院内糖尿病患者低血糖管理的前馈控制.PDFVIP

专科管理 Advanced Nursing Practice 院内糖尿病患者低血糖管理的前馈控制 戴莉敏 刘媛 方英 孙婷婷 [ 摘 要 ] 目的 ：将前馈控制方法应用到院内糖尿病患者低血糖管理中，以降低低血糖事件发生率。方法 ：2014 年 运用前馈控制方法，对 2012-2013 年院内糖尿病患者低血糖事件进行调查统计分析，提出改进对策并予以实施。结果： 实施前馈控制方法后，护士对低血糖预防与急救知识知晓率从 56.33％提高到 98.59％ ；护士制定糖尿病患者个体化饮 食执行率从 62.22％提高到 97.11％ ；制定糖尿病患者运动处方执行率从 66.06％提高到 97.24％ ；护士对 15g 葡萄糖食 物准备的规范率从 81.54％提高 99.25％ ；低血糖事件发生率从 22.14％降低到 3.27％。结论 ：应用前馈控制方法能有 效降低院内糖尿病患者低血糖事件发生率，提高护士主动解决临床问题的能力。 [关键词] 前馈控制 ；糖尿病 ；低血糖 ；安全管理 [ 中图分类号 ] R47 [DOI] 10.3969/j.issn.1672-1756.2016.01.035 The feed forward control in low blood sugar management of diabetic inpatients / DAI Limin, LIU Yuan, FANG Ying, SUN Tingting // Endocrinology Department, Peoples Hospital Affiliated to Jiangsu University, Zhenjiang, Jiangsu province, 212001 China /// Chinese Nursing Management-2016,16(1): 133-136 [Abstract] Objective: The feed forward control method was applied to hospital management of diabetic hypoglycemia, in order to reduce the incidence of hypoglycemic events. Methods: In 2014, the authors analyzed the hypoglycemic events of diabetic inpatients from 2012 to 2013, and then feed forward control method was used to manage this problem. Results: After the implementation of feed forward control method, the nurses knowledge awareness of hypoglycemia prevention and treatment increased from 56.33% to 98.59%. The nurses implementation rate of formulating diabetes individualized diet increased from 62.22% to 97.11%, exercise prescription rate for diabetes patients increased from 66.06% to 97.24%. The standard rate of 15g-glucose food preparation increased from 81.54% to 99.25%.