饮食干预管理和健康教育对糖尿病酮症酸中毒患者健康情况的影响
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摘要
目的探讨饮食干预管理和健康教育对糖尿病酮症酸中毒患者健康情况的影响。方法选取台州市恩泽医疗中心(集团)路桥医院2015年1月—2017年1月间接收的76例糖尿病酮症酸中毒患者作为此次研究对象,按照随机数字表法将患者分为对照组与研究组各38例。对照组患者给予常规护理,研究组患者则强化个体化饮食干预管理和健康教育。对2组患者治疗情况(24 h血糖最大值、血糖控制时间、酮体转阴时间、住院时间)、健康知识水平(发病原因、防治方法、饮食、运动)、健康饮食依从性、满意度进行比较。结果研究组24 h血糖最大值、血糖控制时间、酮体转阴时间、住院时间明显低于对照组,差异有统计学意义(P<0.05)。干预后,2组健康知识水平(发病原因、防治方法、饮食、运动)、健康饮食依从性评分显著提高,且观察组健康知识水平(发病原因、防治方法、饮食、运动)、健康饮食依从性评分显著高于对照组(P<0.05)。研究组患者满意度明显高于对照组,差异有统计学意义(P<0.05)。结论饮食干预管理和健康教育在糖尿病酮症酸中毒患者中应用效果显著,有效缩短患者病情好转时间,提高患者健康知识掌握水平、健康饮食依从性、护理满意度。
Objective To investigate the clinical effect of dietary nursing interventions and health education in diabetes mellitus(DM) patients with ketoacidosis.Methods Total 76 DM patients with ketoacidosis in Enze Medical Center(Group) Luqiao Hospital from January 2015 to January 2017 were selected as subjects,and randomly divided into two groups according to random number,38 cases in each group.Patients in control group were given routine nursing,and patients in the research group were enrolled individualized dietary intervention management and health education.The treatment status(24 h maximum blood sugar level,blood glucose control time,ketone body negative time,hospitalization time),health knowledge level(pathogenesis,prevention and treatment methods,diet,exercise),healthy diet compliance,and satisfaction of two groups were compared.Results The 24 h maximum blood sugar level,blood glucose control time,ketone body negative time,hospitalization time of research group were significantly lower than those of control group,the difference was statistically significant(P < 0.05).After interventions,the health knowledge level(pathogenesis,prevention and treatment methods,diet,exercise) and healthy diet compliance of two groups were significantly improved(P < 0.05),and health knowledge level(pathogenesis,prevention and treatment methods,diet,exercise) and healthy diet compliance of research group were significantly higher than those of control group,the difference was statistically significant(P < 0.05).The satisfaction of research group was significantly higher than those of control group,the difference was statistically significant(P < 0.05).Conclusion The dietary nursing interventions and health education had an obvious effect in DM patients with ketoacidosis can shorten the illness improvement time,and improve health knowledge,compliance and satisfaction.
Objective To investigate the clinical effect of dietary nursing interventions and health education in diabetes mellitus(DM) patients with ketoacidosis.Methods Total 76 DM patients with ketoacidosis in Enze Medical Center(Group) Luqiao Hospital from January 2015 to January 2017 were selected as subjects,and randomly divided into two groups according to random number,38 cases in each group.Patients in control group were given routine nursing,and patients in the research group were enrolled individualized dietary intervention management and health education.The treatment status(24 h maximum blood sugar level,blood glucose control time,ketone body negative time,hospitalization time),health knowledge level(pathogenesis,prevention and treatment methods,diet,exercise),healthy diet compliance,and satisfaction of two groups were compared.Results The 24 h maximum blood sugar level,blood glucose control time,ketone body negative time,hospitalization time of research group were significantly lower than those of control group,the difference was statistically significant(P < 0.05).After interventions,the health knowledge level(pathogenesis,prevention and treatment methods,diet,exercise) and healthy diet compliance of two groups were significantly improved(P < 0.05),and health knowledge level(pathogenesis,prevention and treatment methods,diet,exercise) and healthy diet compliance of research group were significantly higher than those of control group,the difference was statistically significant(P < 0.05).The satisfaction of research group was significantly higher than those of control group,the difference was statistically significant(P < 0.05).Conclusion The dietary nursing interventions and health education had an obvious effect in DM patients with ketoacidosis can shorten the illness improvement time,and improve health knowledge,compliance and satisfaction.
引文
[1]叶先智.不同方案胰岛素静注治疗糖尿病酮症酸中毒疗效对比研究[J].实用临床医药杂志,2015,19(15):103-105.
[2]宁伶英.饮食干预管理和健康教育对糖尿病酮症酸中毒患者的护理效果探讨[J].医学理论与实践,2015,28(5):692-693.
[3]姜明水.饮食干预管理和健康教育对糖尿病酮症酸中毒患者护理效果观察[J].实用临床护理学电子杂志,2017,2(5):177-178.
[4]杨洁宇.饮食干预管理和健康教育对糖尿病酮症酸中毒患者的影响[J].中国实用医药,2017,12(6):167-168.
[5]郑晓萍,陈红,陈晓春,等.24例重症糖尿病酮症酸中毒患儿的急救护理[J].中华护理杂志,2013,48(12):1096-1097.
[6]杨林霞,梁雪芳,王颖.急诊糖尿病酮症酸中毒40例整体护理干预[J].齐鲁护理杂志,2013,19(5):93-94.
[7]刘良红,付丹,陈敏华,等.糖尿病酮症酸中毒合并慢性心功能不全老年患者的护理[J].护理与康复,2015,14(6):550-552.
[8]肖秀霞,蓝勇明,黄满华.饮食健康教育对糖尿病酮症酸中毒患者的护理效果分析[J].中国医药科学,2014,4(15):86-88.
[9]周菲,冯玉.糖尿病患者酮症酸中毒降钙素原水平的变化[J].中国老年学杂志,2014,34(17):4964-4965.
[10]宋徽江,庄康路,张文权.2型糖尿病患者社区强化管理两年效果评价[J].中国全科医学,2014,17(10):1161-1163.
[11]颜萍,陈鸿尔,郑亚华,等.糖尿病酮症酸中毒的诱因分析及健康教育干预[J].现代实用医学,2013,25(10):1194-1195.
[12]王利杰.糖尿病患者反复发生酮症或酮症酸中毒的原因分析及护理对策[J].河北医学,2014,20(4):688-690.
[13]TRAN T H,AL-HARFI I,HARLE C C,et al.Coagulation assessment in children with diabetic ketoacidosis[J].Pediatr Crit Care Med,2013,14(3):256-260.
[14]DECOURCEY D D,STEIL G M,WYPIJ D,et al.Increasing use of hypertonic saline over mannitol in the treatment of symptomatic cerebral edema in pediatric diabetic ketoacidosis:an 11-Year retrospective analysis of mortality[J].Pediatr Crit Care Med,2013,14(7):694-700.
[15]NIU J,GILLILAND M G,JIN Z,et al.MCP-1and IL-1βexpression in the myocardia of two young patients with Type 1 diabetes mellitus and fatal diabetic ketoacidosis[J].Exp Mol Pathol,2014,96(1):71-79.
[16]李军.胰岛素联合中医药急救治疗糖尿病酮症酸中毒的可行性及安全性[J].四川中医,2018,36(2):102-104.
[17]邱俊霖,曾云先,苏会璇,等.酮症酸中毒起病的糖尿病患者的实验室指标比较[J].临床荟萃,2018,33(3):224-227.
[18]任会彩,王志先,张彦敏,等.人文护理模式用于糖尿病酮症酸中毒护理的效果观察[J].河北医科大学学报,2018,39(5):597-600.
[19]康勉利.糖尿病酮症酸中毒患者的急救与护理新进展探讨[J].实用糖尿病杂志,2018,14(3):37-38.
[20]李金艳,李彦波.健康教育配合饮食管理应用于糖尿病酮症酸中毒患者效果及对生活质量的影响[J].赣南医学院学报,2018,38(6):590-592.
[2]宁伶英.饮食干预管理和健康教育对糖尿病酮症酸中毒患者的护理效果探讨[J].医学理论与实践,2015,28(5):692-693.
[3]姜明水.饮食干预管理和健康教育对糖尿病酮症酸中毒患者护理效果观察[J].实用临床护理学电子杂志,2017,2(5):177-178.
[4]杨洁宇.饮食干预管理和健康教育对糖尿病酮症酸中毒患者的影响[J].中国实用医药,2017,12(6):167-168.
[5]郑晓萍,陈红,陈晓春,等.24例重症糖尿病酮症酸中毒患儿的急救护理[J].中华护理杂志,2013,48(12):1096-1097.
[6]杨林霞,梁雪芳,王颖.急诊糖尿病酮症酸中毒40例整体护理干预[J].齐鲁护理杂志,2013,19(5):93-94.
[7]刘良红,付丹,陈敏华,等.糖尿病酮症酸中毒合并慢性心功能不全老年患者的护理[J].护理与康复,2015,14(6):550-552.
[8]肖秀霞,蓝勇明,黄满华.饮食健康教育对糖尿病酮症酸中毒患者的护理效果分析[J].中国医药科学,2014,4(15):86-88.
[9]周菲,冯玉.糖尿病患者酮症酸中毒降钙素原水平的变化[J].中国老年学杂志,2014,34(17):4964-4965.
[10]宋徽江,庄康路,张文权.2型糖尿病患者社区强化管理两年效果评价[J].中国全科医学,2014,17(10):1161-1163.
[11]颜萍,陈鸿尔,郑亚华,等.糖尿病酮症酸中毒的诱因分析及健康教育干预[J].现代实用医学,2013,25(10):1194-1195.
[12]王利杰.糖尿病患者反复发生酮症或酮症酸中毒的原因分析及护理对策[J].河北医学,2014,20(4):688-690.
[13]TRAN T H,AL-HARFI I,HARLE C C,et al.Coagulation assessment in children with diabetic ketoacidosis[J].Pediatr Crit Care Med,2013,14(3):256-260.
[14]DECOURCEY D D,STEIL G M,WYPIJ D,et al.Increasing use of hypertonic saline over mannitol in the treatment of symptomatic cerebral edema in pediatric diabetic ketoacidosis:an 11-Year retrospective analysis of mortality[J].Pediatr Crit Care Med,2013,14(7):694-700.
[15]NIU J,GILLILAND M G,JIN Z,et al.MCP-1and IL-1βexpression in the myocardia of two young patients with Type 1 diabetes mellitus and fatal diabetic ketoacidosis[J].Exp Mol Pathol,2014,96(1):71-79.
[16]李军.胰岛素联合中医药急救治疗糖尿病酮症酸中毒的可行性及安全性[J].四川中医,2018,36(2):102-104.
[17]邱俊霖,曾云先,苏会璇,等.酮症酸中毒起病的糖尿病患者的实验室指标比较[J].临床荟萃,2018,33(3):224-227.
[18]任会彩,王志先,张彦敏,等.人文护理模式用于糖尿病酮症酸中毒护理的效果观察[J].河北医科大学学报,2018,39(5):597-600.
[19]康勉利.糖尿病酮症酸中毒患者的急救与护理新进展探讨[J].实用糖尿病杂志,2018,14(3):37-38.
[20]李金艳,李彦波.健康教育配合饮食管理应用于糖尿病酮症酸中毒患者效果及对生活质量的影响[J].赣南医学院学报,2018,38(6):590-592.