Mahmoud, M., Kamal, Y., Ghanem, H., Desouky, A. (2021). Risk Factors for Diabetic Ketoacidosis among Diabetic Patients.. Assiut Scientific Nursing Journal, 9(25), 155-164. doi: 10.21608/asnj.2021.70400.1152
Mona M. Mahmoud; Yasser M. Kamal; Hala M. Ghanem; Amna A. Desouky. "Risk Factors for Diabetic Ketoacidosis among Diabetic Patients.". Assiut Scientific Nursing Journal, 9, 25, 2021, 155-164. doi: 10.21608/asnj.2021.70400.1152
Mahmoud, M., Kamal, Y., Ghanem, H., Desouky, A. (2021). 'Risk Factors for Diabetic Ketoacidosis among Diabetic Patients.', Assiut Scientific Nursing Journal, 9(25), pp. 155-164. doi: 10.21608/asnj.2021.70400.1152
Mahmoud, M., Kamal, Y., Ghanem, H., Desouky, A. Risk Factors for Diabetic Ketoacidosis among Diabetic Patients.. Assiut Scientific Nursing Journal, 2021; 9(25): 155-164. doi: 10.21608/asnj.2021.70400.1152
Risk Factors for Diabetic Ketoacidosis among Diabetic Patients.
1Bachelor of Nursing Science (B.SC.N) Faculty of Nursing, Assiut University, Egypt.
2Prof. of Internal Medicine, Faculty of Medicine, Sohag University, Egypt.
3Assistant Prof. of Medical Surgical Nursing, Faculty of Nursing, Assiut University, Egypt.
Abstract
Abstract: Background: Diabetic ketoacidosis (DKA) is a life-threatening complication of diabetes, Assessment of risk factors play important roles in decreasing morbidity and mortality secondary to diabetic ketoacidosis. Aim: To assess risk factors for diabetic ketoacidosis among diabetic patients at Sohag University Hospital. Research design: Casecontrol retrospective research design had been utilized. Setting: The study was conducted in Emergency Medical unit, Internal Medicine department, and Outpatient Clinics of diabetes at Sohag University Hospital. Sample: 160 adult diabetic patients enrolled in this study. Tool: Patient assessment sheet for diabetic ketoacidosis was utilized for data collections during the period from January 2019 and ended October 2020. Results: The finding shows that age (p-value <0.01) as non-modifiable risk factors, dehydration (p-value <0.01), infection (p-value <0.01) poor compliance with treatment (p-value <0.01) and acute pancreatitis (p-value <0.01) were modifiable risk factors. There was highly statistical significant (p-value <0.01) association between DKA and risk factors. Conclusions: This study found strong associations between DKA and risk factors such as age, infection, poor compliance with treatment, dehydration, acute pancreatitis, emotional stress, surgery, myocardial infarction, and stroke. Recommendations: Modifiable risk factors have a significant role in the development of Diabetic Ketoacidosis, so a complete multidisciplinary diabetes education should be accessible to control these factors.
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