应用PDCA循环提高糖尿病患者自我注射胰岛素规范率效果研究.docVIP

应用PDCA循环提高糖尿病患者自我注射胰岛素规范率效果研究 　　【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（P0.05）；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（P0.05）。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 ， P0.05）。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（P0.05）。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 （P0.05）. 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 （P0.05）. 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 ， P0.05）. The observation group had obviously lower incidence of hypoglycemia as 3.03% than 12.12% in the control group， and higher health education sa