摘要
目的:探讨改良护理质控对危重病人实施强化胰岛素治疗方案的实践效果。方法:采用历史对照法将95例ICU实施强化胰岛素治疗的病人分为对照组42例和实验组53例。对照组实施常规强化胰岛素治疗,实验组采用改良护理质控进行强化胰岛素治疗。对比两组病人首次达到目标血糖范围所需要的时间,5 d内平均测血糖的次数,每天岛素的用量,每天血糖的波动幅度(血糖最高值-血糖最低值),治疗期间低血糖发生频率,低血糖病人例数等指标。结果:改良护理质控后病人首次达到目标血糖范围所需要的时间更早,测血糖次数和胰岛素的用量明显减少,血糖波动幅度减小,低血糖发生明`显减少(P<0.01)。结论:改良护理质控在危重病人实施强化胰岛素治疗方案中具有重要作用。
Objective： To investigate the clinical effect of improved nursing quality control in blood sugar control of critical patients. Methods： By historical control method ,95 critieal patients undergoed intense insulin therapy were divided into two groups. The control group ,42 patients were improved nursing quality control , the test group 53 patients were improved nursing quality control bad been taken, Reeorded spending time of first rearehing blood sugar target, hours of rearching blood sugar target and frequency of measuring blood sugar in five clays,average dosage of insulin every day,the wave range of blood sugar （the highest level -the lowest level）every day,the frequency of hypoglycemia during theraphy. Results： The test group （improved nursing quality control group ） had smaller dosage of insulin, smaller wave range of blood sugar, longer reaching target time, smaller frequency of hypoglycemia and measuring blood sugar than control group（ P 〈 0. 01 ）. Conclusion： Improved nursing quality control had great role on intense insulin therapy of critical patients.
出处
《护理实践与研究》
2009年第2期3-6,共4页
Nursing Practice and Research
关键词
危重病人
强化胰岛素治疗
护理质控
Critical patient intense
Insulin theraphy
Nursing quality control
