同质化管理在非内分泌科住院糖尿病患者足部高危因素筛查中的应用  

Homogeneity Management in Screening High Risk Factors of Diabetic Foot in Hospitalized Diabetic Patients in Non-endocrine Departments

作　　者：瞿良琴 黄洁微[1] 苏燕华 陈庆玲[1] 刘雪彦[1] 胡申玲 李艳萍 周佩如[1] 

机构地区：[1]暨南大学附属第一医院,广东广州510632

出　　处：《护理学报》2018年第2期10-14,共5页Journal of Nursing（China）

基　　金：广东省科技发展专项资金(2016B010108008);广东省科技计划项目(2014A020212214)

摘　　要：目的探讨同质化管理在非内分泌科住院的糖尿病患者足部高危因素筛查中的应用效果。方法成立糖尿病足同质化管理小组,由专科护士对联络护士进行糖尿病足理论知识和足部高危因素筛查技能的培训考核,由考核合格的糖尿病联络护士对其所在病区住院的糖尿病患者开展足部高危因素筛查和足部护理指导。结果全院有20个病区开展了糖尿病足高危因素筛查,5个月共筛查糖尿病患者302例,筛查率为21.2%,302例患者中有90.1%的患者存在糖尿病足高危因素,通过筛查和教育后,患者掌握了糖尿病足的相关知识,改变不正确的足部护理行为。结论同质化管理能保证糖尿病患者在不同护理单元,享受到糖尿病足高危因素筛查的同质化护理服务,提高了专科护理质量,值得在医院推广应用。Objective To explore the effect of homogeneous management in the screening of high risk factors of diabetic foot in hospitalized diabetic patients in non-endocrine departments. Methods A diabetes mellitus homogeneous management team was established. Training and assessment of the diabetes specialist knowledge and operation skills were conducted by the homogeneous management team for diabetes link nurses. Then qualified nurses carried out the screening of high-risk factors of diabetic foot in the diabetic hospitalized patients. Results Risk factors screening of diabetic foot was conducted in 20 wards and 302 cases were screened out within 5 months with a screening rate of 21.2%. Risk factors of diabetic foot were screened out in 90.1% of the 302 patients. After the screening and education, the patients acquired more diabetic foot knowledge and improved their foot care behaviors. Conclusion Homogeneous management can ensure that diabetic patients enjoy the similar service in different nursing units and benefit improving the quality of specialist nursing, which is worth to be promoted.

关 键 词：非内分泌科 糖尿病足 高危因素 联络护士 同质化管理 

分 类 号：R473.58[医药卫生—护理学]