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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(P>0.05);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(P<0.05)。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(χ~2=19.6364,P<0.05)。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(P<0.05)。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。
Objective To investigate the clinical effect of using PDCA circulation to improve the self-injection rate of insulin in diabetic patients. Methods 132 cases of diabetic patients who needed insulin injection were randomly divided into control group and observation group, 66 cases in each. The control group was given routine health education. The observation group was given PDCA cycle health education. The self-administered insulin regimen was compared between the two groups. Results There was no significant difference in fasting blood glucose and postprandial blood glucose between the two groups when discharged from hospital (P> 0.05). Fasting blood glucose and postprandial blood glucose control in observation group at 6 months after discharge were significantly better than those in control group Significance (P <0.05). In the observation group, 56 cases (84.85%) of self-injection insulin regimen were significantly higher than those in control group (48.48%) 6 months after discharge. The difference was statistically significant (χ ~ 2 = 19.6364, P <0.05). The incidence of hypoglycemia in the observation group after discharge from the hospital was 3.03%, which was significantly lower than that of the control group (12.12%). The satisfaction rate of health education was 96.97%, which was significantly higher than that of the control group (42.42%). The difference was statistically significant (P <0.05). Conclusion After the PDCA cycle of health education for patients with diabetes mellitus, diabetic patients with self-injection of insulin standard rate was significantly improved for the effective control of blood glucose levels, improve the health level has important clinical significance.