应用品管圈提高老年胰岛素注射患者血糖自我监测率的实践

目的：探讨品管圈活动提高老年胰岛素注射患者血糖自我监测率的效果。方法：通过品管圈的建立，确定以“提高老年胰岛素注射患者血糖自我监测率”为活动主题，把握现状，设定目标，分析原因及制定对策。结果：通过品管圈活动，与干预前比较，老年胰岛素注射患者血糖自我监测率明显提高（44．23％vs79．80％）（P〈0．01）；管理后患者血糖自我监测频率明显改善，与管理前比较有统计学差异（P〈0．01）；同时血糖仪使用的规范性和准确性也得到明显的提高。结论：运用品管圈活动可提高老年胰岛素注射患者血糖自我监测率以及血糖仪使用的规范性和准确性，值得推广。

The application of Quality Control Circle in improving blood glucose self-monitoring rate in the elderly patients with insulin injection

Objective： To investigate the effects of Quality Control Circle （QCC） activities on the improvement of Selfmonitoring Rate of Blood Glucose （SMBG） for the elderly patients with insulin injection. Methods： Increasing SMBG rate in the elderly patients with insulin injection was set as the primary subject of QCC activities. Then the authors investigated the current status, set goal of improvement, analyzed reasons and established countermeasures accordingly.Results： Through QCC activity, SMBG rate increased from 44.23% to 79.80% in the elderly patients with insulin injection （P〈0.01）. Their SMBG frequency also improved after management （P〈0.01）. At the same time, the normalization and accuracy of glucose meter use were significantly increased. Conclusion： QCC activities could increase the SMBG rate in the elderly patients with insulin injection, and enhance the normalization and accuracy of glucose meter use. Then the dose and dosage forms could be adjusted accordingly to achieve the best treatment effects.