品管圈介入干预模式在糖尿病合并冠心病患者中的应用价值探究(1)
【摘要】 目的：探究品管圈(quality control circle，QCC)介入干预模式在糖尿病合并冠心病患者中的应用价值。方法：选取2017年5月-2019年8月本院收治的糖尿病合并冠心病患者208例，根据纳入及排除标准，排除100例，选取108例患者进行前瞻性研究，随机分为对照组(n=54)和QCC组(n=54)，对照组采用常规干预，观察组采用品管圈介入干预模式干预，比较两组干预后并发症发生率、空腹血糖、餐后2 h血糖、总胆固醇水平及血压，两组焦虑自评量表(self-rating anxiety scale，SAS)、抑郁自评量表(self-rating depression scale，SDS)评分及生活质量评分。结果：QCC组各并发症发生率均显著低于对照组(P<0.05);QCC组血糖、总胆固醇、血压控制均显著优于对照组，差异均有统计学意义(P<0.05);QCC组干预后SAS、SDS评分均低于对照组，生活质量评分高于对照组(P<0.05)。结论：QCC介入干预模式能显著减少DM合并CHD患者并发症发生率;改善血脂、血糖、血压、不良情绪，提高患者生活质量，具有极高优越性。
【关键词】 品管圈介入干预模式 糖尿病 冠心病
[Abstract] Objective： To explore the application value of quality control circle (QCC) intervention model in patients with diabetes mellitus (DM) and coronary heart disease (CHD). Method： A total of 208 patients with DM and CHD admitted to our hospital from May 2017 to August 2019 were selected， according to the inclusion and exclusion criteria， 100 patients were excluded， 108 patients were selected for a prospective study and randomly divided into the control group (n=54) and QCC group (n=54). The control group received routine intervention， and QCC group used QCC intervention model. The incidence of complications， fasting blood glucose， 2 h postprandial blood glucose， total cholesterol level and blood pressure after intervention， self-rating anxiety scale (SAS)， self-rating depression scale (SDS) scores and quality of life scores of two groups were compared. Result： The incidence of various complications in QCC group were significantly lower than those in the control group (P<0.05). The blood glucose， total cholesterol， and blood pressure control in QCC group were significantly better than those of the control group， and the differences were statistically significant (P<0.05). After intervention， the SAS and SDS scores of QCC group were lower than those of the control group， the quality of life scores was significantly higher than that of the control group (P<0.05). Conclusion： QCC intervention model can significantly reduce the incidence of DM and CHD patients’ complications， improve blood lipids， blood sugar， blood pressure， bad mood， and improve the quality of life of patients， and has a very high advantage.
[Key words] Quality control circle intervention model Diabetes mellitus Coronary heart disease
First-author’s address： The Second Affiliated Hospital of Nanchang University， Nanchang 330006， China
doi：10.3969/j.issn.1674-4985.2020.27.021
随着我国人口老龄化加剧及人们生活水平提高，各种老年慢性疾病发病率显著上升，其中以糖尿病(diabetes mellitus，DM)与冠心病(coronary heart disease，CHD)最为常见，临床研究指出，CHD是导致DM患者死亡的主要原因之一。此外有研究报道指出，DM是诱发CHD的高危因素之一，同时CHD可加重糖尿病病情，两者相互关联，其致残率、病死率极高[1-2]。文献[3-4]指出，合理的干预方式能有效改善DM合并CHD患者的治疗效果与心理状态，但目前仍无系统性干预方式。本院于2016年12月成立DM合并CHD干预品管圈心理介入对患者进行干预，并获得系统性资料。現报道如下。, 百拇医药(许玄 涂娜 王薇 付亚红 田佩珊 周敏)
【关键词】 品管圈介入干预模式 糖尿病 冠心病
[Abstract] Objective： To explore the application value of quality control circle (QCC) intervention model in patients with diabetes mellitus (DM) and coronary heart disease (CHD). Method： A total of 208 patients with DM and CHD admitted to our hospital from May 2017 to August 2019 were selected， according to the inclusion and exclusion criteria， 100 patients were excluded， 108 patients were selected for a prospective study and randomly divided into the control group (n=54) and QCC group (n=54). The control group received routine intervention， and QCC group used QCC intervention model. The incidence of complications， fasting blood glucose， 2 h postprandial blood glucose， total cholesterol level and blood pressure after intervention， self-rating anxiety scale (SAS)， self-rating depression scale (SDS) scores and quality of life scores of two groups were compared. Result： The incidence of various complications in QCC group were significantly lower than those in the control group (P<0.05). The blood glucose， total cholesterol， and blood pressure control in QCC group were significantly better than those of the control group， and the differences were statistically significant (P<0.05). After intervention， the SAS and SDS scores of QCC group were lower than those of the control group， the quality of life scores was significantly higher than that of the control group (P<0.05). Conclusion： QCC intervention model can significantly reduce the incidence of DM and CHD patients’ complications， improve blood lipids， blood sugar， blood pressure， bad mood， and improve the quality of life of patients， and has a very high advantage.
[Key words] Quality control circle intervention model Diabetes mellitus Coronary heart disease
First-author’s address： The Second Affiliated Hospital of Nanchang University， Nanchang 330006， China
doi：10.3969/j.issn.1674-4985.2020.27.021
随着我国人口老龄化加剧及人们生活水平提高，各种老年慢性疾病发病率显著上升，其中以糖尿病(diabetes mellitus，DM)与冠心病(coronary heart disease，CHD)最为常见，临床研究指出，CHD是导致DM患者死亡的主要原因之一。此外有研究报道指出，DM是诱发CHD的高危因素之一，同时CHD可加重糖尿病病情，两者相互关联，其致残率、病死率极高[1-2]。文献[3-4]指出，合理的干预方式能有效改善DM合并CHD患者的治疗效果与心理状态，但目前仍无系统性干预方式。本院于2016年12月成立DM合并CHD干预品管圈心理介入对患者进行干预，并获得系统性资料。現报道如下。, 百拇医药(许玄 涂娜 王薇 付亚红 田佩珊 周敏)