Application of nursing risk management based on PDCA cycle quality control concept in patients with diabetic ketoacidosis
基于PDCA循环质量控制理念的护理风险管理在糖尿病酮症酸中毒患者中的应用

摘要

目的 糖尿病酮症酸中毒是糖尿病患者常见的急性并发症，具有起病急、病情进展迅速、并发症多等特点，对患者的健康和生命安全构成严重威胁，除了及时有效的治疗外，优质的护理措施也尤为重要，因此本文探讨基于PDCA循环质量控制理念的护理风险管理在糖尿病酮症酸中毒患者中的应用效果。方法 对在我院收治的成年DKA患者按PDCA循环质量控制理念的护理风险管理前后分为对照组（n=30，实施指南驱动的常规护理）与观察组（n=30，在常规护理基础上，依据“计划-实施-检查-处置”四阶段循环构建护理风险管理体系），对比两组的护理效果。结果 观察组护理有效率、临床护理各项指标以及预后指标和护理满意度均显著优于对照组，P＜0.05，组间存在对比性。结论 基于PDCA循环质量控制理念的护理风险管理在DKA患者中的应用取得了显著效果，可作为急诊-重症DKA护理质量持续改进的优选策略。

Abstract

Objective Diabetic ketoacidosis (DKA) is a common acute complication in diabetic patients, characterized by rapid onset, rapid disease progression, and multiple complications, posing a serious threat to patients' health and life safety. In addition to timely and effective treatment, high-quality nursing measures are also particularly important. Therefore, this paper explores the application effect of nursing risk management based on the PDCA cycle quality control concept in patients with diabetic ketoacidosis.
Methods Adult DKA patients admitted to our hospital were divided into a control group (n=30, receiving guideline-driven routine nursing) and an observation group (n=30, receiving routine nursing plus a nursing risk management system constructed based on the four-stage cycle of 'Plan-Do-Check-Act' in accordance with the PDCA cycle quality control concept) before and after the implementation of nursing risk management based on the PDCA cycle quality control concept. The nursing effects of the two groups were compared.
Results The nursing effectiveness rate, various clinical nursing indicators, prognosis indicators, and nursing satisfaction of the observation group were significantly better than those of the control group, with P<0.05, indicating a significant difference between the groups.
Conclusion   Nursing risk management based on the PDCA cycle quality control concept has achieved significant results in DKA patients and can be used as the preferred strategy for continuous quality improvement in emergency and critical care nursing for DKA.