Root cause analysis model is used for the nursing effect of patients with diabetic ketoacidosis
根因分析模式用于急诊糖尿病酮症酸中毒患者护理效果

摘要

目的 分析在急诊糖尿病酮症酸中毒患者中开展根因分析模式的临床护理效果。方法 本次研究对象筛选2023年5月至2024年5月期间我院急诊科接收的糖尿病酮症酸中毒患者30例，将入选的患者采取随机数字表法分成两组，组别包括观察组和对照组，每组中有患者15例，对照组患者给予急诊常规护理，观察组患者则给予根因分析护理模式，详细对比分析两组最终获得的护理效果。结果 两组最终护理结果比较显示，观察组的护理服务质量、疾病知识掌握度、护理依从性以及家属照顾能力与对照组相比均得到显著提升，患者的糖化血红蛋白指标以及血糖指标改善效果均优于对照组，患者的血糖达标时间以及酸中毒纠正时间与对照组相比均明显缩短，（P＜0.05）。结论 在急诊糖尿病酮症酸中毒患者中开展根因分析护理模式，可使临床护理服务质量得到进一步提升，加强患者的认知度以及遵医行为，提高患者的疾病控制效果，减轻疾病危害性。

Abstract

Objective To analyze the clinical nursing effect of root cause analysis mode in patients with emergency diabetic ketoacidosis.
Methods Thirty patients with diabetic ketoacidosis admitted to the emergency department of our hospital from May 2023 to May 2024 were selected for this study. The selected patients were divided into two groups by random number table method, including observation group and control group, with 15 patients in each group. Patients in the control group were given routine emergency care. The patients in the observation group were given the nursing mode of root cause analysis, and the final nursing effect of the two groups was compared and analyzed in detail.
Results The comparison of the final nursing results between the two groups showed that the nursing service quality, disease knowledge mastery, nursing compliance and family care ability of the observation group were significantly improved compared with the control group, the improvement effects of the hemoglobin A1C index and blood glucose index of the patients were better than those of the control group, and the blood glucose compliance time and acidosis correction time of the patients were significantly shortened compared with the control group. (P < 0.05).
Conclusion   The implementation of root cause analysis nursing model in patients with emergency diabetic ketoacidosis can further improve the quality of clinical nursing service, strengthen patients' awareness and compliance behavior, improve patients' disease control effect and reduce the harm of disease.