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目的:运用PDCA循环对老年2型糖尿病患者进行胰岛素注射技术行为的干预,提高患者胰岛素注射技术的规范性和准确性。方法:入选2011年7月至2012年6月采用胰岛素治疗的老年2型糖尿病住院患者104例,通过PDCA循环法进行胰岛素注射技术行为的干预。采用问卷调查方式,对比分析干预前、后患者胰岛素注射技术及血糖、糖化血红蛋白(HbA1c)等指标的变化。结果:与干预前比较,患者胰岛素注射技术的规范性和准确性明显提高(P<0.01),胰岛素及胰岛素笔存放的相关知识知晓率也有明显改善,血糖水平及低血糖发生率明显下降,差异有统计学意义(P<0.01)。结论:PDCA循环应用于干预老年糖尿病患者胰岛素注射技术,可提高患者胰岛素注射技术的规范性和准确性以及治疗效果,改善患者胰岛素使用的依从性,降低低血糖的发生率。
OBJECTIVE: To use PDCA cycle intervention in the insulin injection technique in elderly patients with type 2 diabetes to improve the standardization and accuracy of insulin injection. METHODS: A total of 104 elderly patients with type 2 diabetes who were treated with insulin from July 2011 to June 2012 were enrolled in this study. Interventions for insulin injection were performed through PDCA circulation. A questionnaire survey was conducted to compare the changes of insulin injections, blood glucose and HbA1c before and after intervention. Results: Compared with those before intervention, the standardization and accuracy of insulin injection were significantly improved (P <0.01), and the awareness of insulin and insulin pen stored knowledge was also significantly improved, the blood glucose and the incidence of hypoglycemia significantly decreased, the difference There was statistical significance (P <0.01). CONCLUSION: The PDCA cycle is applied to the insulin infusion in elderly diabetic patients, which can improve the standardization and accuracy of insulin injection and the therapeutic effect, improve the adherence of patients with insulin and reduce the incidence of hypoglycemia.