基于多学科团队的院内血糖信息化管理的护理实践
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摘要
目的探索基于多学科团队的院内血糖信息化管理护理实践及效果。方法 2017年1月,采用自身前后对照设计,对我院41名糖尿病联络护士进行基于多学科团队的院内血糖信息化管理专科培训,并运用自行设计的糖尿病相关知识评估试卷和血糖管理能力调查问卷进行评价,并统计病区血糖管理相关指标,比较培训前后效果。结果培训后,糖尿病联络护士糖尿病相关知识评估试卷和血糖管理能力调查问卷得分显著高于培训前,差异有统计学意义(P<0.05);病区血糖不达标率等血糖管理相关指标实现改进。结论基于多学科团队的院内血糖信息化管理护理实践能够提升院内糖尿病联络护士的血糖管理专科能力,改善病区血糖管理质量。
引文
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[12]陆熠,张宁.规范化培训糖尿病联络护士优化病区低血糖管理[J].护理学杂志,2016,31(3):9-12.
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[14] Kei T,Tsuyoshi O,Rie K,et al.Development and evaluation of a blood glucose management system for reducing the delay in measurement[J].Stud Health Technol Inform,2017,245:1058-1062.
[2] Hogan P,Dall T,Nikolov P.Economic costs of diabetes in the US in 2002[J].Diabetes Care,2003,26(3):917-932.
[3] Krinsley J S.Association between hyperglycemia and increased hospital mortality in a heterogeneous population of critically ill patients[J].Mayo Clin Proc,2003,78(12):1471-1478.
[4] Swanson C M,Potter D J,Kongable G L,et al.Update on inpatient glycemic control in hospitals in the United States[J].Endocr Pract,2011,17(6):853-861.
[5] Rau C S,Wu S C,Chen Y C,et al.Stress-induced hyperglycemia,but not diabetic hyperglycemia,is associated with higher mortality in patients with isolated moderate and severe traumatic brain injury:Analysis of a propensity score-matched population[J].Int J Environ Res Public Health,2017,14(11):1-10.
[6] Rau C S,Wu S C,Chen Y C,et al.Higher mortality in trauma patients is associated with stress-induced hyperglycemia,but not diabetic hyperglycemia:A cross-sectional analysis based on apropensity-score matching approach[J].Int J Environ Res Public Health,2017,14(10):1-10.
[7] Malcolm J C,Maranger J,Taljaard M,et al.Into the abyss:Diabetes process of care indicators and outcomes of defaulters from a Canadian tertiary care multidisciplinary diabetes clinic[J].BMC Health Serv Res,2013,13(1):303-312.
[8]潘文彦,赵慧华,钟鸣,等.信息化血糖采集系统在ICU患者血糖管理中的应用[J].护士进修杂志,2017,32(17):1575-1577.
[9]万青,曾天舒,胡慧,等.医院信息化血糖管理系统临床应用实践[J].护士进修杂志,2016,31(13):1186-1188.
[10]中华医学会检验医学分会.便携式血糖仪临床操作和质量管理规范中国专家共识[J].中华医学杂志,2016,96(36):2864-2867.
[11]李蓓,赵雪,杨玲凤,等.多学科糖尿病管理团队对联络护士培训的中期效果评价[J].护理学杂志,2017,32(9):44-47.
[12]陆熠,张宁.规范化培训糖尿病联络护士优化病区低血糖管理[J].护理学杂志,2016,31(3):9-12.
[13] Irace C,Schweitzer M A,Tripolino C,et al.Diabetes data management system to improve glycemic control in people With type 1diabetes:Prospective cohort study[J].JMIR Mhealth Uhealth,2017,5(11):e170.
[14] Kei T,Tsuyoshi O,Rie K,et al.Development and evaluation of a blood glucose management system for reducing the delay in measurement[J].Stud Health Technol Inform,2017,245:1058-1062.