糖尿病学组在三甲医院非内分泌专科同质化管理的作用
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女,本科,主管护师

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西京医院学科助推计划护理项目(XJGX13HC03)


Homogenous management for diabetic patients admitted to non-endocrinological specialties of a 3 A hospital by establishing a diabetes specialist group
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    目的 探讨糖尿病学组在三甲医院非内分泌专科同质化管理中的应用效果。 方法 采取前瞻性非同期对照设计,将2016年9月从全院81个护理单元抽取的79例糖尿病患者作为实施前组,实施常规护理。在护理部组织下成立医院糖尿病学组,从各科室招募81名联络护士,建立“糖尿病学组质控组-临床科室质控组-科室联络员”三级院内血糖管理模式,对全院实行同质化管理。实施2年后(2018年9月)再次抽取80例糖尿病患者为实施后组,比较实施前后联络护士和患者糖尿病知识水平及患者出院前空腹血糖水平。 结果 糖尿病学组建立后,联络护士的糖尿病知识及技能操作成绩显著优于实施前(均P<0.01);实施后组患者糖尿病知识知晓率显著高于实施前组,出院前空腹血糖显著低于实施前组(均P<0.01)。 结论 糖尿病学组的建立在三甲医院非内分泌专科糖尿病同质化管理方面有积极作用,可提升非内分泌科室护士的糖尿病知识及技能水平,提高患者糖尿病知识水平,有效降低空腹血糖水平。

    Abstract:

    Objective To explore the effects of homogenous management for diabetic patients admitted to non-endocrinological specialties by establishing a diabetes specialist group. Methods A prospective, non-contemporary controlled design was adopted.A total of 79 diabetic patients selected from 81 clinical units in September, 2016,were assigned into the before group and received routine care.Hence, a diabetes specialist group was established, and 81 diabetes liaison nurses were picked from 81 clinical units.Then a 3-tier intra-hospital blood glucose management mode (quality control branch of the diabetes specialist group-unit quality control group-unit liaison nurse) was established and homogeneous management for all the diabetes patients in the hospital was implemented. Two years into homogeneous management, another 80 diabetic patients selected from 81 clinical units in September, 2018,were assigned into the after group. Before and after homogeneous management, liaison nurses and the patients were mea-sured for diabetes knowledge levels, and the patients′ blood sugar level was measured at discharge. Results After establishment of the diabetes specialist group, liaison nurses had higher diabetes knowledge and skills levels than before (P<0.01 for both); the after group patients had higher diabetes knowledge levels, and lower fasting blood sugar level at discharge, than the before group (P<0.01 for both). Conclusion The diabetes specialist group has played a significant role in homogeneous management of diabetic patients admitted to non-endocrinological specialties.It also help improve diabetes knowledge and skills levels of nurses working in non-endocrinological departments, as well as diabetes knowledge level of diabetic patients, and lower patients′ fasting glucose levels.

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任丽丽,画妍,黄朝旭,戚瑞.糖尿病学组在三甲医院非内分泌专科同质化管理的作用[J].护理学杂志,2021,36(3):57-60

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  • 收稿日期:2020-08-19
  • 最后修改日期:2020-11-29
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  • 在线发布日期: 2022-09-18