CAJ | 학술논문

目的：探讨持续质量改进（ CQI）提高护士在糖尿病患者发生低血糖后规范处理的方法及效果。方法采用CQI中FOCUS-PDCA流程对内分泌科护士在糖尿病患者发生低血糖后处理的流程进行质量控制和改进活动。查阅实施前187例和实施后197例低血糖患者的护理记录，比较实施CQI前后护士对糖尿病患者低血糖规范处理效果。结果实施CQI后，护士按规范指导低血糖患者进食的达标率从15．5％提高至77．6％，复测指尖血糖时间达标率从2．1％提高至39．8％，按规范记录患者发生低血糖伴随症状的达标率为从13．9％提高至77．6％，护士对低血糖知识掌握程度从43．7％提高至100.0％，差异均有统计学意义（χ2值分别为1．449，79．630，1．529，3．742；P＜0．01）。结论持续质量改进能规范护士对糖尿病患者低血糖的处理方法，提高护士对低血糖知识的掌握水平，为糖尿病患者的治疗提供安全保障。
목적：탐토지속질량개진（ CQI）제고호사재당뇨병환자발생저혈당후규범처리적방법급효과。방법채용CQI중FOCUS-PDCA류정대내분비과호사재당뇨병환자발생저혈당후처리적류정진행질량공제화개진활동。사열실시전187례화실시후197례저혈당환자적호리기록，비교실시CQI전후호사대당뇨병환자저혈당규범처리효과。결과실시CQI후，호사안규범지도저혈당환자진식적체표솔종15．5％제고지77．6％，복측지첨혈당시간체표솔종2．1％제고지39．8％，안규범기록환자발생저혈당반수증상적체표솔위종13．9％제고지77．6％，호사대저혈당지식장악정도종43．7％제고지100.0％，차이균유통계학의의（χ2치분별위1．449，79．630，1．529，3．742；P＜0．01）。결론지속질량개진능규범호사대당뇨병환자저혈당적처리방법，제고호사대저혈당지식적장악수평，위당뇨병환자적치료제공안전보장。
Objective To explore the method and effect of continuous quality improvement ( CQI) on the criterion for the treatment of diabetic patients with hypoglycemia in nurses .Methods The treatment process of diabetic patients with hypoglycemia was carried out the quality control and improvement in department of endocrinology using the FOCUS-PDCA process of CQI .The records of nursing including 187 cases before the implementation and 197 cases after the implementation were consulted .The effect of the criterion for the treatment of diabetic patients with hypoglycemia was compared before and after the implementation of the CQI . Results The compliance rate of instructing the patients with hypoglycemia to eat in nurses according to the standard was increased from 15.5%to 77.6%, and the compliance rate of the time of measuring the fingertip blood sugar again was increased from 2.1%to 39.8%, and the compliance rate of recording the simultaneous phenomenon of hypoglycemia was increased from 13 .9%to 77 .6%, and the degree of mastering the knowledge of hypoglycemia in nurses was increased from 43.7% to 100.0%, and the differences were statistically significant (χ2 =1.449,79.63,1.529,3.742, respectively;P<0.01).Conclusions CQI can standardize the method of the treatment of diabetic patients with hypoglycemia in nurses , and improve the knowledge of hypoglycemia in nurses , and provide the security for the treatment in diabetic patients .