摘要
目的探讨急诊护理干预对老年糖尿病伴低血糖昏迷患者血糖水平及救治成功率的影响。方法采用方便抽样法选取2020年1月至2021年12月在本院急诊科收治的老年糖尿病伴低血糖昏迷患者38例作为A组,将2022年1月至2023年6月在本院急诊科收治的老年糖尿病伴低血糖昏迷患者69例作为B组。A组采用常规护理,B组采用急诊护理。统计两组入院急救时间、住院时间、血糖指标、抢救成功率、并发症发生率、患者满意度。结果B组入院急救时间、住院时间均短于A组(P<0.05);干预后B组FPG、2hPG、HbA1c水平低于A组(P<0.05);B组抢救成功率高于A组(P<0.05),并发症发生率低于A组(P<0.05);B组护理满意度高于A组(P<0.05)。结论在老年糖尿病伴低血糖昏迷患者中进行急诊护理干预能够有效降低血糖水平,提高抢救成功率,减少并发症的发生率,缩短入院急救时间和住院时间,且患者满意度较高,具有一定的临床价值和推广意义。
Objective To investigate the effect of emergency nursing intervention on blood glucose level and success rate of treatment in elderly patients with diabetes mellitus accompanied by hypoglycemic coma.Methods A total of 38 elderly patients with diabetes mellitus and hypoglycemic coma admitted to the emergency department of our hospital from January 2020 to December 2021 were selected as group A by convenient sampling method,and 69 elderly patients with diabetes mellitus and hypoglycemic coma admitted to the emergency department of our hospital from January 2022 to June 2023 were selected as group B.Group A received routine nursing and group B received emergency nursing.The first aid time,hospital stay,blood sugar index,rescue success rate,complication rate and patient satisfaction were analyzed in the two groups.Results Group B hospital emergency time,length of hospital stay were shorter in group A(P<0.05);the levels of FPG,2hPG and HbA1c in group B were lower than those in group A(P<0.05).Group B rescue success rate is higher than group A(P<0.05),lower incidence of complications in group A(P<0.05);Nursing satisfaction group B than in group A(P<0.05).Conclusion Emergency nursing intervention in elderly diabetic patients with hypoglycemic coma can effectively reduce blood sugar level,improve the success rate of rescue,reduce the incidence of complications,shorten the time of admission and hospitalization,and the patient satisfaction is high,which has certain clinical value and popularization significance.
作者
杨艳莉
袁景茹
李朝政
YANG Yan-li;YUAN Jing-ru;LI Chao-zheng(Nursing Department,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan Province,China;School of Nursing,Henan University of Science and Technology,Luoyang 471000,Henan Province,China;Emergency Department,The First Affiliated Hospital of Henan University of Science and Technology,Luoyang 471000,Henan Province,China)
出处
《罕少疾病杂志》
2024年第8期143-145,共3页
Journal of Rare and Uncommon Diseases
基金
洛阳市科技局项目2101067A。
关键词
老年
糖尿病
低血糖
急诊
抢救成功率
血糖
Old Age
Diabetes Mellitus
Hypoglycemia
Emergency Treatment
Success Rate of Rescue
Blood Sugar
