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观察PDCA循环结合项目管理法对糖尿病患者护理质量及预防低血糖的影响。回顾性分析2014年3月至2016年1月,台州市肿瘤医院收治的2型糖尿病患者86例,随机分为观察组与对照组,每组43例。对照组采取常规护理模式,观察组在常规护理模式下加用PDCA循环结合项目管理法,干预时间1个月。对干预前后护理工作质量、患者满意度、住院时间及低血糖发生率进行比较。采用SPSS 11.0统计软件,计量资料以±s表示,采用t检验,计数资料采用χ~2检验,P<0.05为差异有统计学意义。结果显示,观察组患者干预后对护士基础护理服务质量、技术操作能力质量、专科护理质量评分均高于干预前,差异有统计学意义(t=3.514、3.718、3.624,均P<0.05)。观察组患者满意度为83.72%,对照组患者满意度为72.09%,差异有统计学意义(χ~2=6.896,P<0.05)。观察组患者住院时间(14.53±0.61)d,对照组住院时间(19.32±0.48)d,差异有统计学意义(t=3.572,P<0.05)。观察组患者低血糖发生率11.63%,对照组低血糖发生率30.23%,差异有统计学意义(χ~2=4.497,P<0.05)。2型糖尿病患者采取PDCA循环结合项目管理法进行护理干预,提升护理质量,患者满意度较高,有助于预防低血糖的发生。
To observe the effect of PDCA combined with project management on the quality of care and prevention of hypoglycemia in diabetic patients. Retrospective analysis from March 2014 to January 2016, 86 cases of type 2 diabetes patients admitted to Taizhou Cancer Hospital were randomly divided into observation group and control group with 43 cases in each group. The control group to take conventional care model, the observation group in the regular care model plus PDCA cycle combined with project management, the intervention time of 1 month. The quality of nursing work before and after intervention, patient satisfaction, hospital stay and incidence of hypoglycemia were compared. Using SPSS 11.0 statistical software, measurement data to ± s said, using t test, count data using χ ~ 2 test, P <0.05 for the difference was statistically significant. The results showed that the quality of nurses’ basic nursing service, technical operation ability and specialty nursing quality were significantly higher than those before intervention in observation group (t = 3.514, 3.718, 3.624, all P <0.05). The satisfaction degree of the observation group was 83.72%, while that of the control group was 72.09%, the difference was statistically significant (χ ~ 2 = 6.896, P <0.05). The length of hospital stay in the observation group was (14.53 ± 0.61) d and that in the control group was (19.32 ± 0.48) d, the difference was statistically significant (t = 3.572, P <0.05). The incidence of hypoglycemia in observation group was 11.63%, while that in control group was 30.23%. The difference was statistically significant (χ ~ 2 = 4.497, P <0.05). Patients with type 2 diabetes take PDCA cycle combined with project management approach to nursing intervention to improve the quality of care, patients with higher satisfaction, contribute to the prevention of hypoglycemia.