摘要
目的:构建胰岛素泵系统化质量控制管理模型,并分析其临床应用效果。方法:构建胰岛素泵系统化质量控制管理模式,即对胰岛素泵设备安装流程、故障发现和管路更换等进行全过程管理,全面监测患者日常用药情况、身体情况等,及时发现故障并处理,使胰岛素泵能够更好服务患者有效控制血糖。选取上海市第六人民医院配置的32台胰岛素泵,将2022年7月至2022年10月采用常规管理模式的胰岛素泵及使用设备的120例2型糖尿病患者纳入对照组,将2022年10月至2023年7月采用系统化质量控制管理模式的胰岛素泵及使用设备的120例2型糖尿病患者纳入观察组。对两组设备常见故障发生情况、设备治疗效果和设备使用前后患者依从性等进行比较。结果:观察组胰岛素泵植入部位发红率、管路堵塞率、管路脱出率和仪器损坏率的常见故障发生率均低于对照组,差异有统计学意义(χ^(2)=6.737、6.664、9.955、6.793,P<0.05);观察组胰岛素泵安装时间、故障发现时间和管路更换时间平均值均低于对照组,差异有统计学意义(t=6.078、5.428、5.786,P<0.05);观察组患者使用胰岛素泵依从性评分的饮食控制情况、锻炼情况、监测血糖情况和遵嘱用药情况评分平均值均高于对照组,差异有统计学意义(t=6.816、12.627、20.169、15.317,P<0.05)。结论:将系统化质量控制管理模式运用到胰岛素泵管理中,可减低胰岛素泵故障发生率,缩短安装时间,并使胰岛素泵能够更好服务患者有效控制血糖,使患者健康得到保障。
Objective:To construct a systematic quality control management model for insulin pump and analyze its clinical application effect.Methods:To construct a systematic quality control management model for insulin pumps,that is,to manage the whole process of insulin pump equipment installation process,fault detection and pipeline replacement,comprehensively monitor the patient'daily medication and physical condition,timely detect and deal with faults,so that insulin pumps can better serve patients to effectively control blood sugar.32 insulin pumps configured by Shanghai Sixth People's Hospital were selected.120 patients with type 2 diabetes who used insulin pumps and equipment in conventional management mode from July 2022 to October 2022 were included in the control group,and 120 patients with type 2 diabetes who used insulin pumps and equipment in systematic quality control management mode from October 2022 to July 2023 were included in the observation group.The common faults of the two groups,the treatment effect of the equipment,and the patient compliance before and after the use of the equipment were compared.Results:The incidence of common faults such as redness rate at implantation site,tube blockage rate,tube dislocation rate and instrument damage rate in the observation group were lower than those in the control group,with significant differences(χ^(2)=6.737,6.664,9.955,6.793,P<0.05).The installation time,fault discovery time and tube replacement time of the observation group,with significant differences(t=6.078,5.428,5.786,P<0.05).The scores of diet control,exercise,blood sugar monitoring and medication compliance in the observation group were higher than those in the control group,with significant differences(t=6.816,12.627,20.169,15.317,P<0.05).Conclusion:Applying the systematic quality control management model to insulin pump management can reduce the incidence of insulin pump failures,shorten installation time,and enable insulin pumps to better serve patients to effectively control blood sugar and protect their health.
作者
李巴嫩
杜荣慧
朱玮
陈华璐
Li Ba'nen;Du Ronghui;Zhu Wei;Chen Hualu(Nursing Department,Shanghai Sixth People's Hospital,Shanghai 200235,China)
出处
《中国医学装备》
2024年第10期190-193,201,共5页
China Medical Equipment
基金
上海市第六人民医院院级科学研究基金项目(x院内-2504)。
关键词
胰岛素泵
系统化流程管理
质量控制管理模型
故障监测
Insulin pump
Systematic process management
Quality control management model
Fault monitoring
作者简介
通信作者:杜荣慧,Email:651126051@qq.com。
