{"id":144653,"date":"2025-08-31T10:57:37","date_gmt":"2025-08-31T10:57:37","guid":{"rendered":"https:\/\/www.paluniv.edu.ps\/?p=144653"},"modified":"2025-08-31T10:57:37","modified_gmt":"2025-08-31T10:57:37","slug":"%d8%a7%d9%84%d8%a3%d8%b3%d8%aa%d8%a7%d8%b0-%d8%a7%d9%84%d8%af%d9%83%d8%aa%d9%88%d8%b1-%d8%a3%d8%ad%d9%85%d8%af-%d8%a7%d9%84%d8%a8%d8%b7%d8%b1%d8%a7%d9%86-%d9%8a%d8%b4%d8%a7%d8%b1%d9%83-%d9%81%d9%8a","status":"publish","type":"post","link":"https:\/\/www.paluniv.edu.ps\/?p=144653","title":{"rendered":"\u0627\u0644\u0623\u0633\u062a\u0627\u0630 \u0627\u0644\u062f\u0643\u062a\u0648\u0631 \u0623\u062d\u0645\u062f \u0627\u0644\u0628\u0637\u0631\u0627\u0646 \u064a\u0634\u0627\u0631\u0643 \u0641\u064a \u0646\u0634\u0631 \u062f\u0631\u0627\u0633\u0629 \u062c\u062f\u064a\u062f\u0629 \u0628\u0639\u0646\u0648\u0627\u0646 &#8221; \u0646\u062a\u0627\u0626\u062c \u062a\u0637\u0628\u064a\u0642 \u0627\u0644\u0625\u0631\u0634\u0627\u062f\u0627\u062a \u0627\u0644\u0633\u0631\u064a\u0631\u064a\u0629 \u0641\u064a \u062a\u062f\u0628\u064a\u0631 \u0627\u0644\u062d\u064f\u0645\u0627\u0636 \u0627\u0644\u0643\u064a\u062a\u0648\u0646\u064a \u0627\u0644\u0633\u0643\u0631\u064a \u0644\u062f\u0649 \u0627\u0644\u0623\u0637\u0641\u0627\u0644 \u0641\u064a \u0642\u0633\u0645 \u0627\u0644\u0637\u0648\u0627\u0631\u0626&#8221;"},"content":{"rendered":"<p><strong>\u0645\u0644\u062e\u0635 \u0627\u0644\u0628\u062d\u062b<\/strong><strong><\/strong><\/p><h3 class=\"wp-block-heading\">Background <a href=\"https:\/\/www.sciencedirect.com\/topics\/medicine-and-dentistry\/insulin-dependent-diabetes-mellitus\">Type 1 diabetes<\/a>\u00a0is the most common endocrine health condition among youth. Healthcare professionals must consider evidence-based guidelines in managing children and adolescents with\u00a0<a href=\"https:\/\/www.sciencedirect.com\/topics\/pharmacology-toxicology-and-pharmaceutical-science\/diabetic-ketoacidosis\">diabetic ketoacidosis<\/a>\u00a0(DKA). The current study aims to assess the outcomes of implementing\u00a0<a href=\"https:\/\/www.sciencedirect.com\/topics\/nursing-and-health-professions\/clinical-guideline\">clinical guidelines<\/a>\u00a0by the American Diabetes Association to manage DKA among\u00a0<a href=\"https:\/\/www.sciencedirect.com\/topics\/medicine-and-dentistry\/pediatrics\">pediatrics<\/a>\u00a0in an\u00a0<a href=\"https:\/\/www.sciencedirect.com\/topics\/medicine-and-dentistry\/emergency-department\">emergency department<\/a>\u00a0in Palestine.<\/h3><h3 class=\"wp-block-heading\">Methods A&nbsp;<a href=\"https:\/\/www.sciencedirect.com\/topics\/nursing-and-health-professions\/prospective-cohort-study\">prospective cohort study<\/a>&nbsp;was conducted among 60 children (&lt;12&nbsp;years old) with type 1 diabetes mellitus with DKA throughout February to May 2021. The children were assessed on arrival and during the next 6&nbsp;h for implementing the recommended guidelines of DKA management (e.g., fluids and insulin therapy). The assessment included measurement of vital signs (blood pressure, heart rate, respiratory rate, O2&nbsp;saturation), PH, HCO3-, and random&nbsp;<a href=\"https:\/\/www.sciencedirect.com\/topics\/nursing-and-health-professions\/glucose-blood-level\">blood glucose<\/a>&nbsp;(RBG). A repeated-measure ANOVA was used to detect the difference between outcome measures during the follow-up period.<\/h3><h3 class=\"wp-block-heading\">Results After implementing the recommended guidelines of DKA management, all vital signs improved significantly in the follow-up period (<em>p<\/em>&nbsp;&lt;&nbsp;0.05). Also, PH, HCO3-, and random&nbsp;<a href=\"https:\/\/www.sciencedirect.com\/topics\/medicine-and-dentistry\/blood-glucose\">blood glucose<\/a>&nbsp;(RBG) were significantly enhanced in the follow-up period (p&nbsp;&lt;&nbsp;0.05) among children with DKA.<\/h3><h3 class=\"wp-block-heading\">Conclusion The study demonstrated that the recommended DKA management guidelines effectively managed children with DKA in emergency departments. Healthcare professionals should adhere to the guidelines when treating children with DKA.<\/h3><p><strong>\u0643\u064a\u0641\u064a\u0629 \u0627\u0644\u0627\u0633\u062a\u0634\u0647\u0627\u062f \u0644\u0644\u0628\u062d\u062b:<\/strong><\/p><p>Younis, M., Ayed, A., Batran, A., Bashtawy, M. A., Najjar, Y., Alkouri, O., &#8230; &amp; Ababneh, A. (2025). The outcomes of implementing clinical guidelines to manage pediatric diabetic ketoacidosis in emergency department.&nbsp;<em>Journal of Pediatric Nursing<\/em>,&nbsp;<em>81<\/em>, 63-67.<\/p><p><strong>\u0631\u0627\u0628\u0637 \u0627\u0644\u0628\u062d\u062b<\/strong><\/p><p><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0882596325000235\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0882596325000235<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>&nbsp;<\/p>\n","protected":false},"author":8899,"featured_media":144655,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[529],"tags":[],"class_list":["post-144653","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-529"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.paluniv.edu.ps\/index.php?rest_route=\/wp\/v2\/posts\/144653","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.paluniv.edu.ps\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.paluniv.edu.ps\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.paluniv.edu.ps\/index.php?rest_route=\/wp\/v2\/users\/8899"}],"replies":[{"embeddable":true,"href":"https:\/\/www.paluniv.edu.ps\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=144653"}],"version-history":[{"count":1,"href":"https:\/\/www.paluniv.edu.ps\/index.php?rest_route=\/wp\/v2\/posts\/144653\/revisions"}],"predecessor-version":[{"id":144658,"href":"https:\/\/www.paluniv.edu.ps\/index.php?rest_route=\/wp\/v2\/posts\/144653\/revisions\/144658"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.paluniv.edu.ps\/index.php?rest_route=\/wp\/v2\/media\/144655"}],"wp:attachment":[{"href":"https:\/\/www.paluniv.edu.ps\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=144653"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.paluniv.edu.ps\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=144653"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.paluniv.edu.ps\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=144653"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}