摘要
目的探讨分析急诊重症监护室患者实施护士主导护理模式的价值。方法选取2020年1月—2021年1月厦门大学附属第一医院急诊重症监护室治疗的80例患者,随机分为对照组和研究组,各40例。对照组采用常规护理,研究组在对照组基础上应用护士主导护理模式。观察和比较两组的血糖控制情况、胰岛素用量、血糖控制稳定性以及护理前后生活质量。结果护理后,研究组血糖水平、Ave、SD、CV、GLI、低血糖发生率均低于对照组,血糖达标时间短于对照组,胰岛素用量少于对照组,生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论护士主导护理模式对于急诊重症监护室患者的血糖管理具有显著效果,在改善血糖、促进血糖达标、减少胰岛素量、降低低血糖发生率等方面具有重要意义,同时该护理模式可确保血糖控制的稳定性,使整个降糖过程更为安全,临床使用价值高,值得推广应用。
Objective To explore and analyze the value of nurse-led nursing for patients in emergency intensive care unit.Methods 80 patients treated in the emergency intensive care unit of the First Affiliated Hospital of Xiamen University from January 2020 to January 2021 were selected and randomly divided into control group and study group,with 40 cases each.The control group adopted routine care,and the study group applied the nurse-led care model based on the control group.Observed and compared the glucose control,insulin control dosage,glucose control stability and quality of life before and after care in the two groups.Results After nursing,the incidence of blood glucose level,Ave,SD,CV,GLI and hypoglycemia in the study group was lower than that of the control group,the time of blood glucose standard was shorter than that of the control group,the insulin dosage was less than that of the control group,and the quality of life score was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Nurse-led nursing mode has significant effect on blood glucose management of patients in emergency intensive care unit,which is of great significance in improving blood glucose,promoting blood glucose standards,reducing insulin volume,and reducing the incidence of hypoglycemia.At the same time,this nursing mode can ensure the stability of blood glucose control and make the whole process of hypoglycemia safer,with high clinical application value,worthy of popularization and application.
作者
蔡毅溶
洪秀丽
CAI Yirong;Hong Xiuli(Department of Emergency,the First Affiliated Hospital of Xiamen University,Xiamen,Fujian Province,361003 China)
出处
《糖尿病新世界》
2023年第1期90-93,共4页
Diabetes New World Magazine
关键词
护士主导护理模式
血糖控制情况
胰岛素用量
血糖控制稳定性
生活质量
Nurse-led nursing model
Blood glucose control
Insulin dosage
Stability of blood glucose control
Quality of life
