持续质量改进在提高糖尿病前列腺电切术疗效中的应用  

Application of continuous quality improvement on enhancing diabetes prostate transurethral resection patients' outcomes

作　　者：冯锦芳[1] 聂芳[1] 陈晓霞[1] 谭秋华[1] 

机构地区：[1]广东省中山市人民医院泌尿外科,中山528400

出　　处：《当代护士（中旬刊）》2014年第2期42-44,共3页Modern Nurse

摘　　要：目的探讨持续质量改进在糖尿病前列腺电切术患者中的治疗效果。方法分别选择2011年8月～2012年9月、2009年6月～2011年7月的66例、57例糖尿病前列腺电切术患者作为观察组和对照组，对照组予常规护理及管理，观察组则围绕患者在手术治疗过程中血糖控制的意义、饮食对血糖控制和对伤口修复的影响，分析患者饮食存在的问题及原因，以问题为切入点，制定持续质量改进措施。比较2组患者术后第2天、第5天、第8天空腹血糖（FPG）、餐后2h血糖（2hPG）、术后血尿时间、住院时间及术后继发性出血情况。结果观察组术后第2天、第5天、第8天的FPG和2hPG及术后血尿时间、住院时间、术后继发性出血显著低于对照组（P〈0．01），比较差异有统计学意义。结论持续质量改进方法，既提高了患者血糖的控制效果，又满足了身体和伤口修复所需要的营养供给，促进了患者伤口的愈合，缩短了住院时间，降低了患者的住院费用，体现了以患者为中心的护理理念。Objective Explore the effect of continuous quality improvement on enhancing diabetes prostate transurethral resection patients＂ outcomes. Methods 66 patients from August 2011 to September 2012 were selected as treatment group and 57 patients from June 2009 to Ju- ly 2011 were selected as contrast group. Patients of treatment group were given conventional treatment ,while patients of contrast group accept- ed continuous quality improvement methods. Compare patients＇fasting plasma glucose（FPG） ,2-hour postprandial blood glucose （2hPG）, he- maturia time, hospital stay length and secondary bleeding condition after 2 days, 5 days and 8 days. Results The treatment group patients＂ fasting plasma glucose （FPG） ,2-hour postprandial blood glucose （2hPG） , hematuria time, hospital stay length and secondary bleeding condi- tion after 2 days,5 days and 8 days were lower than those of contrast group＇patients. Conclusion Continuous quality improvement methods nor only help control patients＇glycemic , but also meet the supply of nutrients need. It also helps shorten hospital stay length , reduces hospital cost of patient.

关 键 词：前列腺电切术 糖尿病 血糖 持续质量改进 饮食护理 住院时间 

分 类 号：R473.6[医药卫生—护理学]