应用PDCA循环提高糖尿病患者自我注射胰岛素规范率的效果研究(1)
【摘要】 目的 探讨应用PDCA循环提高糖尿病患者自我注射胰岛素规范率的临床效果。方法 132例需要胰岛素注射治疗的糖尿病患者， 随机分成对照组和观察组， 各66例。对照组给予常规健康教育， 观察组应用PDCA循环健康教育， 比较两组患者自我注射胰岛素规范率情况。结果 两组患者空腹血糖、餐后血糖出院时比较， 差异无统计学意义(P>0.05)；出院后6个月观察组空腹血糖、餐后血糖控制程度显著优于对照组， 差异有统计学意义(P<0.05)。观察组出院后6个月自我注射胰岛素规范56例(84.85%)高于对照组的32例(48.48%)， 差异有统计学意义(χ2=19.6364 ， P<0.05)。出院后观察组低血糖发生率为3.03%显著低于对照组的12.12%， 健康教育满意率为96.97%显著高于对照组的42.42%， 差异有统计学意义(P<0.05)。结论 应用PDCA循环进行糖尿病患者健康教育后， 糖尿病患者自我注射胰岛素规范率显著提高， 对于有效控制血糖值， 提高健康水平具有重要临床意义。
【关键词】 PDCA循环；糖尿病；胰岛素注射；规范
DOI：10.14163/j.cnki.11-5547/r.2017.05.085
Study on effect of PDCA cycle in improving standard rate of self insulin injection in diabetes patients YANG Ai-fang， YAO Bin， TAN Li-xue， et al. Guangdong Province Dongguan City Changping Hospital， Dongguan 523573， China
【Abstract】 Objective To explore the clinical effect of PDCA cycle in improving standard rate of self insulin injection in diabetes patients. Methods A total of 132 diabetes patients with insulin injection therapy were randomly divided into control group and observation group， with 66 cases in each group. The control group received conventional health education， and the observation group received PDCA cycle health education. Standard rate of self insulin injection was compared in two groups. Results There was no statistically significant difference in fasting plasma glucose， postprandial blood sugar at discharge in two groups (P>0.05). The observation group had better control in fasting plasma glucose， postprandial blood sugar 6 months after discharge than the control group， and the difference had statistical significance (P<0.05). The observation group had 56 standard self insulin injection cases (84.85%) 6 months after discharge， which was higher than 32 cases (48.48%) in the control group， and the difference had statistical significance (χ2=19.6364 ， P<0.05). The observation group had obviously lower incidence of hypoglycemia as 3.03% than 12.12% in the control group， and higher health education satisfaction degree as 96.97% than 42.42% in the control group. Their difference had statistical significance (P<0.05). Conclusion After application of PDCA cycle in health education for diabetes patients， standard rate of self insulin injection in diabetes patients increased significantly， which has important clinical significance for effective control of blood sugar and improvement of health level.
【Key words】 PDCA cycle； Diabetes； Insulin injection； Standard
PDCA 循環是近些年在临床护理管理中应用广泛的科学程序方法， 该方法通过策划、实施、检查、处理的顺序进行质量方法纠正[1]， 通过该程序的实施可以不断发现问题， 从问题中寻找解决办法， 有效避免问题的再次发生。目前， 糖尿病已经成为临床发生率较高的慢性疾病， 胰岛素注射治疗已经成为主要治疗手段[2]， 但是在临床实践中发现， 不规范的胰岛素注射， 严重影响治疗效果的发挥， 为了解决这个问题。本院在2016年初应用PDCA循环提高糖尿病患者自我注射胰岛素规范率取得了良好的临床疗效， 现将相关研究情况报告如下。, 百拇医药(阳爱芳 姚斌 谭力学 唐启斌 杨梅 胡彩如)
【关键词】 PDCA循环；糖尿病；胰岛素注射；规范
DOI：10.14163/j.cnki.11-5547/r.2017.05.085
Study on effect of PDCA cycle in improving standard rate of self insulin injection in diabetes patients YANG Ai-fang， YAO Bin， TAN Li-xue， et al. Guangdong Province Dongguan City Changping Hospital， Dongguan 523573， China
【Abstract】 Objective To explore the clinical effect of PDCA cycle in improving standard rate of self insulin injection in diabetes patients. Methods A total of 132 diabetes patients with insulin injection therapy were randomly divided into control group and observation group， with 66 cases in each group. The control group received conventional health education， and the observation group received PDCA cycle health education. Standard rate of self insulin injection was compared in two groups. Results There was no statistically significant difference in fasting plasma glucose， postprandial blood sugar at discharge in two groups (P>0.05). The observation group had better control in fasting plasma glucose， postprandial blood sugar 6 months after discharge than the control group， and the difference had statistical significance (P<0.05). The observation group had 56 standard self insulin injection cases (84.85%) 6 months after discharge， which was higher than 32 cases (48.48%) in the control group， and the difference had statistical significance (χ2=19.6364 ， P<0.05). The observation group had obviously lower incidence of hypoglycemia as 3.03% than 12.12% in the control group， and higher health education satisfaction degree as 96.97% than 42.42% in the control group. Their difference had statistical significance (P<0.05). Conclusion After application of PDCA cycle in health education for diabetes patients， standard rate of self insulin injection in diabetes patients increased significantly， which has important clinical significance for effective control of blood sugar and improvement of health level.
【Key words】 PDCA cycle； Diabetes； Insulin injection； Standard
PDCA 循環是近些年在临床护理管理中应用广泛的科学程序方法， 该方法通过策划、实施、检查、处理的顺序进行质量方法纠正[1]， 通过该程序的实施可以不断发现问题， 从问题中寻找解决办法， 有效避免问题的再次发生。目前， 糖尿病已经成为临床发生率较高的慢性疾病， 胰岛素注射治疗已经成为主要治疗手段[2]， 但是在临床实践中发现， 不规范的胰岛素注射， 严重影响治疗效果的发挥， 为了解决这个问题。本院在2016年初应用PDCA循环提高糖尿病患者自我注射胰岛素规范率取得了良好的临床疗效， 现将相关研究情况报告如下。, 百拇医药(阳爱芳 姚斌 谭力学 唐启斌 杨梅 胡彩如)