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(hù)理敏感質(zhì)量指標(biāo)在圍手術(shù)期糖尿病患者全程管理中的應(yīng)用與評(píng)價(jià)。 方法 方便選取2018年1—5月在該院手術(shù)科室圍手術(shù)期的172例2型糖尿病患者為研究對(duì)象，隨機(jī)分為對(duì)照組86例和實(shí)驗(yàn)組86例，對(duì)照組采用傳統(tǒng)的護(hù)理質(zhì)量控制模式，實(shí)驗(yàn)組通過建立護(hù)理敏感質(zhì)量指標(biāo)進(jìn)行質(zhì)控，比較兩組患者空腹血糖、餐后2 h血糖、術(shù)前血糖達(dá)標(biāo)時(shí)間、住院時(shí)間、低血糖發(fā)生率。 結(jié)果 術(shù)前血糖達(dá)標(biāo)時(shí)間實(shí)驗(yàn)組（4.0±1.11）d明顯短于對(duì)照組（7.18±1.1）d，差異有統(tǒng)計(jì)學(xué)意義（t=14.951，P<0.01）；對(duì)照組患者的住院時(shí)間由（18±1.15）d縮短至（13.9±1.39）d，差異有統(tǒng)計(jì)學(xué)意義（t=16.176，P<0.01）；觀察組的低血糖發(fā)生率為3.4%，明顯低于對(duì)照組為25.6%，差異有統(tǒng)計(jì)學(xué)意義（χ2=20.348，P<0.01）；空腹血糖、餐后2 h血糖均優(yōu)于對(duì)照組，但差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。 結(jié)論 應(yīng)用護(hù)理敏感質(zhì)量指標(biāo)對(duì)圍手術(shù)期糖尿病患者進(jìn)行全程護(hù)理質(zhì)控，血糖控制效果更佳，明顯縮短患者住院天數(shù)，降低了低血糖的發(fā)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(yīng)用療效。

[關(guān)鍵詞] 護(hù)理敏感質(zhì)量指標(biāo)；糖尿病；圍手術(shù)期

[中圖分類號(hào)] R473.5 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 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