护理敏感质量指标在围手术期糖尿病患者全程护理中的应用与评价

徐毅君 徐淑敏 魏凌 徐海凌 逄文泉 孙晓燕 徐丽妃 赵蒙

[摘要] 目的 探讨护理敏感质量指标在围手术期糖尿病患者全程管理中的应用与评价。 方法 方便选取2018年1—5月在该院手术科室围手术期的172例2型糖尿病患者为研究对象，随机分为对照组86例和实验组86例，对照组采用传统的护理质量控制模式，实验组通过建立护理敏感质量指标进行质控，比较两组患者空腹血糖、餐后2 h血糖、术前血糖達标时间、住院时间、低血糖发生率。 结果 术前血糖达标时间实验组（4.0±1.11）d明显短于对照组（7.18±1.1）d，差异有统计学意义（t=14.951，P<0.01）；对照组患者的住院时间由（18±1.15）d缩短至（13.9±1.39）d，差异有统计学意义（t=16.176，P<0.01）；观察组的低血糖发生率为3.4%，明显低于对照组为25.6%，差异有统计学意义（χ2=20.348，P<0.01）；空腹血糖、餐后2 h血糖均优于对照组，但差异无统计学意义（P>0.05）。 结论 应用护理敏感质量指标对围手术期糖尿病患者进行全程护理质控，血糖控制效果更佳，明显缩短患者住院天数，降低了低血糖的发生率，提高了临床疾病治疗的有效性及安全性，具有良好的临床应用疗效。

[关键词] 护理敏感质量指标；糖尿病；围手术期

[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-0742（2019）01（b）-0167-03

[Abstract] Objective To investigate the application and evaluation of nursing sensitive quality indicators in the management of perioperative diabetic patients. Methods From January to May 2018， 172 patients with type 2 diabetes mellitus in the perioperative period of our hospital were convenient selected randomly divided into the control group （86 cases） and the experimental group （86 cases）. The control group used traditional nursing quality control mode， the experimental group through the establishment of nursing sensitive quality indicators for quality control， comparing the two groups of patients with fasting blood glucose， two hours after meals， blood glucose， preoperative blood glucose compliance time， hospital stay， low blood glucose incidence. Results The preoperative blood glucose compliance time group （4.0±1.11）d was significantly shorter than the control group （7.18±1.1） d， the difference was statistically significant （t=14.951， P<0.01）. The hospitalization time of the control group was （18±1.15）d was shortened to （13.9±1.39）d， the difference was statistically significant （t=16.176， P<0.01）； the incidence of hypoglycemia in the observation group was 3.4%， which was significantly lower than that in the control group （25.6%）. Statistical significance （χ2= 20.348， P <0.01）； fasting blood glucose， blood glucose two hours after meal were better than the control group， the difference was not statistically significant（P>0.05）. Conclusion The application of nursing sensitive quality indicators for perioperative period diabetes patients undergo quality control throughout the procedure， blood glucose control effect is better， significantly shorten the number of hospital stays， reduce the incidence of hypoglycemia， improve the effectiveness and safety of clinical disease treatment， and have a good clinical application.

[Key words] Nursing sensitive quality indicators； Diabetes； Perioperative period