PDCA循环改善老年糖尿病患者胰岛素注射技术的研究

Preliminary study on the improvement of insulin injection technology in elderly type 2 diabetes mellitus patients with the method of PDCA cycle

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 improve the criterion and accuracy of insulin injection technique in elderly type 2diabetes mellitus patients by using the method of PDCA cycle. Methods：104 elderly type 2 diabetes mellitus inpatients,all with the insulin injection technique intervention between July 2011 and June 2012 were recruited into the study. By using questionnaires,the insulin injection technique,blood glucose,glycosylated hemoglobin（ HbA1c）and other indicators before and after the intervention were measured,recorded,compared and analysed respectively.Results： The criterion and accuracy of insulin injection technique were improved greatly with the PDCA intervention（ P 0. 01）. Meanwhile,the storage and application-related knowledge of insulin pen increased evidently. Other indexes,such as blood sugar,glycosylated hemoglobin and the incidence of low blood sugar were significantly decreased（ P 0. 01）. Conclusion： PDCA cycle,which was applied for the intervention of insulin injection technology in the elderly with type 2 diabetes mellitus,can raise the criterion and accuracy and the treatment effects,and can contribute to ameliorate the compliance of the patients as well for decreasing the incidence of low blood sugar.