品管圈活动在2型糖尿病老年患者中的应用效果

徐燕 胡春毅 胡静

[摘要]目的 探討品管圈活动在2型糖尿病（T2DM）老年患者中的应用效果。方法 选取正在服用降糖药物的T2DM患者64例，自2018年3月起开始实施品管圈活动。将活动开始前12个月（2017年9月～2018年9月）为活动前，将活动开始后12个月（2019年1～12月）为活动后。活动前患者给予常规护理，包括药物服用方法指导、饮食指导、健康锻炼指导等。活动后患者在常规护理基础上加品管圈活动。品管圈实施过程包括成立品管圈小组、主题选定、现状分析、目标设定、原因分析及制定对策。比较活动前后患者口服药物正确率及圈员品管圈评分（解决问题能力、沟通协调能力、团队凝聚力、自信心、积极性、责任心及品管圈手法应用）情况。结果 活动后患者服药正确率为90.63%，高于活动前，差异有统计学意义（P<0.05）。活动后圈员解决问题能力、沟通协调能力、团队凝聚力、自信心、积极性、责任心及品管圈手法应用评分均高于活动前，差异有统计学意义（P<0.05）。结论 品管圈活动能有效提高T2DM老年患者服用治疗药物正确率，并着力提升护理人员业务水平和职业素养，改善护理服务质量，值得临床推广应用。

[关键词]品管圈活动;2型糖尿病;老年患者，服药正确;护理质量

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1674-4721（2020）7（b）-0218-03

Application effect of quality control circle activity in elderly patients with type 2 diabetes mellitus

XU Yan1   HU Chun-yi2   HU Jing3

1. Department of Endocrinology， the First People′s Hospital of Fuzhou City， Jiangxi Province， Fuzhou    344000， China; 2. Department of Oncology， the First People′s Hospital of Fuzhou City， Jiangxi Province， Fuzhou   344000， China;3. Department of Neurology， the First People′s Hospital of Fuzhou City， Jiangxi Province， Fuzhou   344000， China

[Abstract] Objective To explore the application effect of quality control circle activities in elderly patients with type 2 diabetes mellitus（T2DM）. Methods A total of 64 patients with T2DM receiving hypoglycemic drugs in our hospital were selected. Since March 2018， quality control circle activities had been implemented. Twelve months before the start of the activity （September 2017 to September 2018） were listed as before activity and twelve months after the start of the activity （January to December 2019） were listed as after activity. Before the activity， the patients were given routine nursing， including medication guidance， dietary guidance， health exercise guidance and so on. After the activity， the patients were given quality control circle activity on the basis of routine nursing. The implementation process of quality control circle included the establishment of quality control circle team， theme selection， current situation analysis， goal setting， cause analysis and countermeasures formulation. The correctness rate of oral medication and the quality control circle score （problem solving ability， communication and coordination ability， team cohesion， self-confidence， enthusiasm， responsibility and quality control circle manipulation） were compared before and after activities. Results The correct rate of taking medicine after activity was 90.63%， which was higher than that before activity， the difference was statistically significant （P<0.05）. The scores of problem-solving ability， communication and coordination ability， team cohesion， self-confidence， initiative， responsibility and quality control circle skills of the group members after the activity were higher than those before the activity， the differences were statistically significant （P<0.05）. Conclusion Quality control circle activities can effectively improve the correct rate of taking therapeutic drugs for elderly patients with T2DM， and strive to improve the professional level and quality of nursing staff， improve the quality of nursing service， which is worthy of clinical application.

[Key words] Quality control circle activities; Type 2 diabetes mellitus; Elderly patients; Taking medicine correctly; Nursing quality

[基金项目]江西省抚州市指导性科技计划项目（抚科计字[2018]20号第35项）

[作者简介]徐燕（1978-），江西抚州人，主管护师，研究方向：内分泌科护理

随着近几年，我国人民生活水平的提高，2型糖尿病（T2DM）的发病率也不断增加。正确服用降血糖药，有助于控制患者血糖，预防并减少相关并发症的发生[1]。而大部分T2DM患者为老年人往往并发其他疾病，服用药物种类较多，再者老年患者因记忆力减退、视力听力下降等原因，在口服药物时在剂量、用法等方面出现差错，使药物治疗方案难以收到预想的效果[2]。品管圈活动，是由同场所工作人员自主而成立的活动团队，通过集思广益，制定活动程序及愉快的管理措施，对工作现场、管理等方面的问題进行有序的排除[3]。……