以结局为导向的风险防范护理对急诊糖尿病酮症酸中毒患者风险事件发生率的影响
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[关键词]急诊患者；糖尿病酮症酸中毒;以结局为导向的风险防范护理;风险事件发生率；血糖水平 [中图分类号]R47 [文献标识码]A [文章编号]1672-4062（2026）02（b）-0152-04
Effect of Outcome-oriented Risk Prevention Nursing on the Incidence of RiskEventsin Patientswith EmergencyDiabeticKetoacidosis
XUWeiling，WEI Cuifen， CAI Ruixia Department of Emergency，Sanming Second Hospital， Sanming 366ooo，Fujian， China [Abstract] Objective To explore the efect of outcome-oriented risk prevention nursing on the incidence of risk eventsinpatients with emergencydiabetic ketoacidosis.MethodsA totalof110 patients with diabetic ketoacidosis admitedto Sanming Second Hospital from January 2O23 toApril2O25wereconvenientlyselectedand divided into control group （55 cases，routine nursing）and study group（55 cases，outcome-oriented risk prevention nursing+routine nursing）according todifferentnursing methods.Theincidenceofrisk events，blood glucose，urineketoneandsatisfaction were compared between the two groups.Results The incidence of risk events in the study group was 3.64% （ 2/ （20号 55），which was lower than 18.18% （10/55） in the control group，and the difference was statistically significant （ χ2 1 5.986， P =0.014）.On admission，there was no significant difference in blood glucose and urine ketone between the two groups （all P>0.05 ）.At 6 hours after intervention and at discharge，the level of blood glucose and urine ketone in the study group were lower than those in the control group，and the diferences were statistically significant （all P <0.05）. The nursing satisfaction of the study group was higher than thatof the control group，and the diffrence was statistically significant （ P <0.05）.Conclusion Outcome-oriented risk prevention nursing can improve patients'urine ketone bodylevel，blood glucose fluctuation range，and improve patients'satisfaction with emergency nursing services，with high safety.
[Keywords] Emergency patients;Diabetic ketoacidosis;Outcome-oriented risk prevention nursing; Incidence of risl events;Blood glucose level
糖尿病酮症酸中毒（diabeticketoacidosis，DKA）是严重且急性糖尿病并发症，因胰岛素缺乏、升糖激素增加，致糖脂代谢紊乱引发代谢性酸中毒[-2]。（剩余4478字）