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Application of Nursing Quality Improvement to Reduce the Incidence of Hypoglycemia During Colonoscopy Procedure in Diabetes Patients

Received: 12 April 2020     Accepted: 3 May 2020     Published: 14 May 2020
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Abstract

Objective: To explore the effect of Nursing Quality Improvement on reducing the incidence of hypoglycemia prior to and during colonoscopy in diabetes patients. Methods: The causes of hypoglycemia prior to and during colonoscopy were first analyzed. Then, the corresponding improvement plan and special procedure rules prior to and during colonoscopy were put forward. All the nurses including 23 nurses in the endocrinology department and 2 nurses in the endoscopy room must strictly obey the procedure rules. The Ward of Manager and the Nurse in charge were responsible for supervision. The awareness rate of nurse staff on the knowledge of colonoscopy and behavior improvement of nurse staff before and after the improvement were compared. The incidence of hypoglycemia prior to and during colonoscopy before and after the improvement were calculated. Results: After the Nursing Quality Improvement, the awareness rate of colonoscopy related knowledge in nurse staff was improved from 97.6 to 100%. All the nurses changed their nursing behavior related to bowel preparation from “Occasionally” to “Always”. Besides, the incidence of hypoglycemia prior to and during colonoscopy was reduced from 25% to 8.58% after the improvement. Conclusion: The application of Nursing Quality Improvement prior to and during colonoscopy can reduce the incidence of hypoglycemia and ensure the safety of patients.

Published in American Journal of Nursing Science (Volume 9, Issue 3)
DOI 10.11648/j.ajns.20200903.23
Page(s) 149-154
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Nursing Quality Improvement, Incidence of Hypoglycemia, Colonoscopy

References
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[2] Zhang Huiying, Zheng Rou, Sun Siwen, et. al. Safety of intestinal preparation by enteroscopy in 2786 elderly patients with diabetes mellitus. [J]. Chinese Journal of Gerontology, 2015, 35 (24): 7229-7230.
[3] Lv Minfang, Zheng Jingjing, Zheng Qiongna, et. al. Analysis of blood glucose monitoring in intestinal preparation of non diabetic elderly patients [J]. Nursing and rehabilitation, 2015, 09 (24): 852-853.
[4] You Zhao yuan, Liu Juan, Fang tianlu. Nursing strategy of preventing hypoglycemia in patients with type 2 diabetes during peri endoscopic examination [J]. Journal of nursing training, 2013, 28 (13): 1189-1190.
[5] Liang Hongkuan, Luo Ai, Xv Xiaojia, et. al.. Application of continuous quality improvement in reducing the incidence of hypoglycemia in diabetic inpatients. [Jodern medicine and health, 2020, 36 (04): 601-604.
[6] Hopper Ingrid, Easton Kellie, Bader Illona, Campbell James, Busija Lucy, Markey Peter, Bergin Peter, Kaye David. Impact of a model of care for heart failure in-patients to reduce variation in care - a quality improvement project. [J]. Internal medicine journal, 2020.
[7] Mate Kedar S, Rakover Jeffrey, Cordiner Kay, Noble Amy, Hassan Noura. Novel quality improvement method to reduce cost while improving the quality of patient care: retrospective observational study. [J]. BMJ quality & safety, 2020.
[8] Endocrinology branch of Chinese Medical Association,Expert consensus on hypoglycemia management of Chinese diabetic patients [J]. Chinese Journal of Endocrinology and metabolism,2012, 28 (8): 619-623.
[9] Yang Cunmei, Ma Yanlan, Kang Jun, et. al. Investigation and analysis of the time period of hypoglycemia in diabetic inpatients [J]. Chinese Journal of nursing, 2015, 30 (3): 303-307.
[10] Deng Wanping, Chen Bing, He Xiaohua, et. al. Continuous quality improvement based on the analysis of the causes of hypoglycemia in hospitalized diabetic patients (Application of safety management) [J]. Electronic Journal of practical clinical nursing, 2019, 4 (38): 175.
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Cite This Article
  • APA Style

    Yan Zhou, Wane Zhao, Xiaohua Lu, Jiewei Huang, Qinglin Chen, et al. (2020). Application of Nursing Quality Improvement to Reduce the Incidence of Hypoglycemia During Colonoscopy Procedure in Diabetes Patients. American Journal of Nursing Science, 9(3), 149-154. https://doi.org/10.11648/j.ajns.20200903.23

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    ACS Style

    Yan Zhou; Wane Zhao; Xiaohua Lu; Jiewei Huang; Qinglin Chen, et al. Application of Nursing Quality Improvement to Reduce the Incidence of Hypoglycemia During Colonoscopy Procedure in Diabetes Patients. Am. J. Nurs. Sci. 2020, 9(3), 149-154. doi: 10.11648/j.ajns.20200903.23

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    AMA Style

    Yan Zhou, Wane Zhao, Xiaohua Lu, Jiewei Huang, Qinglin Chen, et al. Application of Nursing Quality Improvement to Reduce the Incidence of Hypoglycemia During Colonoscopy Procedure in Diabetes Patients. Am J Nurs Sci. 2020;9(3):149-154. doi: 10.11648/j.ajns.20200903.23

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  • @article{10.11648/j.ajns.20200903.23,
      author = {Yan Zhou and Wane Zhao and Xiaohua Lu and Jiewei Huang and Qinglin Chen and Yan Liu and Xixi Luo},
      title = {Application of Nursing Quality Improvement to Reduce the Incidence of Hypoglycemia During Colonoscopy Procedure in Diabetes Patients},
      journal = {American Journal of Nursing Science},
      volume = {9},
      number = {3},
      pages = {149-154},
      doi = {10.11648/j.ajns.20200903.23},
      url = {https://doi.org/10.11648/j.ajns.20200903.23},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20200903.23},
      abstract = {Objective: To explore the effect of Nursing Quality Improvement on reducing the incidence of hypoglycemia prior to and during colonoscopy in diabetes patients. Methods: The causes of hypoglycemia prior to and during colonoscopy were first analyzed. Then, the corresponding improvement plan and special procedure rules prior to and during colonoscopy were put forward. All the nurses including 23 nurses in the endocrinology department and 2 nurses in the endoscopy room must strictly obey the procedure rules. The Ward of Manager and the Nurse in charge were responsible for supervision. The awareness rate of nurse staff on the knowledge of colonoscopy and behavior improvement of nurse staff before and after the improvement were compared. The incidence of hypoglycemia prior to and during colonoscopy before and after the improvement were calculated. Results: After the Nursing Quality Improvement, the awareness rate of colonoscopy related knowledge in nurse staff was improved from 97.6 to 100%. All the nurses changed their nursing behavior related to bowel preparation from “Occasionally” to “Always”. Besides, the incidence of hypoglycemia prior to and during colonoscopy was reduced from 25% to 8.58% after the improvement. Conclusion: The application of Nursing Quality Improvement prior to and during colonoscopy can reduce the incidence of hypoglycemia and ensure the safety of patients.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Application of Nursing Quality Improvement to Reduce the Incidence of Hypoglycemia During Colonoscopy Procedure in Diabetes Patients
    AU  - Yan Zhou
    AU  - Wane Zhao
    AU  - Xiaohua Lu
    AU  - Jiewei Huang
    AU  - Qinglin Chen
    AU  - Yan Liu
    AU  - Xixi Luo
    Y1  - 2020/05/14
    PY  - 2020
    N1  - https://doi.org/10.11648/j.ajns.20200903.23
    DO  - 10.11648/j.ajns.20200903.23
    T2  - American Journal of Nursing Science
    JF  - American Journal of Nursing Science
    JO  - American Journal of Nursing Science
    SP  - 149
    EP  - 154
    PB  - Science Publishing Group
    SN  - 2328-5753
    UR  - https://doi.org/10.11648/j.ajns.20200903.23
    AB  - Objective: To explore the effect of Nursing Quality Improvement on reducing the incidence of hypoglycemia prior to and during colonoscopy in diabetes patients. Methods: The causes of hypoglycemia prior to and during colonoscopy were first analyzed. Then, the corresponding improvement plan and special procedure rules prior to and during colonoscopy were put forward. All the nurses including 23 nurses in the endocrinology department and 2 nurses in the endoscopy room must strictly obey the procedure rules. The Ward of Manager and the Nurse in charge were responsible for supervision. The awareness rate of nurse staff on the knowledge of colonoscopy and behavior improvement of nurse staff before and after the improvement were compared. The incidence of hypoglycemia prior to and during colonoscopy before and after the improvement were calculated. Results: After the Nursing Quality Improvement, the awareness rate of colonoscopy related knowledge in nurse staff was improved from 97.6 to 100%. All the nurses changed their nursing behavior related to bowel preparation from “Occasionally” to “Always”. Besides, the incidence of hypoglycemia prior to and during colonoscopy was reduced from 25% to 8.58% after the improvement. Conclusion: The application of Nursing Quality Improvement prior to and during colonoscopy can reduce the incidence of hypoglycemia and ensure the safety of patients.
    VL  - 9
    IS  - 3
    ER  - 

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Author Information
  • Department of Endocrinology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Endocrinology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Endocrinology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Endocrinology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Endocrinology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Endocrinology, The First Affiliated Hospital of Jinan University, Guangzhou, China

  • Department of Endocrinology, The First Affiliated Hospital of Jinan University, Guangzhou, China

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