Effects of the application of Ahmadi continuous nursing model in children with diabetic ketoacidosis
1Department of Pediatric Medicine, Affiliated Hospital of Nantong University, 226001 Nantong, Jiangsu, China
DOI: 10.22514/sv.2023.017 Vol.19,Issue 2,March 2023 pp.104-110
Submitted: 08 October 2022 Accepted: 18 November 2022
Published: 08 March 2023
*Corresponding Author(s): Youjia Wu E-mail: email@example.com
The effects of Ahmadi continuous nursing model in children with diabetic ketoacidosis were investigated in this study. A total of 120 children with diabetic ketoacidosis (DKA) were enrolled by convenience sampling from May 2018 to February 2022. Patients were equally divided into a control group and an observation group by a random number table. The control group received the routine continuous nursing model, while the observation group additionally received the Ahmadi continuous nursing model. The indicators of clinical first aid, level of blood glucose, insulin resistance, blood levels of sodium and potassium, family functioning and nursing satisfaction were compared before and after nursing in the two groups. Children in observation group had significantly shorter correction time of acidosis, blood pH recovery, urinary ketone negative and correction of electrolyte disturbance than those in the control group. The levels of fasting blood glucose (FBG), 2-hour postprandial blood glucose (2 hPG) and glycosylated hemoglobin (HbA1c) of children in the observation group were significantly lower than those in the control group. They also showed higher homeostasis model assessment-β (HOMA-β), less homeostasis model assessment-insulin resistance (HOMA-IR), and higher blood levels of sodium and potassium than those in the control group. The observation group scored higher on family adaptability and cohesion evaluation scales (FACESⅡ-CV) than the control group. Nursing satisfaction in the observation group was 96.7%, higher than that in the control group at 85%. Therefore, the Ahmadi continuous nursing model can effectively reduce the glycemic index, improve insulin resistance, correct the imbalance of blood levels of sodium and potassium, and improve family function and nursing satisfaction in children with DKA.
Children; Diabetic ketoacidosis; Blood glucose; Insulin resistance; Family function; Ahmadi continuous nursing model
Hongwei Chen,Jin Cai,Yinxiang Xu,Zhen Zhang,Youjia Wu. Effects of the application of Ahmadi continuous nursing model in children with diabetic ketoacidosis. Signa Vitae. 2023. 19(2);104-110.
 Henriquez-Tejo R, Cartes-Velasquez R. Psychosocial impact of type 1 diabetes mellitus in children, adolescents and their families. Literature review. Rev Chil Pediatr. 2018; 89: 391–398.
 Czenczek-Lewandowska E, Grzegorczyk J, Mazur A. Physical activity in children and adolescents with type 1 diabetes and contem-porary methods of its assessment. Pediatric Endocrinology, Diabetes, and Metabolism. 2018; 24: 179–184.
 Chiang JL, Maahs DM, Garvey KC, Hood KK, Laffel LM, Weinzimer SA, et al. Type 1 diabetes in children and adolescents: a position statement by the american diabetes association. Diabetes Care. 2018; 41: 2026–2044.
 Castellanos L, Tuffaha M, Koren D, Levitsky LL. Management of diabetic ketoacidosis in children and adolescents with type 1 diabetes mellitus. Paediatric Drugs. 2020; 22: 357–367.
 Breton MD, Kanapka LG, Beck RW, Ekhlaspour L, Forlenza GP, Cengiz E, et al. A randomized trial of closed-loop control in children with type 1 diabetes. The New England Journal of Medicine. 2020; 383: 836–845.
 Wu XJ. Effect of Ahmadi’s continuous nursing model on the psychological status and care burden of caregivers of hemodialysis patients. Modern Nurse. 2021; 28: 79–81. (In Chinese)
 Cheng Li, Lu QQ, Sun H. The application effect of Ahmadi continuous nursing in children with Henoch Schonlein purpura and the influence of psychological status of control nurses. Journal of North Sichuan Medical College. 2022; 37: 951–958.
 Yang H, Xu XL, He XY, Yin ZX, Yan XJ, Tang LY, et al. Application of Ahmadi’s continuous nursing model in the psychological health of parents of infants with enterostomy. Modern Clinical Nursing. 2019; 18: 40–45.
 Diabetes branch of Chinese Medical Association eboCMA. Expert consensus on glycated hemoglobin control objectives and compliance strategies for Chinese adults with type 2 diabetes. Chinese Journal of Endocrinology and Metabolism. 2020; 12: 1–12.
 Xue RY, Liu XY. Study on the effect of carbagliflozin on insulin resistance in type 2 diabetes based on Pro metabolic factors. Chongqing Medicine. 2022; 51: 1524–1529. (In Chinese)
 Zhang S, Lu XQ, Du L, Du J, Wang W, Guo AM, et al. Research on the development and application of family cohesion and adaptability scale, a family function evaluation tool. Chinse General Practice. 2010; 13: 725–728.
 Monzon A, McDonough R, Meltzer LJ, Patton SR. Sleep and type 1 diabetes in children and adolescents: proposed theoretical model and clinical implications. Pediatric Diabetes. 2019; 20: 78–85.
 Noras K, Rusak E, Jarosz-Chobot P. The problem of abnormal body weight and dyslipidemia as risk factors for cardiovascular diseases in children and adolescents with type 1 diabetes. Journal of Diabetes Research. 2021; 2021: 5555149.
 Glaser NS, Stoner MJ, Garro A, Baird S, Myers SR, Rewers A, et al. Serum sodium concentration and mental status in children with diabetic ketoacidosis. Pediatrics. 2021; 148: e2021050243.
 Ababulgu RZ, Tesfaye BT. Characteristics and outcomes of children with Type-I diabetes mellitus hospitalized for ketoacidosis. Current Diabetes Reviews. 2020; 16: 779–786.
 Abraham MB, de Bock M, Smith GJ, Dart J, Fairchild JM, King BR, et al. Effect of a hybrid closed-loop system on glycemic and psychosocial outcomes in children and adolescents with type 1 diabetes: a randomized clinical trial. JAMA Pediatrics. 2021; 175: 1227–1235.
 Song LL, Wang J, He K, Leng YQ, Liu JZ, Xiao Y, et al. Effect of continuous nursing focusing on intensive lifestyle intervention in children and adolescents with type 1 diabetes. Chinese Medical Herald. 2019; 16: 164- 168. (In Chinese)
 Wang J, He K, Liu JZ, Bi HY, Xiao Y, Song LL. Effect of continuing nursing based on peer education on coping style and quality of life of children and adolescents with type 1 diabetes. Journal of Hebei Medical University. 2018; 39: 1466–1470. (In Chinese)
 Lu YC, Mao YL, Liu HW, Pan LT, Chen BZ. Effect of information technology-based transitional care on treatment effect of children and adolescents with type 1 diabetes mellitus: a meta-analysis. Chinese Journal of Modern Nursing. 2022; 28: 745–751. (In Chinese)
 Ahmad Sharoni SK, Abdul Rahman H, Minhat HS, Shariff-Ghazali S, Azman Ong MH. The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: a randomised controlled trial in elderly care facility, Peninsular Malaysia. PLoS One. 2018; 13: e0192417.
 Tsai MC, Chuang HL, Huang CY, Lee SH, Liao WC, Lee MC, et al. Exploring the relationship of health beliefs and self-care behaviors related to diabetic foot ulcers of type II diabetes mellitus patients: a cross-sectional study. International Journal of Environmental Research and Public Health. 2021; 18: 7207.
 Scain SF, Franzen E, Hirakata VN. Effects of nursing care on patients in an educational program for prevention of diabetic foot. Rev Gaucha Enferm. 2018; 39: e20170230.
 Wei QY, Zhou Q, Wu TT, Ruan JY, Ruan JJ, Shao HQ. Implementation of Ahmadi continuous nursing for children with bronchiolitis obliterans. Journal of Nursing Science. 2020; 35: 101–103. (In Chinese)
 Jiang H, Li WJ, LV YL. Analysis on the application of continuous nursing based on Ahmadi model in patients with maxillofacial surgery. Chinese Journal of Aesthetic Medicine. 2022; 31: 161–164. (In Chinese)
 Bakan G, Inci FH. Predictor of self-efficacy in individuals with chronic disease: stress-coping strategies. Journal of Clinical Nursing. 2021; 30: 874–881.
 Liu J, Zhang HH, Li JH. Application of feedforward control nursing in children with type 1 diabetes complicated with diabetes ketoacidosis in children with type 1 diabetes. Hainan Medical Journal. 2022; 33: 1765–1768.
 Song LQ. Analysis of high risk factors of ketoacidosis. Nursing Practice and Research. 2021; 18: 1581–1585.
 Idrees M, Batool S. Environmental risk assessment of chronic arsenic in drinking water and prevalence of type-2 diabetes mellitus in Pakistan. Environmental Technology. 2020; 41: 232–237.
 Goedegebure EAR, Koning SH, Hoogenberg K, Korteweg FJ, Lutgers HL, Diekman MJM, et al. Pregnancy outcomes in women with gestational diabetes mellitus diagnosed according to the WHO-2013 and WHO-1999 diagnostic criteria: a multicentre retrospective cohort study. BMC Pregnancy Childbirth. 2018; 18: 152.
 Khrystolubova N, Shieh M, Patel AJ, Bailey R. Pharmacist-led patient education and adverse event management in patients with non-small cell lung cancer receiving afatinib in a community-based, real-world clinical setting. Journal of Oncology Pharmacy Practice. 2020; 26: 13–22.
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