运用品管圈控制患者胰岛素注射部位规范轮换影响因素  

Using quality control circle to control the factors affecting rotating of insulin injection sites

作　　者：胡鹏[1] 黄丽红[1] 陶静[1] 王雅琳[1] 孙楠[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院内分泌科,湖北武汉430030

出　　处：《护理学杂志》2013年第13期12-15,共4页

摘　　要：目的探讨运用品管圈对提高住院患者胰岛素注射部位规范轮换率的作用。方法成立品管圈小组(由糖尿病专科护士、护士长、责任护士组成),确定研究主题,制定目标值,调查分析确定影响住院患者胰岛素注射部位规范轮换因素,针对其中3大要因制定对策计划并实施。结果观察组患者血糖达标时间显著短于对照组,胰岛素注射部位规范轮换率显著高于对照组(均P<0.05),观察组轮换缺陷目标达成率和进步率分别为97.65%、72.81%。结论影响住院患者胰岛素注射部位规范轮换因素涉及多方面,运用品管圈有助于系统分析影响胰岛素注射部位规范轮换原因和指导制定改进措施,有效提高住院患者胰岛素注射部位轮换率,促进使用胰岛素治疗患者血糖的有效控制。Objective To explore the usefullness of quality control circle（QCC）in controling the factors affecting rotating of insulin injection sites.Methods A QCC which consisted of diabetes specialist nurses,chief nurse,charge nurses,was formed.Circle members determined the research topic,set up goals,and made investigation on factors affecting rotating of insulin injection sites.Then they put forward strategies and implemented the improvement measures for 3leading factors.Results The time to reach euglycemia in the observation group was significantly shorter,rotation rate of insulin injection sites was significantly higher than in the control group（P0.05for both）.The rate of goal achieving and rate of improvement in the observation group were 97.65%and 72.81% respectively.Conclusion Many factors conspire to affect regular rotation of insulin injection sites.QCC helps to systemically analyze the factors that affect the rotation and make improvement schemes,which efficiently elevates the regular rotation rates,and finally helps patients on insulin therapy to control their glucose levels effectively.

关 键 词：品管圈活动 糖尿病 胰岛素 注射部位轮换 血糖控制 

分 类 号：R472[医药卫生—护理学] C931[医药卫生—临床医学]