证护理在糖尿病酮症酸中毒住院患者护理中的应用效果。方法选取2011年1月至2014年6月我院64例糖尿病酮症酸中毒患者，随机平分为对照组和观察组，对照组采用常规护理模式，观察组采用循证护理，比较两组患者空腹血糖、餐后2小时血糖、酮体转阴平均时间及低血糖发生次数及患者的护理满意度。结果观察组患者护理后的空腹血糖、餐后2小时血糖、酮体转阴时间及低血糖发生次数均明显低于对照组，P＜0．05；观察组32例患者护理满意31例，护理满意度为96．9％较对照组32例患者护理满意24例，75．0％的护理满意度具有明显优势，P＜0．05。结论循证护理在患者护理后血糖、酮体转阴时间及低血糖发生次数上均有较佳的临床治疗效果，同时提高了患者对我们的护理服务质量的满意程度，是一种较为理想的临床护理模式。
목적：탐토분석순증호리재당뇨병동증산중독주원환자호리중적응용효과。방법선취2011년1월지2014년6월아원64례당뇨병동증산중독환자，수궤평분위대조조화관찰조，대조조채용상규호리모식，관찰조채용순증호리，비교량조환자공복혈당、찬후2소시혈당、동체전음평균시간급저혈당발생차수급환자적호리만의도。결과관찰조환자호리후적공복혈당、찬후2소시혈당、동체전음시간급저혈당발생차수균명현저우대조조，P＜0．05；관찰조32례환자호리만의31례，호리만의도위96．9％교대조조32례환자호리만의24례，75．0％적호리만의도구유명현우세，P＜0．05。결론순증호리재환자호리후혈당、동체전음시간급저혈당발생차수상균유교가적림상치료효과，동시제고료환자대아문적호리복무질량적만의정도，시일충교위이상적림상호리모식。
Objective To investigate the effect of evidence-based nursing application in diabetic ketoacidosis.Methods 64 patients with diabetic ketoacidosis in our hospital were chosen from January 2011 to June 2014, randomly and equally divided into contrast group and observed group, contrast group using regular nurse, observed group using evidence-based nursing, comparing fasting glucose, 2-hour postprandial blood glucose, ketones negative average time and frequency of hypoglycemia and patient satisfaction with care of two groups.Results The fasting glucose, 2-hour postprandial blood glucose, ketone bodies clearance time and frequency of hypoglycemia of observed group were significantly lower than the contrast group, P <0.05; 32 patients in the observation group with 31 cases of nursing satisfaction, satisfaction care was 96.9%compared with the control group of 24 cases of nursing satisfaction in 32 patients, 75.0%of nursing satisfaction, having obvious advantages, P<0.05.Conclusions Evidence-based nursing has a good clinical effect on the number of blood glucose, ketone bodies clearance time and hypoglycemia occurred after patients, meanwhile, improves the satisfaction rate of our service quality, which is an ideal clinical care model.