集束化护理策略在预防急诊DKA患者治疗过程中低血糖及低钾血症的效果评价毛佳雯

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《实用全科护理学》( ISSN3080-7638、EISSN3080-7646 )

发布者：Quest Press

发布日期：2025/10/9

10.12479/questpress-syqkhlx.20250109

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集束化护理策略在预防急诊DKA患者治疗过程中低血糖及低钾血症的效果评价

毛佳雯

南通市第一人民医院，江苏南通，226000

摘要：目的分析评价集束化护理策略在预防急诊DKA 患者治疗过程中低血糖及低钾血症的效果。方法选取2023 年1 月至2024 年12 月我院急诊科收治的DKA 患者80 例作为研究对象。采用随机数字表法将患者分为观察组和对照组，每组各40 例。对照组患者接受急诊常规DKA 护理，观察组在对照组常规护理的基础上实施集束化护理策略。对比电解质紊乱发生率、治疗效率指标、临床预后指标。结果观察组低血糖及低钾血症发生率均显著低于对照组，差异有统计学意义（P<0.05）；观察组血糖达标时间与血钾稳定时间均短于对照组，差异有统计学意义（P<0.05）；观察组平均住院日短于对照组，差异有统计学意义（P<0.05）。结论集束化护理系统化、标准化的干预组合能有效提升急诊DKA 救治过程的安全性与效率，改善患者临床预后具有较高应用推广价值。
关健词：集束化护理；糖尿病酮症酸中毒；低血糖；低钾血症；急诊护理

Evaluation of the Effect of Cluster Nursing Strategy in Preventing Hypoglycemia and Hypokalemia in the Treatment of DKA Patients in the Emergency Department

Jiawen Mao
Nantong First People's Hospital, Nantong Jiangsu 226000，China

Abstract: Objective To analyze and evaluate the effect of cluster nursing strategy in preventing hypoglycemia and hypokalemia in the treatment of DKA patients in the emergency department.Methods A total of 80 DKA patients admitted to the emergency department of our hospital from January 2023 to December 2024 were selected as the research subjects. The patients were divided into the observation group and the control group by random number table method, with 40 cases in each group. The control group received routine DKA emergency care, while the observation group received cluster nursing strategy on the basis of routine care. The incidence of electrolyte disorders, treatment efficiency indicators, and clinical prognosis indicators were compared.Results The incidence of hypoglycemia and hypokalemia in the observation group was significantly lower than that in the control group, with statistically significant differences (P<0.05); the time to reach blood glucose target and the time for blood potassium stability in the observation group were shorter than those in the control group, with statistically significant differences (P<0.05); the average length of hospital stay in the observation group was shorter than that in the control group, with statistically significant differences (P<0.05).Conclusion The systematic and standardized intervention combination of cluster nursing can effectively improve the safety and efficiency of DKA treatment in the emergency department and has high application and promotion value in improving the clinical prognosis of patients.
Keywords : Cluster nursing; Diabetic ketoacidosis; Hypoglycemia; Hypokalemia; Emergency care

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