PDCA理论在2型糖尿病患者社区干预中的应用

Application of PDCA theory to community intervention on patients with type 2 diabetes

目的:探讨质量管理循环(PDCA)理论在2型糖尿病患者社区干预中的应用方法及临床效果。方法:对50例2型糖尿病出院患者应用PDCA理论进行为期6个月的社区干预,观察比较干预前后患者生活方式、遵医行为及各代谢指标变化情况。结果:本组患者干预后各代谢指标与入院时基线值比较差异有统计学意义(P<0.01),生活方式和遵医行为较前明显改善(P<0.01)。结论:应用PDCA理论对2型糖尿病出院患者进行社区干预,能巩固住院期间健康教育效果,改善其生活方式,提高遵医治疗依从性,从而达到血糖控制的目的,值得推广应用。

Objective ： To explore the approach of application of plan - do - check - action （PDCA） theory to community intervention on patients with type 2 diabetes and investigate the clinical effect. Methods ：50 patients with type 2 diabetes were given community intervention for 6 months in the light of PDCA theory, and then the lifestyle and medical compliance behavior of the patients and the changes of metabolic indexes were observed and compared before and after the intervention. Results：There was statistically significant difference in the comparison of the metabolic indexes and baseline values after the intervention and on admission（ P 〈 0.01 ） ;the lifestyle and medical compli- ance behavior were significantly improved after the intervention compared with those before the intervention （P 〈 0.01 ）. Conclusion：Application of PDCA theory in community intervention on the patients with type 2 diabetes can consolidate the effect of health education during hospitalization and improve the lifestyle and medical compliance behavior of the patients so as to achieve the coutrol of blood glucose.