| 提高糖尿病住院患者围手术期血糖控制达标率 |
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| 引用本文： | 鲁文菊惠蓉袁雪刘玲娇.提高糖尿病住院患者围手术期血糖控制达标率[J].中国卫生质量管理,2021,0(12):071-75. |
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| 作者姓名： | 鲁文菊惠蓉袁雪刘玲娇 |
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| 作者单位： | 陕西省人民医院 |
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| 摘 要： | 运用品管圈方法，组建多学科协作小组，针对提高围手术期使用胰岛素泵治疗糖尿病患者血糖控制达标率进行改进，包括完善资料、修订流程、落实培训与考核等。改善后，胰岛素泵操作规范率由32.7%提升至96.0%，非内分泌科胰岛素泵资料完善率由30.2%提升至95.0%，胰岛素泵操作正确率由35.0%提升至83.0%，患者及家属糖尿病知识知晓率由35.0%提升至83.0%，护士对专科知识知晓率由51.8%提升至96.0%，围手术期血糖控制达标率由45.0% 提升至76.5%。品管圈活动开展可有效提高糖尿病住院患者围手术期血糖控制达标率，使全院围手术期糖尿病患者胰岛素泵治疗血糖护理标准同质化，提高了患者满意度。
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| 关 键 词： | 品管圈 问题解决型品管圈 糖尿病 围手术期 血糖控制 |
Improve the Standard Rate of Blood Glucose Control in Patients with Diabetes Mellitus During Perioperative Period |
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| LU Wenju,XI Rong,YUAN Xue.Improve the Standard Rate of Blood Glucose Control in Patients with Diabetes Mellitus During Perioperative Period[J].Chinese Health Quality Management,2021,0(12):071-75. |
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| Authors: | LU Wenju XI Rong YUAN Xue |
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| Affiliation: | Shaanxi Provincial People's Hospital |
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| Abstract: | Using the quality control circle, a multidisciplinary team was established to improve the blood glucose control standard rate in patients with diabetes treated with insulin pump during perioperative period,including the improvement of data, revision process, implementation of training and assessment.After improvement, the standard operation rate of insulin pump increased from 32.7% to 96.0%, and the data perfection of non-endocrinology insulin pump increased from 30.2% to 95.0%. The operation accuracy of insulin pump increased from 35.0% to 83.0%. The diabetes knowledge awareness rate of patients and their families increased from 35.0% to 83.0%; the specialized knowledge awareness rate of nurses increased from 51.8% to 96.0%; perioperative glucose control standard rate was increased from 45.0% to 76.5%. Quality control circle activities can effectively improve the compliance rate of perioperative blood glucose control in inpatients with diabetes, homogenize the nursing standard of perioperative blood glucose treatment with insulin pump in the whole hospital, and improve patient satisfaction. |
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| Keywords: | Quality Control Circle Problem Solving Type Quality Control Circle Diabetes Perioperative Period Blood Glucose Control |
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