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Analysis of internal medicine emergency management and nursing intervention for hypokalemia

Gui-Zhi Ji, Chun-Mei Wang, Fei-Fei Xia, Hui-Xin Wang

Objective: To investigate the effect of emergency nursing measures in patients with hypokalemia.

Methods: A total of 89 patients with hypokalemia in our hospital were randomly divided into two groups from June 2014 to April 2016. A total of 44 patients in the control group received the routine treatment. Meanwhile, 45 patients with hypokalemia in the study group received the internal medicine emergency treatment depending on the specific situation and targeted nursing intervention. The effective rates, degree of satisfaction, and negative emotions were compared between the patients in the two groups.

Results: The effective rate of the study group was significantly higher than that of the control group (P<0.05), and the difference was significant (P<0.05). Furthermore, the negative emotions on admission were not significantly different between the two groups (P>0.05). After treatment, the self-rating depression scale and self-rating anxiety scale scores of the study group were significantly lower than those of the control group (P<0.05). The average serum potassium concentration of the study group before emergency treatment (2.11 ± 0.23 mmol/L) significantly increased after emergency treatment (3.82 ± 0.53 mmol/L) (t=12.211, P<0.05). Moreover, the serum potassium concentration of the control group before emergency treatment (2.13 ± 0.28 mmol/L) significantly rose after emergency treatment (2.76 ± 0.32 mmol/L) (t=5.211, P<0.05). However, the improvement of serum potassium concentration of the study group was significantly superior to that of the control group (t=4.354, P<0.05).

Conclusion: By detailed internal medical emergency treatment combined with targeted nursing, one can improve the curative effect and negative emotions in hypokalemic patients. Hence, the developed management approach is worth promoting.