Observation on the application of enhanced critical value response nursing in the treatment of patients with diabetic ketoacidosis in the emergency department
强化危急值响应护理在急诊糖尿病酮症酸中毒患者救治中的观察

摘要

目的 探讨强化危急值响应护理在急诊糖尿病酮症酸中毒患者救治中的效果，以期为急诊护理质量优化提供参考依据。方法 实验涉及样本80例均选自于2025年3月至2026年3月急诊收治糖尿病酮症酸中毒患者，将2025年3月-2025年9月作为对照组实施常规护理（n=40），将2025年10月-2026年3月作为观察组实施强化危急值响应护理（n=40），收集相关数据指标，观察差异表现。结果 两组患者实施不同急诊护理后，急救时间指标、生化指标、并发症发生率、护理满意度评价呈现明显差异性，且观察组均优，实施统计学分析组间P值均＜0.05。结论 急诊落实强化危急值响应护理可明显提升糖尿病酮症酸中毒患者救治效率，加速生化指标的恢复，降低并发症风险，为良好预后创造有利条件，值得作为可靠护理方案推广应用。

Abstract

Objective To evaluate the efficacy of enhanced critical value response nursing in the management of diabetic ketoacidosis (DKA) patients in emergency settings, thereby providing evidence for optimizing emergency nursing care quality.
Methods A total of 80 patients with DKA admitted to the emergency department from March 2025 to March 2026 were enrolled. The control group (n=40) received conventional nursing care from March 2025 to September 2025, while the observation group (n=40) received enhanced critical value response nursing from October 2025 to March 2026. Relevant clinical parameters were collected, and differences between groups were analyzed.
Results After receiving different emergency nursing interventions, significant improvements were observed in rescue time, biochemical parameters, complication incidence rates, and nursing satisfaction scores in both groups, with the observation group demonstrating superior outcomes (all P-values <0.05).
Conclusion   Implementation of enhanced critical value response nursing in emergency settings significantly enhances treatment efficiency for DKA patients, accelerates biochemical recovery, reduces complication risks, and fosters favorable prognostic outcomes, making it a recommended evidence-based nursing protocol for widespread adoption.