持续质量改进提高护士对糖尿病患者低血糖规范处理的效果  

Application of continuous quality improvement in the criterion for the treatment of diabetic patients with hypoglycemia

作　　者：赖美铮[1] 吴凤玲[1] 彭穗娟[1] 谭惠仪[2] 

机构地区：[1]广州市红十字会医院内二科,510220 [2]广州市红十字会医院护理部,510220

出　　处：《中华现代护理杂志》2014年第19期2378-2381,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨持续质量改进（ CQI）提高护士在糖尿病患者发生低血糖后规范处理的方法及效果。方法采用CQI中FOCUS-PDCA流程对内分泌科护士在糖尿病患者发生低血糖后处理的流程进行质量控制和改进活动。查阅实施前187例和实施后197例低血糖患者的护理记录，比较实施CQI前后护士对糖尿病患者低血糖规范处理效果。结果实施CQI后，护士按规范指导低血糖患者进食的达标率从15．5％提高至77．6％，复测指尖血糖时间达标率从2．1％提高至39．8％，按规范记录患者发生低血糖伴随症状的达标率为从13．9％提高至77．6％，护士对低血糖知识掌握程度从43．7％提高至100.0％，差异均有统计学意义（χ2值分别为1．449，79．630，1．529，3．742；P＜0．01）。结论持续质量改进能规范护士对糖尿病患者低血糖的处理方法，提高护士对低血糖知识的掌握水平，为糖尿病患者的治疗提供安全保障。Objective To explore the method and effect of continuous quality improvement （ CQI） on the criterion for the treatment of diabetic patients with hypoglycemia in nurses .Methods The treatment process of diabetic patients with hypoglycemia was carried out the quality control and improvement in department of endocrinology using the FOCUS-PDCA process of CQI .The records of nursing including 187 cases before the implementation and 197 cases after the implementation were consulted .The effect of the criterion for the treatment of diabetic patients with hypoglycemia was compared before and after the implementation of the CQI . Results The compliance rate of instructing the patients with hypoglycemia to eat in nurses according to the standard was increased from 15.5%to 77.6%, and the compliance rate of the time of measuring the fingertip blood sugar again was increased from 2.1%to 39.8%, and the compliance rate of recording the simultaneous phenomenon of hypoglycemia was increased from 13 .9%to 77 .6%, and the degree of mastering the knowledge of hypoglycemia in nurses was increased from 43.7% to 100.0%, and the differences were statistically significant （χ2 =1.449,79.63,1.529,3.742, respectively;P〈0.01）.Conclusions CQI can standardize the method of the treatment of diabetic patients with hypoglycemia in nurses , and improve the knowledge of hypoglycemia in nurses , and provide the security for the treatment in diabetic patients .

关 键 词：糖尿病 低血糖 护士 持续质量改进 

分 类 号：R47[医药卫生—护理学]