“醫、護、患三維度”標準流程在動態血糖監測中的應用與管理

申麗娜　李悅　曹建芬

[摘要] 目的 探討“醫、護、患三維度”標準流程對于動態血糖監測（CGMS）的應用于對患者管理的影響。方法 選取2016年4月—2017年12月我院的161例內科應用動態血糖監測儀的2型糖尿病患者作為研究對象，并按照時間的差異將研究對象隨機分為觀察組和對照組兩組，治療時間在2016年4月—2017年3月內的患者歸入對照組，共83例患者；治療時間在2017年4—12月內的患者歸入觀察組，共78例患者，總結2016年4月—2017年3月對于CGMS的護士操作失誤率、儀器報警率、患者誤拔率以及數據傳輸一次成功率以及患者對于應用CGMS的滿意度。2017年4月對醫護人員及患者進行“醫、護、患三維度”標準流程培訓，于評價2017年12月總結該年的評價指標并與2016年進行對比。結果 對照組護士對于CGMS實時監測儀器操作的失誤率達（19.9±6.8）%，經過培訓后，觀察駔操作失誤率明顯降低至（5.4±3.6）%，差異具有統計學意義（P<0.05）。此外，觀察組的儀器報警率為（8.8±2.9）%，顯著低于對照組（P<0.05）。對于CGMS實時監測儀器患者誤拔率達（30.8±4.2）%，經過宣講后，觀察組誤拔率明顯降低至（8.3±3.5）%，差異具有統計學意義（P<0.05）。此外，觀察組的數據傳輸正確率率為（88.8±10.9）%，顯著高于對照組（P<0.05）。經過問卷調查，觀察組患者對于應用CGMS的滿意度為91.03%（71/78），明顯高于對照組患者的總體滿意度54.22%（45/83），差異有統計學意義（P<0.05）。結論 “醫、護、患三維度”標準流程在動態血糖監測中的應用效果良好，不僅能夠提高醫護人員的專業水平，還使患者更加積極配合治療，提升護理滿意度。

[關鍵詞] 醫、護、患三維度；CGMS；應用；管理

[中圖分類號] R7 [文獻標識碼] A [文章編號] 1672-5654（2018）03（b）-0016-04

Application and Management of Medical， Nursing and Patient Three Dimensions Standardized Process in the Dynamic Blood Glucose Monitoring

SHEN Li-na， LI Yue， CAO Jian-fen

Southeast Hospital of Huangpu District， Shanghai， 200023 China

[Abstract] Objective To study the effect of medical， nursing and patient three dimensions standardized process in the dynamic blood glucose monitoring. Methods 161 cases of patients with type 2 diabetes applying the dynamic blood glucose monitoring instrument in the department of internal medicine in our hospital from April 2016 to December 2017 were selected and randomly divided into two groups， 83 cases of patients admitted and treated from April 2016 to March 2017 were selected as the control group， while 78 cases of patients admitted and treated from April to December 2017 were selected as the observation group， and the satisfactory degree of the CGMS nurses to the failure rate of nurse operation， instrument alarm rate， pullout rate and one-time successful rate of data transfusion from April 2016 to March 2017 was summarized， and the medical， nursing and patient three dimensions standardized process training was conducted in April 2017， and the evaluation indicators were summarized in December 2017 and compared with that in control group. Results The error rate of nurses to CGMS real-time monitoring instrument operation in control group reached （19.9±6.8）%， after training， the operation error rate in observation group decreased to （5.4±3.6）%， and the difference was statistically significant（P<0.05）， besides， the instrument alarm rate in observation group was （8.8±2.9）%， which was obviously lower than that in control group（P<0.05）， and the pullout rate of CGMS real-time monitoring instrument in control group was （30.8±4.2）%， after education， decreased to（8.3±3.5）%， and the difference was statistically significant（P<0.05）， besides， the accurate rate of data transfusion in observation group was（88.8±10.9）%， which was obviously higher than that in control group（P<0.05）， the questionnaire showed that the satisfactory degree to CGMS in observation group was obviously higher than that in control group [91.03%（71/78） vs 54.22%（45/83）]， and the difference was statistically significant（P<0.05）. Conclusion The application effect of medical， nursing and patient three dimensions standardized process in the dynamic blood glucose monitoring is good， which can improve the professional level of medical staff but also make patients actively cooperation with treatment and improve the nursing satisfactory degree.