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院内糖尿病患者低血糖管理的前馈控制 被引量:12

The feed forward control in low blood sugar management of diabetic inpatients
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摘要 目的 :将前馈控制方法应用到院内糖尿病患者低血糖管理中,以降低低血糖事件发生率。方法 :2014年运用前馈控制方法,对2012-2013年院内糖尿病患者低血糖事件进行调查统计分析,提出改进对策并予以实施。结果:实施前馈控制方法后,护士对低血糖预防与急救知识知晓率从56.33%提高到98.59%;护士制定糖尿病患者个体化饮食执行率从62.22%提高到97.11%;制定糖尿病患者运动处方执行率从66.06%提高到97.24%;护士对15g葡萄糖食物准备的规范率从81.54%提高99.25%;低血糖事件发生率从22.14%降低到3.27%。结论 :应用前馈控制方法能有效降低院内糖尿病患者低血糖事件发生率,提高护士主动解决临床问题的能力。 Objective: The feed forward control method was applied to hospital management of diabetic hypoglycemia, in order to reduce the incidence of hypoglycemic events. Methods: In 2014, the authors analyzed the hypoglycemic events of diabetic inpatients from 2012 to 2013, and then feed forward control method was used to manage this problem. Results: After the implementation of feed forward control method, the nurses' knowledge awareness of hypoglycemia prevention and treatment increased from 56.33% to 98.59%. The nurses' implementation rate of formulating diabetes individualized diet increased from 62.22% to 97.11%, exercise prescription rate for diabetes patients increased from 66.06% to 97.24%. The standard rate of 15g-glucose food preparation increased from 81.54% to 99.25%. And hypoglycemic events incidence reduced from 22.14% to 3.27%. Conclusion: The application of feed forward control method could effectively reduce the hypoglycemic events in diabetic inpatients; and improve the nurses' ability to solve clinical problems.
出处 《中国护理管理》 CSCD 2016年第1期133-136,共4页 Chinese Nursing Management
基金 江苏大学医学临床科技发展基金项目(JLY20120001)
关键词 前馈控制 糖尿病 低血糖 安全管理 feed forward control diabetes hypoglycemia safety management
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