品管圈管理对2型糖尿病老年患者认知行为的影响

Effect of Quality Control Circle Management on Cognitive Behavior in Elderly Patients with Type 2 Diabetes Mellitus

目的:探讨品管圈管理(quality control circle,QCC)在改善2型糖尿病老年患者轻度认知功能障碍(mild cognitive impairment,MCI)的应用效果。方法:选取2019年1-6月在本院门诊治疗的130例2型糖尿病合并MCI老年患者,按照随机数字表法分为对照组和观察组,各65例,其中7例退出研究,最终观察组62例,对照组61例。对照组给予常规护理,观察组在此基础上应用QCC管理,对比两组干预前后蒙特利尔认知评估量表(Montreal cognitive assessment,MoCA)、糖尿病自我管理行为量表(summary of diabetes self-care activities measure,SDSCA)得分及血糖控制指标。结果:干预后,观察组MoCA、SDSCA各项得分及总分均高于对照组,差异均有统计学意义(P<0.05)。干预后,观察组空腹血糖、餐后2 h血糖、HbA1c水平均低于对照组,差异均有统计学意义(P<0.05)。结论:QCC管理能改善2型糖尿病老年患者认知功能与自我管理行为,提高血糖控制效果。

Objective:To investigate the effect of applying quality control circle(QCC)management for improving mild cognitive impairment(MCI)in elderly patients with type 2 diabetes mellitus.Method:A total of 130 elderly patients with type 2 diabetes mellitus complicated with MCI who received outpatient treatment in our hospital from January to June 2019 were selected,they were divided into control group and observation group according to random number table method,65 cases in each group,of which 7 cases dropped out of the study,the final 62 cases in observation group and 61 cases in control group.The control group was given routine nursing,the observation group was administered with QCC on basis of the control group.The scores of The Montreal cognitive assessment(MoCA),the summary of diabetes self-care activities measure(SDSCA)and glycemic control indexes of the 2 groups before and after intervention were compared.Result:After intervention,the each and total scores of MOCA and SDSCA in the observation group were higher than those in the control group,the differences were statistical significance(P<0.05).After intervention,the levels of fasting blood glucose,2 h postprandial blood glucose and HbA1c in observation group were lower than those in control group,the differences were statistical significance(P<0.05).Conclusion:QCC management can improve the cognitive function and self-management behaviors,enhance the effect of glycemic control.