基于三级预防的糖尿病足全程管理模式构建  

Construction of Diabetic Foot Whole-Process Management Mode Based on Tertiary Prevention

作　　者：蒋娅[1] 谢翠华[1] 罗祥蓉[2] 雷满霞 李际敏[1] 邹梦晨[1] 曹瑛[1] 高方[1] JIANG Ya;XIE Cuihua;LUO Xiangrong(Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, 510515, China;不详)

机构地区：[1]南方医科大学南方医院,广东广州510515 [2]南方医科大学南方医院内分泌代谢科,广东广州510515

出　　处：《中国卫生质量管理》2021年第2期68-73,共6页Chinese Health Quality Management

基　　金：2019年度广东省卫生健康适宜技术推广项目。

摘　　要：目的构建基于三级预防的糖尿病足全程管理模式。方法成立品管圈小组,开展课题研究型品管圈活动。结果构建了基于三级预防的糖尿病足全程管理模式,使Wagner 3级以上糖尿病足患者大截肢率由4%下降为1.76%,Wagner 3级以上患者平均住院日由25.3 d缩短为15.7 d,平均住院费用由22580元降低为16780元,糖尿病高危足早期筛查率由68%提升为90%,患者满意度由56%提升为85%,糖尿病足MDT年会诊量由112人次提升为268人次。结论基于三级预防的糖尿病足全程管理模式改善了糖尿病足预后,缩短了患者住院时间,降低了住院费用,提高了患者生活质量。Objective To establish diabetic foot whole-process management model based on tertiary prevention.Methods A quality control circle group was established to carry out activities by applying the research-oriented quality control circle approach.Results The diabetic foot whole-process management model based on tertiary prevention was constructed,which reduced the amputation rate of patients with diabetic foot above Wagner Grade 3 from 4%to 1.76%,decreased the average length of stay from 25.3 days to 15.7 days and average medical costs from 22580 yuan to 16780 yuan.The early-screening rate for diabetes at high-risk of diabetic foot increased from 68%to 90%,the satisfaction of diabetic foot patients increased from 56%to 85%,and the annual volume of Multi-Disciplinary Team consultation increased from 112 to 268.Conclusion The construction of the diabetic foot whole-process management model based on tertiary prevention improved the prognosis of patients,shortened the hospitalization time,reduced the medical cost,and improved the quality of life of patients.

关 键 词：品管圈 课题研究型品管圈 糖尿病足 全程管理模式 三级预防 

分 类 号：R197.323[医药卫生—卫生事业管理] R587.1[医药卫生—公共卫生与预防医学]