品管圈活动对胰岛素强化治疗脓毒血症所致低血糖症的预防效果观察  

Observation on the preventive effect of QCC program on insulin in intensive treatment of hypoglycemia caused by sepsis

作　　者：吴琼华[1] 强红梅[1] 

机构地区：[1]广东省珠海市人民医院,广东珠海519000

出　　处：《青岛医药卫生》2016年第1期69-72,共4页Qingdao Medical Journal

摘　　要：目的探讨品管圈活动对胰岛素强化治疗脓毒血症所致低血糖症的预防效果。方法选取我院2014年1月至2015年1月收治的98例行胰岛素强化的脓毒血症患者为研究对象,根据品管圈活动开展时间(2014年7月至2015年1月)分成研究组和对照组各49例。对照组患者为品管圈活动开展前入组者,予以常规护理措施;研究组患者为品管圈活动开展后入组者,予以品管圈活动干预措施。对比两组患者血糖达标时间、胰岛素使用总量、ICU入住时间、总住院时间等干预指标差异,记录其低血糖症发生率及28d生存率差异。结果研究组患者血糖达标时间、ICU入住时间、总住院时间及胰岛素使用总量均显著低于对照组患者,差异具有统计学意义(P<0.05)。研究组患者低血糖症发生率为10.2%,显著低于对照组的28.6%,差异具有统计学意义(P<0.05)。对照组患者28d生存率为49.0%,显著低于研究组患者的69.4%,差异具有统计学意义(P<0.05)。结论对行胰岛素强化治疗的脓毒血症患者予以品管圈活动干预措施,可有效降低低血糖症发生风险,对缩短血糖达标时间、减少胰岛素使用量等具有积极影响,值得临床推广。Objective To investigate the preventive effect of QCC program on insulin in intensive treatment of hypoglycemia caused by sepsis.Methods A total of 98 cases of patients with sepsis admitted into the hospital for insulin intensive therapy from January 2014 to January 2015 were selected as the research object and were divided into the research group and the control group with 49 cases in each group according to the opening time of QCC program（July 2014 to January2015）.The patients enrolled in control group were given the routine nursing care before the opening of QCC program,while the patients enrolled in research group were given QCC program intervention after the opening of QCC program.The time of blood glucose reaching the standard,the total dosage of insulin,ICU stay,total hospitalization time and other intervention indicators were compared between the two groups and the differences in the incidence of hypoglycemia and28 dsurvival rate were recorded.Results The time of blood glucose reaching the standard,ICU stay,total hospitalization time and the total dosage of insulin in research group were significantly lower than those in control group and the difference was statistically significant（P〈0.05）.The occurrence rate of hypoglycemia in research group was 10.2% which was significantly lower than28.6% of control group and the difference was statistically significant（P〈0.05）.The 28 dsurvival rate of control group was 49.0% which was significantly lower than 69.4% of research group and the difference was statistically significant（P〈0.05）.Conclusion To apply QCC program intervention measures in the insulin intensive treatment for patients with sepsis can effectively reduce the risk of hypoglycemia and has a positive effect on shortening the time of blood glucose reaching the standard and reducing the dosage of insulin,which is worth clinical promotion.

关 键 词：品管圈活动 胰岛素强化 脓毒血症 低血糖症 预防效果 

分 类 号：R473.5[医药卫生—护理学]