查检表在非内分泌专科护士胰岛素笔注射培训中的应用
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摘要
目的探讨信息化查检表在非内分泌专科护士胰岛素笔规范注射培训中的应用效果。方法设计胰岛素笔注射查检表,对接入信息化护理系统;由各科室护士长对照查检表负责所在科室护士的基线调研及规范注射的培训落实;3个月后,护理部质量管理委员会便利抽取88名护士集中进行培训后考核调研。结果护士胰岛素笔规范注射的总不合格率由7.86%降至3.50%。结论胰岛素笔注射查检表降低非内分泌专科护士胰岛素笔规范注射的不合格率,推动全院胰岛素笔注射的同质化护理行为。
Objective To explore the application effect of the informationalized checklist in insulin pens′standard injection training among non-endocrine specialist nurses.Methods The checklist of insulin pen injection was designed and was accessed to nursing information system;the head nurses were responsible for the baseline survey of nurses in their department and the training of standardized injection according to the checklist.Three months later,88 nurses who were trained were selected by convinence sampling to check the training effect by the quality management committee of the nursing department.Results The total unqualified rate of insulin pens′standardized injection reduced from 7.86%to 3.50%.Conclusion Application of the checklist for insulin pen injection is conducive to decrease the unqualified rate of insulin pens′standardized injection among non-endocrine specialist nurses,and promote homogenization nursing behavior of insulin pen injection.
Objective To explore the application effect of the informationalized checklist in insulin pens′standard injection training among non-endocrine specialist nurses.Methods The checklist of insulin pen injection was designed and was accessed to nursing information system;the head nurses were responsible for the baseline survey of nurses in their department and the training of standardized injection according to the checklist.Three months later,88 nurses who were trained were selected by convinence sampling to check the training effect by the quality management committee of the nursing department.Results The total unqualified rate of insulin pens′standardized injection reduced from 7.86%to 3.50%.Conclusion Application of the checklist for insulin pen injection is conducive to decrease the unqualified rate of insulin pens′standardized injection among non-endocrine specialist nurses,and promote homogenization nursing behavior of insulin pen injection.
引文
[1]American Diabetes Association.Diabetes Care in the Hospital[J].Diabetes Care,2016,39(Suppl 1):S99-S104.
[2]Umpierrez G E,Hellman R,Korytkowski M T,et al.Management of hyperglycemia in hospitalized patients in non-critical care setting:an endocrine society clinical practice guideline[J].J Clin Endocrinol Metab,2012,97(1):16-38.
[3]多樱樱,纪立农.胰岛素注射技术误区解析及国际规范推荐[J].中华糖尿病杂志,2011,3(3):267-270.
[4]Lajara R,Guerrero G,Thurman J.Healthcare professional and patient perceptions of a new prefilled insulin pen versus vial and syringe[J].Expert Opin Drug Deliv,2012,9(10):1181-1196.
[5]Lee A,Faddoul B,Sowan A,et al.Computerisation of a paper-based intravenous insulin protocol reduces errors in a prospective crossover simulated tight glycaemic control study[J].Intensive Crit Care Nurse,2010,26(3):16-18.
[6]毛玲,李静,唐秀珍,等.非糖尿病专科护士笔式胰岛素注射操作考核成绩分析[J].护理学杂志,2015,37(9):45-47.
[7]安秀丽,张莉,梁丽娜.胰岛素对照表在非内分泌专科的应用及效果分析[J].护士进修杂志,2015,30(9):842-844.
[8]孙春霞,林征.从胰岛素注射问卷调查结果分析胰岛素注射教育现状[J].中国医药导刊,2013,15(11):1888-1890.
[9]吴利平,李惠萍,赵梅,等.糖尿病专科护士的培养现状[J].护理学杂志,2011,26(11):87-90.
[10]徐晶晶,谢晓峰,黄晓萍,等.非内分泌科胰岛素泵治疗患者的多学科协作优化管理[J].护理学杂志,2015,30(13):22-25.
[11]中华医学会糖尿病学分会.中国糖尿病药物注射指南2011[J]中华全科医师杂志,2012,11(5):319-321.
[12]余桂芳,文玉琼,刘艳红.非内分泌病房糖尿病护理工作存在问题的分析与对策[J].实用医学杂志,2009,25(23):4075-4076.
[13]马芳,李继平.我国护理人员在职培训效果评价及影响因素研究进展[J].中华糖尿病杂志,2015,50(4):472-475.
[14]梁志金,刘晓芳,黄艳,等.格林模式培训促进低年资护士胰岛素规范化注射行为[J].护理学杂志,2014,29(23):55-57.
[15]黄磊,孙立颖,严岩.新生儿及儿童血培养凝固酶阴性葡萄球菌的阳性报警时间对血流感染与污染的鉴别诊断价值评价[J].中国全科医学,2013,16(10B):3438-3440.
[16]莫敏玲.查检表在新生儿血培养标本采集操作中的应用效果[J].护士进修杂志,2015,30(8):748-750.
[17]吴倩,刘红玲,赵英杰.岗位查检表在心胸外科病区一级护理质控管理中的应用[J].护理学报,2015,22(10):70-72.
[18]刘婧英,李继平.护理信息系统应用效果分析研究现状[J].中华护理杂志,2014,49(6):729-731.
[2]Umpierrez G E,Hellman R,Korytkowski M T,et al.Management of hyperglycemia in hospitalized patients in non-critical care setting:an endocrine society clinical practice guideline[J].J Clin Endocrinol Metab,2012,97(1):16-38.
[3]多樱樱,纪立农.胰岛素注射技术误区解析及国际规范推荐[J].中华糖尿病杂志,2011,3(3):267-270.
[4]Lajara R,Guerrero G,Thurman J.Healthcare professional and patient perceptions of a new prefilled insulin pen versus vial and syringe[J].Expert Opin Drug Deliv,2012,9(10):1181-1196.
[5]Lee A,Faddoul B,Sowan A,et al.Computerisation of a paper-based intravenous insulin protocol reduces errors in a prospective crossover simulated tight glycaemic control study[J].Intensive Crit Care Nurse,2010,26(3):16-18.
[6]毛玲,李静,唐秀珍,等.非糖尿病专科护士笔式胰岛素注射操作考核成绩分析[J].护理学杂志,2015,37(9):45-47.
[7]安秀丽,张莉,梁丽娜.胰岛素对照表在非内分泌专科的应用及效果分析[J].护士进修杂志,2015,30(9):842-844.
[8]孙春霞,林征.从胰岛素注射问卷调查结果分析胰岛素注射教育现状[J].中国医药导刊,2013,15(11):1888-1890.
[9]吴利平,李惠萍,赵梅,等.糖尿病专科护士的培养现状[J].护理学杂志,2011,26(11):87-90.
[10]徐晶晶,谢晓峰,黄晓萍,等.非内分泌科胰岛素泵治疗患者的多学科协作优化管理[J].护理学杂志,2015,30(13):22-25.
[11]中华医学会糖尿病学分会.中国糖尿病药物注射指南2011[J]中华全科医师杂志,2012,11(5):319-321.
[12]余桂芳,文玉琼,刘艳红.非内分泌病房糖尿病护理工作存在问题的分析与对策[J].实用医学杂志,2009,25(23):4075-4076.
[13]马芳,李继平.我国护理人员在职培训效果评价及影响因素研究进展[J].中华糖尿病杂志,2015,50(4):472-475.
[14]梁志金,刘晓芳,黄艳,等.格林模式培训促进低年资护士胰岛素规范化注射行为[J].护理学杂志,2014,29(23):55-57.
[15]黄磊,孙立颖,严岩.新生儿及儿童血培养凝固酶阴性葡萄球菌的阳性报警时间对血流感染与污染的鉴别诊断价值评价[J].中国全科医学,2013,16(10B):3438-3440.
[16]莫敏玲.查检表在新生儿血培养标本采集操作中的应用效果[J].护士进修杂志,2015,30(8):748-750.
[17]吴倩,刘红玲,赵英杰.岗位查检表在心胸外科病区一级护理质控管理中的应用[J].护理学报,2015,22(10):70-72.
[18]刘婧英,李继平.护理信息系统应用效果分析研究现状[J].中华护理杂志,2014,49(6):729-731.