護理敏感質量指標在圍手術期糖尿病患者全程護理中的應用與評價

徐毅君 徐淑敏 魏凌 徐海凌 逄文泉 孫曉燕 徐麗妃 趙蒙

[摘要] 目的 探討護理敏感質量指標在圍手術期糖尿病患者全程管理中的應用與評價。 方法 方便選取2018年1—5月在該院手術科室圍手術期的172例2型糖尿病患者為研究對象，隨機分為對照組86例和實驗組86例，對照組采用傳統的護理質量控制模式，實驗組通過建立護理敏感質量指標進行質控，比較兩組患者空腹血糖、餐后2 h血糖、術前血糖達標時間、住院時間、低血糖發生率。 結果 術前血糖達標時間實驗組（4.0±1.11）d明顯短于對照組（7.18±1.1）d，差異有統計學意義（t=14.951，P<0.01）；對照組患者的住院時間由（18±1.15）d縮短至（13.9±1.39）d，差異有統計學意義（t=16.176，P<0.01）；觀察組的低血糖發生率為3.4%，明顯低于對照組為25.6%，差異有統計學意義（χ2=20.348，P<0.01）；空腹血糖、餐后2 h血糖均優于對照組，但差異無統計學意義（P>0.05）。 結論 應用護理敏感質量指標對圍手術期糖尿病患者進行全程護理質控，血糖控制效果更佳，明顯縮短患者住院天數，降低了低血糖的發生率，提高了臨床疾病治療的有效性及安全性，具有良好的臨床應用療效。

[關鍵詞] 護理敏感質量指標；糖尿病；圍手術期

[中圖分類號] R473.5 [文獻標識碼] A [文章編號] 1674-0742（2019）01（b）-0167-03

[Abstract] Objective To investigate the application and evaluation of nursing sensitive quality indicators in the management of perioperative diabetic patients. Methods From January to May 2018， 172 patients with type 2 diabetes mellitus in the perioperative period of our hospital were convenient selected randomly divided into the control group （86 cases） and the experimental group （86 cases）. The control group used traditional nursing quality control mode， the experimental group through the establishment of nursing sensitive quality indicators for quality control， comparing the two groups of patients with fasting blood glucose， two hours after meals， blood glucose， preoperative blood glucose compliance time， hospital stay， low blood glucose incidence. Results The preoperative blood glucose compliance time group （4.0±1.11）d was significantly shorter than the control group （7.18±1.1） d， the difference was statistically significant （t=14.951， P<0.01）. The hospitalization time of the control group was （18±1.15）d was shortened to （13.9±1.39）d， the difference was statistically significant （t=16.176， P<0.01）； the incidence of hypoglycemia in the observation group was 3.4%， which was significantly lower than that in the control group （25.6%）. Statistical significance （χ2= 20.348， P <0.01）； fasting blood glucose， blood glucose two hours after meal were better than the control group， the difference was not statistically significant（P>0.05）. Conclusion The application of nursing sensitive quality indicators for perioperative period diabetes patients undergo quality control throughout the procedure， blood glucose control effect is better， significantly shorten the number of hospital stays， reduce the incidence of hypoglycemia， improve the effectiveness and safety of clinical disease treatment， and have a good clinical application.

[Key words] Nursing sensitive quality indicators； Diabetes； Perioperative period