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Original Research

Open Access

Effects of the application of Ahmadi continuous nursing model in children with diabetic ketoacidosis

  • Hongwei Chen1
  • Jin Cai1
  • Yinxiang Xu1
  • Zhen Zhang1
  • Youjia Wu1,*,

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: yj_wu0927@163.com

Abstract

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.


Keywords

Children; Diabetic ketoacidosis; Blood glucose; Insulin resistance; Family function; Ahmadi continuous nursing model


Cite and Share

Hongwei Chen,Jin Cai,Yinxiang Xu,Zhen Zhang,Youjia Wu. Effects of the application of Ahmadi continuous nursing model in children with diabetic ketoacidosis. SignaVitae. 2023. 19(2);104-110.

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