The value of outcome oriented risk prevention nursing in emergency diabetes ketoacidosis
以结局为导向的风险防范护理在急诊糖尿病酮症酸中毒中的价值研究

摘要

目的 本研究旨在探讨以结局为导向的风险防范护理在急诊糖尿病酮症酸中毒（DKA）患者中的应用价值。方法 采用回顾性研究，将 2024年1月至2025年2月收治的60例急诊DKA患者分为观察组（结局导向风险防范护理），选取2024年1月前的60例分为对照组（常规护理）。观察两组患者的代谢指标恢复情况及并发症发生情况。结果 观察组血糖恢复至≤13.9 mmol/L时间显著短于对照组，血酮转阴时间及pH值恢复至≥7.3时间均明显比对照组更短；观察组各类并发症发生率及平均住院时间亦显著降低（P<0.05）。结论 以结局为导向的风险防范护理能有效优化急诊 DKA 救治流程，改善患者预后。

Abstract

Objective This study aims to explore the application value of outcome oriented risk prevention nursing in emergency diabetes ketoacidosis (DKA) patients.
Methods A retrospective study was conducted to divide 60 emergency DKA patients admitted from January 2024 to February 2025 into an observation group (outcome oriented risk prevention nursing), and 60 patients before January 2024 were selected as a control group (conventional nursing). Observe the recovery of metabolic indicators and the occurrence of complications in two groups of patients.
Results The time for the observation group's blood glucose to recover to ≤ 13.9 mmol/L was significantly shorter than that of the control group, and the time for blood ketones to turn negative and pH value to recover to ≥ 7.3 were significantly shorter than those of the control group; The incidence of various complications and average hospitalization time in the observation group were significantly reduced (P<0.05).
Conclusion   Outcome oriented risk prevention nursing can effectively optimize the emergency DKA treatment process and improve patient prognosis.