Contemporary Nursing

Objective Diabetic ketoacidosis (DKA) is a common acute complication in diabetic patients, characterized by rapid onset, rapid disease progression, and multiple complications, posing a serious threat to patients' health and life safety. In addition to timely and effective treatment, high-quality nursing measures are also particularly important. Therefore, this paper explores the application effect of nursing risk management based on the PDCA cycle quality control concept in patients with diabetic ketoacidosis. Methods Adult DKA patients admitted to our hospital were divided into a control group (n=30, receiving guideline-driven routine nursing) and an observation group (n=30, receiving routine nursing plus a nursing risk management system constructed based on the four-stage cycle of 'Plan-Do-Check-Act' in accordance with the PDCA cycle quality control concept) before and after the implementation of nursing risk management based on the PDCA cycle quality control concept. The nursing effects of the two groups were compared. Results The nursing effectiveness rate, various clinical nursing indicators, prognosis indicators, and nursing satisfaction of the observation group were significantly better than those of the control group, with P<0.05, indicating a significant difference between the groups. Conclusion Nursing risk management based on the PDCA cycle quality control concept has achieved significant results in DKA patients and can be used as the preferred strategy for continuous quality improvement in emergency and critical care nursing for DKA.

PDCA cycle; Quality control; Nursing risk management; Diabetic ketoacidosis; Continuous quality improvement