品管圈在降低2型糖尿病住院患者低血糖发生率中的应用效果
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摘要
目的探讨品管圈(QCC)在降低2型糖尿病(T2DM)住院患者低血糖发生率中的应用效果。方法随机选取我院2017年7～12月T2DM 47例住院患者为对照组(n=47),随机选取我院2018年1～6月T2DM 47例住院患者为研究组(n=47)。对照组采取常规护理,研究组在对照组基础上用QCC。统计两组遵医行为(规范用药、积极运动、合理饮食、自我血糖监测)及低血糖发生率、护理工作总满意度、干预前后生活质量(SF-36)分值。结果研究组规范用药率(97.87%)、积极运动率(89.36%)、合理饮食率(89.36%)、自我血糖监测率(95.74%)高于对照组(72.34%、65.96%、68.09%、70.21%),低血糖发生率(8.51%)低于对照组(25.53%),差异均有统计学意义(P<0.05);研究组护理工作总满意度(93.62%)高于对照组(76.60%),差异有统计学意义(P<0.05);两组干预后SF-36分值高于干预前,且研究组高于对照组,差异有统计学意义(P<0.05)。结论通过实施QCC活动,可有效改善T2DM住院患者遵医行为,降低低血糖发生率,并可改善患者生活质量,提高护理工作满意度。
Objective To explore the effect of quality control circle(QCC) on reducing the incidence of hypoglycemia in hospitalized patients with type 2 diabetes(T2 DM). Methods A total of 47 patients with T2 DM in our hospital from July 2017 to December 2017 were selected as the control group(n=47). 47 patients with T2 DM in our hospital from January 2018 to June 2018 were randomly selected as the study group(n =47). The control group was given routine care, and the study group was given QCC on the basis of the control group. The compliance behaviors of the two groups(standardized medication, active exercise, reasonable diet, and self-glycemia monitoring) and the incidence of hypoglycemia, satisfaction with nursing work, and quality of life(SF-36) before and after intervention scores were counted.Results The study group′s standardized drug use rate(97.87%), positive exercise rate(89.36%), reasonable diet rate(89.36%), and self-glycemia monitoring rate(95.74%) were higher than those in the control group(72.34%, 65.96%,68.09%, and 70.21%), the incidence of hypoglycemia(8.51%) was lower than that of the control group(25.53%), the differences were statistically significant(P<0.05). The total satisfaction of nursing work in the study group(93.62%) was higher than that of the control group(76.60%), and the difference was statistically significant(P<0.05). The scores of SF-36 after intervention were higher than those before intervention in both groups, and that of the study group was higher than that of the control group, and the differences were statistically significant(P<0.05). Conclusion QCC can effectively improve the compliance behavior of patients with T2 DM, reduce the incidence of hypoglycemia, and improve the quality of life of patients and improve the satisfaction of nursing work.
Objective To explore the effect of quality control circle(QCC) on reducing the incidence of hypoglycemia in hospitalized patients with type 2 diabetes(T2 DM). Methods A total of 47 patients with T2 DM in our hospital from July 2017 to December 2017 were selected as the control group(n=47). 47 patients with T2 DM in our hospital from January 2018 to June 2018 were randomly selected as the study group(n =47). The control group was given routine care, and the study group was given QCC on the basis of the control group. The compliance behaviors of the two groups(standardized medication, active exercise, reasonable diet, and self-glycemia monitoring) and the incidence of hypoglycemia, satisfaction with nursing work, and quality of life(SF-36) before and after intervention scores were counted.Results The study group′s standardized drug use rate(97.87%), positive exercise rate(89.36%), reasonable diet rate(89.36%), and self-glycemia monitoring rate(95.74%) were higher than those in the control group(72.34%, 65.96%,68.09%, and 70.21%), the incidence of hypoglycemia(8.51%) was lower than that of the control group(25.53%), the differences were statistically significant(P<0.05). The total satisfaction of nursing work in the study group(93.62%) was higher than that of the control group(76.60%), and the difference was statistically significant(P<0.05). The scores of SF-36 after intervention were higher than those before intervention in both groups, and that of the study group was higher than that of the control group, and the differences were statistically significant(P<0.05). Conclusion QCC can effectively improve the compliance behavior of patients with T2 DM, reduce the incidence of hypoglycemia, and improve the quality of life of patients and improve the satisfaction of nursing work.
引文
[1]黄燕红.老年2型糖尿病患者发生低血糖的危险因素分析及护理对策[J].牡丹江医学院学报,2016,37(2):130-132.
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[3]童奥,朱慧娟,马小艳,等.2型糖尿病患者低血糖发生的特点分析及护理[J].护士进修杂志,2016,31(23):2155-2157.
[4]赵秀君,刘丽华,王竹宁,等.集束化管理对青少年2型糖尿病患者血糖及低血糖事件的影响[J].解放军护理杂志,2017,34(20):36-38.
[5]张丽亚.2型糖尿病病人住院期间低血糖发生危险因素及护理干预[J].全科护理,2018,16(3):334-336.
[6]王玉芳.2型糖尿病患者低血糖发生原因分析及护理对策探讨[J].当代临床医刊,2017,30(5):3425-3425.
[7]艾衣坦·阿依特哈孜.老年2型糖尿病患者发生严重低血糖的危险因素分析[J].实用糖尿病杂志,2016,12(4):15-16.
[8]李凤娇,周佩如,黄洁微,等.2型糖尿病住院病人低血糖相关因素分析[J].护理研究,2016,30(2):186-187.
[9]王兵平,苏金凤,黄立坤.品管圈活动在糖尿病低血糖患者中的运用及评价[J].中国药物与临床,2016,16(4):604-605.
[10]韩玉梅.社区综合护理干预对2型糖尿病患者康复效果、遵医行为及生活质量的影响研究[J].国际护理学杂志,2014,33(11):3001-3003.
[11]王巧玲,牛铭芸.品管圈在降低糖尿病住院患者低血糖发生率的应用[J].泰山医学院学报,2016,37(4):415-417.
[12]仲畅.品管圈在降低外科糖尿病患者低血糖发生率中的应用[J].检验医学与临床,2016,13(14):2017-2018.
[13]杨事欣,汪珠,崔英杰,等.品管圈管理在降低住院老年糖尿病患者低血糖发生率中的应用实践[J].国际护理学杂志,2015,33(20):2845-2847.
[14]郭晓迪,胡细玲,龚冬娥,等.品管圈在糖尿病住院病人低血糖预防中的应用[J].全科护理,2016,14(7):725-727.
[15]吴静,张晓娟,蒋娟,等.品管圈管理在降低糖尿病患者低血糖发生率中的应用[J].现代医药卫生,2017,33(2):281-283.
[16]潘炜滨.品管圈活动在降低2型糖尿病住院患者低血糖发生率中的作用研究[J].现代诊断与治疗,2016,27(20):3997-3998.
[17]林红霞,陈凤笑,莫桂英,等.品管圈活动在住院2型糖尿病患者低血糖管理的应用[J].内蒙古中医药,2017,36(1):67-68.
[18]兰文霞,王晓云.应用品管圈降低住院2型糖尿病患者低血糖发生率的实践[J].中国护理管理,2015,15(S1):78-80.
[19]谭晓青,李冬敏,朱淑芳,等.品管圈活动在降低2型糖尿病住院患者低血糖发生率中的应用[J].护理管理杂志,2014,14(7):525-526.
[20]邹艳波,李雯,黄倩蓝,等.应用品管圈降低住院2型糖尿病患者低血糖发生率的效果观察[J].中国护理管理,2014,14(6):620-622.
[2]方芳,文学芳,王和平.睡前护理干预对预防2型糖尿病夜间无症状低血糖发生的效果[J].实用临床医药杂志,2016,20(24):132-134.
[3]童奥,朱慧娟,马小艳,等.2型糖尿病患者低血糖发生的特点分析及护理[J].护士进修杂志,2016,31(23):2155-2157.
[4]赵秀君,刘丽华,王竹宁,等.集束化管理对青少年2型糖尿病患者血糖及低血糖事件的影响[J].解放军护理杂志,2017,34(20):36-38.
[5]张丽亚.2型糖尿病病人住院期间低血糖发生危险因素及护理干预[J].全科护理,2018,16(3):334-336.
[6]王玉芳.2型糖尿病患者低血糖发生原因分析及护理对策探讨[J].当代临床医刊,2017,30(5):3425-3425.
[7]艾衣坦·阿依特哈孜.老年2型糖尿病患者发生严重低血糖的危险因素分析[J].实用糖尿病杂志,2016,12(4):15-16.
[8]李凤娇,周佩如,黄洁微,等.2型糖尿病住院病人低血糖相关因素分析[J].护理研究,2016,30(2):186-187.
[9]王兵平,苏金凤,黄立坤.品管圈活动在糖尿病低血糖患者中的运用及评价[J].中国药物与临床,2016,16(4):604-605.
[10]韩玉梅.社区综合护理干预对2型糖尿病患者康复效果、遵医行为及生活质量的影响研究[J].国际护理学杂志,2014,33(11):3001-3003.
[11]王巧玲,牛铭芸.品管圈在降低糖尿病住院患者低血糖发生率的应用[J].泰山医学院学报,2016,37(4):415-417.
[12]仲畅.品管圈在降低外科糖尿病患者低血糖发生率中的应用[J].检验医学与临床,2016,13(14):2017-2018.
[13]杨事欣,汪珠,崔英杰,等.品管圈管理在降低住院老年糖尿病患者低血糖发生率中的应用实践[J].国际护理学杂志,2015,33(20):2845-2847.
[14]郭晓迪,胡细玲,龚冬娥,等.品管圈在糖尿病住院病人低血糖预防中的应用[J].全科护理,2016,14(7):725-727.
[15]吴静,张晓娟,蒋娟,等.品管圈管理在降低糖尿病患者低血糖发生率中的应用[J].现代医药卫生,2017,33(2):281-283.
[16]潘炜滨.品管圈活动在降低2型糖尿病住院患者低血糖发生率中的作用研究[J].现代诊断与治疗,2016,27(20):3997-3998.
[17]林红霞,陈凤笑,莫桂英,等.品管圈活动在住院2型糖尿病患者低血糖管理的应用[J].内蒙古中医药,2017,36(1):67-68.
[18]兰文霞,王晓云.应用品管圈降低住院2型糖尿病患者低血糖发生率的实践[J].中国护理管理,2015,15(S1):78-80.
[19]谭晓青,李冬敏,朱淑芳,等.品管圈活动在降低2型糖尿病住院患者低血糖发生率中的应用[J].护理管理杂志,2014,14(7):525-526.
[20]邹艳波,李雯,黄倩蓝,等.应用品管圈降低住院2型糖尿病患者低血糖发生率的效果观察[J].中国护理管理,2014,14(6):620-622.