Investigation and analysis of nurses' cognition on standardized blood glucose monitoring in diabetes mellitus from non-endocrinology departments
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摘要: 目的 调查和分析非内分泌科护士对糖尿病患者规范血糖监测的态度、认知,并分析其相关因素及对策。 方法 参考《中国血糖监测临床应用指南(2011年版)》设计调查问卷,于2017年5—6月对蚌埠医学院第一附属医院非内分泌科(58个临床科室)的58名护士进行调查,采用SPSS 13.0统计软件进行系统描述分析。 结果 非内分泌科室的护士对规范血糖监测中血糖仪和试纸的正常工作环境有79.3%的护士不知道;血糖仪的测试范围有58.6%的护士不知道;每瓶试纸开启后的有效期有70.7%的护士不知道;特殊人群血糖控制标准有86.2%的护士不知道;血糖的危急值有50.0%的护士不知道。调查结果显示,不同职称、不同工龄、培训次数护士得分比较,差异有统计学意义(均P<0.05)。得分随职称的升高而降低;随工作年限的延长而降低;随培训次数的增加而升高。在学历上护士得分差异无统计学意义(P>0.05)。 结论 非内分泌科护士对血糖监测重视和关注程度不够,导致糖尿病患者缺乏针对血糖监测的指导和教育。因此需要深化《指南》建议的血糖监测方案,进一步对医护人员进行培训,提高非内分泌科护士对规范监测血糖的重视和关注,不断提高专科护理水平。针对存在的问题,进行规范血糖监测的专项培训,提供简明的规范化的血糖监测知识小册子供护士随时查询,分享规范血糖监测案例等途径来提高非内分泌科护士知识掌握程度。Abstract: Objective To investigate and analyze the attitudes and cognitions of nurses from non-endocrinology departments on standardized blood glucose monitoring in diabetic patients,and to analyze the related factors and countermeasures. Methods From May to June 2017,58 nurses from non-endocrinology departments(58 clinical departments)were surveyed by using the questionnaire,which was designed in reference to "Chinese blood glucose monitoring clinical application guide(2011 Edition)".Statistical analysis was applied by SPSS 13.0 software. Results Among the nurses,79.3% nurses didn't know the normal working environment of the blood glucose meter and test paper in the standardized blood glucose monitoring,58.6% nurses didn't know the test range of the blood glucose meter,70.7% nurses didn't know the validity period of each test paper bottle after opening,86.2% nurses didn't know the glycemic control standards for the special populations,and 50.0% nurses didn't know the critical value of blood glucose.The results showed that the differences in the scores of nurses with different titles,different seniority and different times of training were statistically significant (P<0.05).The scores decreased with the increase of professional titles,decreased with the extension of working years and increased with the times of training.The scores had no significant difference in nurses' educational background(P>0.05). Conclusion The nurses from non-endocrinology departments pay insufficient attention to blood glucose monitoring,and lead to lack of guidance and education for blood glucose monitoring.Therefore,the glycemic monitoring programme needs to be deepened according to the guideline,the medical staffs need to be further trained,the importance and attention of standardized blood glucose monitoring of the nurses from non-endocrinology departments need to be increased,and the levels of specialized nursing need to be improved continuously.In view of the existing problems,the knowledge levels of the nurses from non-endocrinology departments need to be improved through special training for regulating blood glucose monitoring,providing a brief standardized blood glucose monitoring knowledge booklet for nurses at any time,and sharing standard blood glucose monitoring cases.
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