持续质量改进对规范糖尿病联络护士胰岛素笔注射的效果  

Effect of continuous quality improvement on standardizing insulin pen injection in diabetic liaison nurses

作　　者：卢亚聪 李艳红 毛艳玲 Lu Yacong;Li Yanhong;Mao Yanling(Department of Endocrinology,Quanzhou Women and Children's Hospital,Quanzhou 362000,China;Department of Endocrinology,Quanzhou First Hospital,Quanzhou 362000,China)

机构地区：[1]泉州市妇幼保健院·儿童医院内分泌科,泉州362000 [2]泉州市第一医院内分泌科,泉州362000

出　　处：《国际医药卫生导报》2024年第4期687-690,共4页International Medicine and Health Guidance News

基　　金：福建省卫生健康科技计划(2020TG021)。

摘　　要：目的探讨持续质量改进在规范糖尿病联络护士胰岛素笔注射中的应用效果。方法自身前后对照研究。泉州市妇幼保健院·儿童医院糖尿病专科小组于2022年6月成立胰岛素笔注射持续改进小组,小组成员包括副主任护师1名、主管护师9名。对2022年6月至2022年12月期间36名糖尿病联络护士[年龄(35.17±4.07)岁,工作年限(12.61±5.41)年]的胰岛素笔注射达标率进行持续改进。比较改进前及改进后糖尿病联络护士的理论知识、操作得分、合格率及胰岛素笔注射的达标率。统计学方法采用配对t检验和χ^(2)检验。结果改进后,糖尿病联络护士的理论知识合格率高于改进前[100.00%(36/36)比77.78%(28/36)],操作合格率高于改进前[100.00%(36/36)比61.11%(22/36)],差异均有统计学意义(χ^(2)=9.00、17.38,均P<0.05);改进后,糖尿病联络护士的胰岛素笔注射达标率高于改进前[100.00%(36/36)比55.56%(20/36)],差异有统计学意义(χ^(2)=20.57,P<0.05)。结论持续质量改进可以提高糖尿病联络护士胰岛素笔注射理论知识、操作的合格率及胰岛素笔注射达标率。Objective To investigate the effect of continuous quality improvement on standardizing insulin pen injection in diabetic liaison nurses.Methods This was a self-controlled study.The diabetic specialist group of Quanzhou Women and Children's Hospital set up an insulin pen injection continuous improvement group in June 2022,including 1 deputy chief nurse and 9 supervisor nurses.The compliance rate of insulin pen injection of 36 diabetic liaison nurses[aged(35.17±4.07)years,working years of(12.61±5.41)years]from June 2022 to December 2022 was continuously improved.The scores and qualified rates of theoretical knowledge and operation and standard attainment rate of insulin pen injection among the diabetic liaison nurses were compared before and after improvement.Paired t test andχ^(2) test were used.Results After improvement,the qualified rate of theoretical knowledge of the diabetic liaison nurses was higher than that before improvement[100.00%(36/36)vs.77.78%(28/36)],and the qualified rate of operation was higher than that before improvement[100.00%(36/36)vs.61.11%(22/36)],with statistically significant differences(χ^(2)=9.00 and 17.38,both P<0.05).After improvement,the compliance rate of insulin pen injection of the diabetic liaison nurses was higher than that before improvement[100.00%(36/36)vs.55.56%(20/36)],with a statistically significant difference(χ^(2)=20.57,P<0.05).Conclusion Continuous quality improvement can improve the qualified rates of theoretical knowledge and operation of insulin pen injection of diabetic liaison nurses,and improve the standard rate of insulin pen injection.

关 键 词：糖尿病 胰岛素 注射 持续改进 糖尿病联络护士 

分 类 号：R473.5[医药卫生—护理学]