CAJ | 학술논문

目的通过精细化管理，实现对胰岛素泵的安全有效管理。方法针对2012年5月前胰岛素泵使用过程中存在问题，于2012年5月开始对胰岛素泵使用进行精细化管理，建立胰岛素泵的管理制度，建立胰岛素泵的交接班流程，运用5常法对仪器耗材进行保管，对护士进行统一培训等。选取改进前200例和改进后200例佩戴胰岛素泵患者进行比较，带泵进入核磁共振室、管路脱出、管路堵塞、耗材的浪费等不良事件发生情况。结果实施精细化管理后，不良事件由改进前9.0%下降到3.0%，差异有统计学意义（X2=6.38，p＜0.01）。结论通过对胰岛素泵实施精细化管理，实现了胰岛素泵在使用过程中无缝隙的循环过程，确保胰岛素泵的安全使用，从而提高了佩戴胰岛素泵患者的护理质量。
목적통과정세화관리，실현대이도소빙적안전유효관리。방법침대2012년5월전이도소빙사용과정중존재문제，우2012년5월개시대이도소빙사용진행정세화관리，건립이도소빙적관리제도，건립이도소빙적교접반류정，운용5상법대의기모재진행보관，대호사진행통일배훈등。선취개진전200례화개진후200례패대이도소빙환자진행비교，대빙진입핵자공진실、관로탈출、관로도새、모재적낭비등불량사건발생정황。결과실시정세화관리후，불량사건유개진전9.0%하강도3.0%，차이유통계학의의（X2=6.38，p＜0.01）。결론통과대이도소빙실시정세화관리，실현료이도소빙재사용과정중무봉극적순배과정，학보이도소빙적안전사용，종이제고료패대이도소빙환자적호리질량。
Objective Achieve safe and effective management of insulin pump use by fine management. Methods Based on the problems in insulin pump use before May, 2012, implemented fine management on insulin pump use since then and established shifting procedures, conducted 5s methods to keep instruments and undertook unified trainings on nurses. Select 200 patients with insulin pump before and after the implementation of these measures respectively and make comparison on their occurrence of adverse events, like entering MRI scanning room with pump, tube dislocation or plugging and waste of consumables. Results The occurrence rate of adverse events fell from 9.0%to 3.0%with statistical significance (X2=6.38, p<0.01). Conclusion Seamless circle of insulin pump use has been achieved with fine management, which ensures its safe use and improves the nursing quality on these patients.