“医、护、患三维度”标准流程在动态血糖监测中的应用与管理

申丽娜　李悦　曹建芬

[摘要] 目的 探討“医、护、患三维度”标准流程对于动态血糖监测（CGMS）的应用于对患者管理的影响。方法 选取2016年4月—2017年12月我院的161例内科应用动态血糖监测仪的2型糖尿病患者作为研究对象，并按照时间的差异将研究对象随机分为观察组和对照组两组，治疗时间在2016年4月—2017年3月内的患者归入对照组，共83例患者；治疗时间在2017年4—12月内的患者归入观察组，共78例患者，总结2016年4月—2017年3月对于CGMS的护士操作失误率、仪器报警率、患者误拔率以及数据传输一次成功率以及患者对于应用CGMS的满意度。2017年4月对医护人员及患者进行“医、护、患三维度”标准流程培训，于评价2017年12月总结该年的评价指标并与2016年进行对比。结果 对照组护士对于CGMS实时监测仪器操作的失误率达（19.9±6.8）%，经过培训后，观察驵操作失误率明显降低至（5.4±3.6）%，差异具有统计学意义（P<0.05）。此外，观察组的仪器报警率为（8.8±2.9）%，显著低于对照组（P<0.05）。对于CGMS实时监测仪器患者误拔率达（30.8±4.2）%，经过宣讲后，观察组误拔率明显降低至（8.3±3.5）%，差异具有统计学意义（P<0.05）。此外，观察组的数据传输正确率率为（88.8±10.9）%，显著高于对照组（P<0.05）。经过问卷调查，观察组患者对于应用CGMS的满意度为91.03%（71/78），明显高于对照组患者的总体满意度54.22%（45/83），差异有统计学意义（P<0.05）。结论 “医、护、患三维度”标准流程在动态血糖监测中的应用效果良好，不仅能够提高医护人员的专业水平，还使患者更加积极配合治疗，提升护理满意度。

[关键词] 医、护、患三维度；CGMS；应用；管理

[中图分类号] R7 [文献标识码] A [文章编号] 1672-5654（2018）03（b）-0016-04

Application and Management of Medical， Nursing and Patient Three Dimensions Standardized Process in the Dynamic Blood Glucose Monitoring

SHEN Li-na， LI Yue， CAO Jian-fen

Southeast Hospital of Huangpu District， Shanghai， 200023 China

[Abstract] Objective To study the effect of medical， nursing and patient three dimensions standardized process in the dynamic blood glucose monitoring. Methods 161 cases of patients with type 2 diabetes applying the dynamic blood glucose monitoring instrument in the department of internal medicine in our hospital from April 2016 to December 2017 were selected and randomly divided into two groups， 83 cases of patients admitted and treated from April 2016 to March 2017 were selected as the control group， while 78 cases of patients admitted and treated from April to December 2017 were selected as the observation group， and the satisfactory degree of the CGMS nurses to the failure rate of nurse operation， instrument alarm rate， pullout rate and one-time successful rate of data transfusion from April 2016 to March 2017 was summarized， and the medical， nursing and patient three dimensions standardized process training was conducted in April 2017， and the evaluation indicators were summarized in December 2017 and compared with that in control group. Results The error rate of nurses to CGMS real-time monitoring instrument operation in control group reached （19.9±6.8）%， after training， the operation error rate in observation group decreased to （5.4±3.6）%， and the difference was statistically significant（P<0.05）， besides， the instrument alarm rate in observation group was （8.8±2.9）%， which was obviously lower than that in control group（P<0.05）， and the pullout rate of CGMS real-time monitoring instrument in control group was （30.8±4.2）%， after education， decreased to（8.3±3.5）%， and the difference was statistically significant（P<0.05）， besides， the accurate rate of data transfusion in observation group was（88.8±10.9）%， which was obviously higher than that in control group（P<0.05）， the questionnaire showed that the satisfactory degree to CGMS in observation group was obviously higher than that in control group [91.03%（71/78） vs 54.22%（45/83）]， and the difference was statistically significant（P<0.05）. Conclusion The application effect of medical， nursing and patient three dimensions standardized process in the dynamic blood glucose monitoring is good， which can improve the professional level of medical staff but also make patients actively cooperation with treatment and improve the nursing satisfactory degree.