【摘要】 目的：探讨Orem自理模式在糖尿病酮症酸中毒患者中的应用价值。方法：选择2019年1月—2020年6月南京市江宁医院收治的40例糖尿病酮症酸中毒患者作为对照组，选择2020年7月—2021年12月南京市江宁医院收治的40例糖尿病酮症酸中毒患者作为观察组。对照组给予常规护理，观察组在对照组基础上给予Orem自理模式。入院当天、干预7 d，使用疾病及健康知识评定量表与糖尿病自我效能量表（DSES）评估两组疾病及健康知识掌握情况与自护能力，同时检测空腹血糖（FPG）、餐后2 h血糖（2 h PBG）。结果：入院当天，两组疾病及健康知识掌握情况、DSES评分及血糖水平比较，差异无统计学意义（P>0.05）；干预7 d，两组疾病基础知识、日常防护方法、饮食运动、足部护理、血糖检测、药物治疗、急症处理评分高于入院当天，且观察组高于对照组，两组FPG、2 h PBG低于入院当天，且观察组低于对照组，差异有统计学意义（P<0.05）。结论：Orem自理模式对糖尿病酮症酸中毒患者疾病及健康知识掌握情况、自护能力及血糖水平具有良好的效果。更多还原

【Abstract】 Objective:To explore the application value of Orem self-care mode in patients with diabetic ketoacidosis. Method:Forty patients with diabetic ketoacidosis admitted to Nanjing Jiangning Hospital from January 2019 to June 2020 were selected as the control group, and forty patients with diabetic ketoacidosis admitted to Nanjing Jiangning Hospital from July 2020 to December 2021 were selected as the observation group. The control group was given routine care, and the observation group gave the Orem self-care mode on the basis of the control group. On the day of admission and 7 d of intervention, the disease and health knowledge rating scale and diabetes self-efficacy scale(DSES) were used to evaluate the disease and health knowledge mastery and self-care ability of the two groups, and fasting blood glucose(FPG) and 2 h postprandial blood glucose(2 h PBG) were measured. Result:On the day of admission, there was no significant difference in the mastery of disease and health knowledge, DSES score and blood glucose level between the two groups(P>0.05); at 7 d of intervention, the scores of basic knowledge of disease, daily protection methods, diet and exercise, foot care, blood glucose detection, drug treatment and emergency treatment in two groups were higher than those on the day of admission, and those in the observation group were higher than the control group, the FPG and 2 h PBG in two groups were lower than those on the day of admission,and those in the observation group were lower than the control group, the differences were statistically significant(P<0.05). Conclusion:Orem self-care model has a good effect on the mastery of disease and health knowledge, self-care ability and blood glucose level of patients with diabetic ketoacidosis.更多还原