AIDET沟通联合六西格玛管理在改善床边快速血糖疼痛感中的应用  

Application of AIDET communication combined with 6 Sigma management in decreasing the pain in rapid detection of blood glucose at bedside

作　　者：周玉琴[1] 徐亚青[1] 郑建娣[1] 陈芳芳 王芳[1] ZHOU Yuqin;XU Yaqing;ZHENG Jiandi;CHEN Fangfang;WANG Fang(Department of Endocrinology,Zhejiang Integrated Traditional and Western Medicine Hospital,Hangzhou310003,China)

机构地区：[1]浙江省中西医结合医院内分泌科,浙江杭州310003

出　　处：《中国现代医生》2021年第20期170-174,F0003,共6页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2020ZB184);浙江省杭州市卫生科技计划(一般)项目(2017A39)。

摘　　要：目的观察AIDET沟通联合六西格玛管理在改善床边快速血糖疼痛感中的应用效果。方法选取2019年1—6月在本院内分泌科住院的糖尿病患者94例,运用AIDET沟通模式联合六西格玛管理方法作为改善工具,改善前患者为对照组,纳入48例,改善后患者为观察组,纳入46例,比较两组患者即时疼痛评分、24 h后疼痛评分、左右手疼痛评分、各手指疼痛评分的情况及改善前后患者主观资料的变化。结果观察组患者床边快速血糖的即时及24 h后NRS评分均低于对照组,差异有统计学意义(P<0.05);与即时相比,两组患者24 h后左右手NRS评分比较,差异均有统计学意义(P<0.05);观察组患者24 h后的NRS评分明显低于对照组,差异有统计学意义(P<0.05)。两组患者主观资料中的知识、无想法比例比较,差异有统计学意义(P<0.05)。结论运用AIDET沟通联合六西格玛管理模式改善床边快速血糖疼痛感,可以有效的减轻患者疼痛感,体现了优质护理中人文关怀的理念。Objective To observe the application effect of AIDET communication combined with 6 Sigma management in decreasing the pain in rapid detection of blood glucose at bedside.Methods A total of 94 diabetic patients admitted to the department of endocrinology of our hospital from January to June 2019 were selected.AIDET communication mode combined with 6 Sigma management method were used as an improvement tool.Before improvement,patients were included in the control group(n=48),while after improvement,patients were included in the observation group(n=46).The instant pain score,pain score after 24 hours,pain score of left hand and right hand,pain score of each finger between the two groups,and change of subjective data before and after improvement were compared.Results The NRS scores of patients in the observation group were lower than those in the control group instantly after rapid detection of blood glucose at bedside and after 24 hours,and the differences were statistically significant(P<0.05).Compared with that of at beside,there were significant differences in the NRS scores between the left hand and right hand in both the two groups after 24 hours(P<0.05),and the NRS score in the observation group after 24 hours was lower than that in the control group,with significant differences(P<0.05).There were significant differences in the the proportion of knowledge,no idea of subjective information between the two groups(P<0.05).Conclusion Using AIDET communication combined with 6 Sigma management mode to decrease the pain in rapid detection of blood glucose at bedside can effectively reduce the pain of patients,which embodies the concept of humanistic care in high-quality nursing.

关 键 词：AIDET沟通 六西格玛管理 床边快速血糖 疼痛 

分 类 号：R473[医药卫生—护理学]