Effect of Fluid & Electrolytes and Glucose Monitoring Implementation on Length of Stay for Patients with Diabetic Ketoacidosis

Document Type : Original articles

Authors

1 Nursing Specialist in Technical Institute of Nursing - Minia University

2 Professor, Medical-Surgical Nursing- Faculty of Nursing – Minia University

3 Assistant Professor of General Medicine and Critical Care Medicine- Faculty of Medicine - Minia University

4 Lecturer of Medical-Surgical Nursing- Faculty of Nursing - Minia University

Abstract

Background: A serious global health issue, diabetes mellitus (DM) affects millions of individuals globally. Often a serious medical emergency, diabetic ketoacidosis (DKA) is a consequence of diabetes. Aim of the Study: to evaluate the effect of fluid & electrolytes and glucose monitoring implementation on length of stay for patients with diabetic ketoacidosis. Research Design: a quasi-experimental study design utilized to fulfill the aim of this research (study and control group). Subjects and Setting: the research were conducted at medical care unit department at Minia University Hospital. A purposive sample of sixty adult DKA patients were be utilized in the current study. Tools: Data collection utilized by First tool 1st part: the demographic characteristics of patient, 2nd part: medical data assessment tool. Second tool Hospital Length of Stay chart. Third tool Blood glucose & HbA1c findings chart. Fourth tool fluid and electrolytes monitoring items chart. Results: shows that above half of the study as well as control groups (63.3%, 50%) respectively were within the age (18–30) years. Also, above half of the study as well as control groups were females (63.3%, 56.7%) respectively there was no statistically significant variations among both groups (study as well as control) toward blood glucose level measurements on the 1st day. While, there was a highly statistically significant variations among both groups (study as well as control) regard blood glucose level measurements on the 2nd day and 3rd day, but found statistically significant variations among both study as well as control groups toward blood glucose level measurements on the 4th day and 5th day. Conclusion: results revealed that fluid& electrolytes and glucose monitoring implementation had reduced hospital length of stay for patients with diabetic ketoacidosis. Recommendation: Future research and training programs should focus on tailored nursing interventions to address DKA severity and recovery managements.

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