品管圈活动在糖尿病患者院外健康管理中的应用

摘要

Objective To discuss the effect of quality control circle (QCC) activity in improving glucose control rate in out-of-hospital patients with diabetes.Methods The out-of-hospital patients with diabetes (n=801) were chosen from Aug. 2011 to Dec. 2013. A QCC group was set up and the theme of “improving the glucose control rate in out-patients with diabetes” was established. The main reasons of lower glucose control rate were identified through group discussion, questionnaire and phone review, and then the rectification measures were planned, and expected target was defined. The activity was carried out according to the QCC procedure. The service quality satisfaction, treatment adherence, diabetic cognition rate and glucose control rate in all out-of-hospital patients were compared before and after QCC activity.Results Before QCC activity, the service quality satisfaction was 77.8% (623/801), treatment adherence, 70.2% (562/801), diabetic cognition rate, 60.3% (483/801), and glucose control rate, 64.4%(516/801). After QCC activity, the service quality satisfaction was 93.9%% (752/801), treatment adherence, 94.9%%(760/801), diabetic cognition rate, 85.0% (681/801), and glucose control rate, 86.3% (691/801). All indexes had increased after QCC activity and the difference had statistical significance (P<0.01).Conclusion QCC activity can be applied in the health management in out-of-hospital patients with diabetes for increasing glucose control rate.%目的：探讨品管圈活动（QCC）在提高院外糖尿病患者血糖控制率中的效果。方法选取2011年8月~2013年12月在福建医科大学附属泉州第一医院门诊确诊糖尿病患者801例，成立品管圈小组，确立“提高糖尿病患者血糖控制率”为主题，通过问卷调查及电话回访，组内讨论确定血糖控制率低主要原因并制定对策，设定预期目标值，按品管圈程序开展实施，比较QCC前后糖尿病患者对服务质量满意度、治疗依从性、糖尿病认知率及血糖控制率情况。结果 QCC活动实施前，患者服务质量满意度，治疗依从性，DM认知率及血糖控制率分别为77.8%（623/801），70.2%（562/801），60.3%（483/801），64.4%（516/801），而纳入QCC活动后分别为93.9%%（752/801），94.9%%（760/801），85.0%（681/801），86.3%（691/801），各项指标均较活动前有明显提高，且实施前后间比较差异有显著统计学意义（P＜0.01）。结论 QCC应用于糖尿病院外健康管理工作中，对血糖控制率的整体提高有利，值得临床推广。