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

Abd El-Basset Mahmoud, Zainab Maher; Mohammed, Inshrah Roshdy; Abdelaziz, Mohamed Omar; Mohamed Ibrahim, Bedour Adel

doi:10.21608/msnj.2025.354987.1160

	Effect of Fluid & Electrolytes and Glucose Monitoring Implementation on Length of Stay for Patients with Diabetic Ketoacidosis
Minia Scientific Nursing Journal
Volume 017, Issue 1, June 2025, Page 114-124 PDF (560.32 K)
Document Type: Original articles
DOI: 10.21608/msnj.2025.354987.1160
View on SCiNiTO
Authors
Zainab Maher Abd El-Basset Mahmoud ¹; Inshrah Roshdy Mohammed²; Mohamed Omar Abdelaziz³; Bedour Adel Mohamed Ibrahim⁴
¹Nursing Specialist in Technical Institute of Nursing - Minia University
²Professor, Medical-Surgical Nursing- Faculty of Nursing – Minia University
³Assistant Professor of General Medicine and Critical Care Medicine- Faculty of Medicine - Minia University
⁴Lecturer 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 *1^st part:* the demographic characteristics of patient, *2^nd 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 1^st day. While, there was a highly statistically significant variations among both groups (study as well as control) regard blood glucose level measurements on the 2^nd day and 3^rd 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.
Keywords
Fluid & Electrolytes; Glucose Monitoring; Length of Stay; Ketoacidosis


Statistics Article View: 143 PDF Download: 76