Application of nursing risk management based on PDCA cycle quality control concept in diabetic ketoacidosis patients
基于PDCA循环质量控制理念的护理风险管理在糖尿病酮症酸中毒患者中的应用

摘要

目的 探讨基于PDCA循环质量控制理念的护理风险管理在糖尿病酮症酸中毒（DKA）患者中的应用效果。方法 将100例由我院在2024年5月到2025年5月诊治处理的DKA患者按照随机抓阄法均分为两组。所有患者均对症治疗，并鉴于研究目的，区别开展护理干预，对观察组者实施循证护理（50例），对对照组者实施常规护理干预（50例）。为更好地呈现两组临床护理成效，针对性统计各项相关数据，并对组间差异比对分析。数据统计：两组患者血糖控制时间、清除血酮时间、酸中毒纠正时间、住院时间、并发症发生率、护理质量评分及患者满意度。结果 患者血糖控制时间、清除血酮时间、酸中毒纠正时间、住院时间均见观察组短于对照组（P<0.05）；并发症发生率见观察组低于对照组（P<0.05）；护理质量评分观察组高于对照组（P<0.05）。结论 基于PDCA循环质量控制理念的护理风险管理可有效改善DKA患者临床指标，降低并发症发生率，提高护理质量，具有重要的临床应用价值。

Abstract

Objective To explore the application effect of nursing risk management based on the PDCA cycle quality control concept in patients with diabetic ketoacidosis (DKA).
Methods A total of 100 patients with DKA who were diagnosed and treated in our hospital from May 2024 to May 2025 were randomly divided into two groups by drawing lots. All patients were treated symptomatically. In view of the research purpose, different nursing interventions were carried out. Evidence-based nursing was implemented for the observation group (50 cases), and conventional nursing intervention was implemented for the control group (50 cases). To better present the clinical nursing outcomes of the two groups, various relevant data were statistically analyzed in a targeted manner, and the differences between the groups were compared and analyzed. Data statistics: Blood glucose control time, blood ketone clearance time, acidosis correction time, hospital stay, complication rate, nursing quality score and patient satisfaction of the two groups of patients.
Results The time for blood glucose control, the time for blood ketone clearance to turn negative, the time for acidosis correction, and the length of hospital stay in the observation group were all shorter than those in the control group (P<0.05). The incidence of complications in the observation group was lower than that in the control group (P<0.05). The nursing quality score of the observation group was higher than that of the control group (P<0.05).
Conclusion   The nursing risk management based on the PDCA cycle quality control concept can effectively improve the clinical indicators of DKA patients, reduce the incidence of complications, and enhance the quality of nursing, which has important clinical application value.