2型糖尿病临床护理路径在临床护理带教中的应用效果  

Application effects of T2DM clinical nursing pathway in clinical nursing education

作　　者：程芳[1] 王玉娟[1] 陈冬梅[2] 宋云西 高洁[2] 

机构地区：[1]首都医科大学电力教学医院护理部,北京100073 [2]首都医科大学电力教学医院内分泌科,北京100073

出　　处：《中华现代护理杂志》2017年第1期112-115,共4页Chinese Journal of Modern Nursing

基　　金：丰台区卫生计生系统科研项目（2015-04）

摘　　要：目的：探讨2型糖尿病临床护理路径在护理实习生带教中的应用效果。方法2014年7月—2015年5月采用目的抽样法选择在首都医科大学电力教学医院内分泌科实习的24名护生作为对照组，采用传统临床教学法。将2015年7月—2016年5月在内分泌科实习的22名护生作为观察组，根据原卫生部发布的2型糖尿病临床路径表，依据护理工作特点进行细化，建立临床护理路径，基于此路径设计临床护理教学方案并应用。在实习结束出科前比较两组护生理论和操作考试成绩，自行设计患者糖尿病知识认知问卷，比较两组患者的糖尿病知识水平。结果对照组护生出科时理论成绩为（84.63±3.79）分，实践操作成绩为（90.42±3.28）分，观察组分别为（90.91±3.13）、（92.36±2.59）分，均高于对照组，两组比较差异有统计学意义（t值分别为-6.103、-2.219；P＜0.05）。对照组患者糖尿病相关知识得分为（80.13±5.35）分，观察组为（86.23±4.98）分，差异有统计学意义（t=-8.568，P＜0.01）。结论基于2型糖尿病临床护理路径表的带教模式能较好地指导实习生临床护理工作，提高临床实践和临床综合能力，增加患者对疾病知识的掌握。ObjectiveTo explore the application effects of type 2 diabetes mellitus （T2DM） clinical nursing pathway in clinical nursing education.Methods A total of 24 nursing students practiced in endocrine department of Beijing Electric Power Hospital of Capital Medical University from July 2014 to May 2015 were selected by purpose sampling method as the control group and they received the traditional clinical teaching method. 22 nursing students practiced in endocrine department of our hospital from July 2015 to May 2016 were selected as the observation group and they received clinical nursing teaching plan which was designed based on the clinical nursing pathway. The clinical nursing pathway was established based on T2DM clinical pathway issued by the Ministry of Health of PRC and refined according to the characteristics of nursing work. Test scores of students′ theory and operation were compared between two groups. The questionnaire of patients′ diabetes knowledge was self-designed and was used to investigate the knowledge of patients on diabetes.Results The scores of students′ theory and operation in the observation group were （90.91±3.13） and （92.36±2.59）,which were higher than those in the control group [（84.63±3.79）,（90.42±3.28）]. The differences were statistically significant （t= -6.103,-2.219;P〈0.05）. The score of knowledge on diabetes of patients in the observation group （86.23±4.98） was significantly higher than that in the control group （80.13±5.35） （t= -8.568,P〈0.01）. Conclusions The clinical teaching method based on clinical nursing pathway could guide nursing students to improve clinical practice and comprehensive ability as well as promoting knowledge of patients on diseases.

关 键 词：糖尿病 2型 医院 教学 学生 护理 临床护理路径 

分 类 号：R473.5[医药卫生—护理学]