湖南省二级及以上综合医院糖尿病护理管理现状及分析  

Analysis on the current situation of nursing management of diabetes in secondary and above general hospitals in Hunan province

作　　者：李程程 孙鑫 曾诗叶 徐蓉 段欣[1] 李娟 张艳[2] 黄金[2] LI Chengcheng;SUN Xin;ZENG Shiye;XU Rong;DUAN Xin;LI Juan;ZHANG Yan;HUANG Jin(Clinical Nursing Teaching and Research Section,The Second Xiangya Hospital of Central South University,Changsha,410011,China)

机构地区：[1]中南大学湘雅二医院临床护理学教研室,中南大学湘雅护理学院,长沙市410011 [2]国家代谢性疾病临床医学研究中心,中南大学湘雅二医院代谢内分泌科

出　　处：《中国护理管理》2024年第12期1808-1813,共6页Chinese Nursing Management

基　　金：国家自然科学基金面上项目(72074227);湖南省自然科学基金企业联合基金项目(2023JJ70060);湖南省卫生适宜技术推广项目(WZ2020-3)。

摘　　要：目的:调查湖南省二级及以上综合医院糖尿病护理专科建设以及非内分泌科糖尿病护理质量管理现状,为推进医院糖尿病护理专科建设提供依据。方法:采取两阶段分层抽样方法,于2023年8月15日至10月15日对湖南省137家二级及以上医院进行调查。结果:在137家医院中,58.39%的医院建立了糖尿病护理小组,43.80%开设了糖尿病教育或糖尿病护理门诊,48.91%开展了全院血糖管理,糖尿病专科护士人数多的医院糖尿病护理专科建设较完善(P<0.05);非内分泌科糖尿病护理质量管理得分为(87.20±11.36)分,在科室管理和技能操作2个领域中得分最高的维度为胰岛素注射,最低为糖尿病教育;建立糖尿病护理小组医院的非内分泌科糖尿病护理质量管理得分高于未建立糖尿病护理小组的医院(P<0.05)。结论:糖尿病护理专科建设处于初级阶段,非内分泌科糖尿病护理质量管理整体水平较高,但仍应重视对相关操作细节的把控;未来应加快医院糖尿病护理专科建设速度,加强对糖尿病专科护士的培养和管理,推进医院糖尿病护理高质量发展。Objective:To investigate the construction of diabetes nursing specialty and the current status of diabetes care quality management in non-endocrine care units in secondary and above hospital in Hunan province.Methods:Twostage stratified random sampling was used to conduct a survey of 137 secondary and above general hospitals in Hunan province from August 15 to October 15,2023.Results:Among the 137 hospitals surveyed,58.39%of the hospitals had established diabetes care teams,43.80%had set up diabetes education or diabetes care clinics,and 48.91%had implemented hospital-wide blood glucose management.The number of diabetes specialist nurses in the hospital was a factor influencing the construction of diabetes specialties(P<0.05).The score for diabetes care quality management in non-endocrinology departments was(87.20±11.36)points.The dimension with the highest score was insulin injection,and the lowest was health education.The score for diabetes care quality in hospitals that had established diabetes care teams was higher than that in hospitals without such teams(P<0.05).Conclusion:The construction of diabetes care specialties is in its initial stage.The overall level of diabetes care quality management in non-endocrinology departments is good,but there is still a need to pay attention to the management of operational details.In the future,it is necessary to accelerate the speed of constructing diabetes care specialties in hospitals,strengthen the training,management and utilization of diabetes specialist nurses,and promote the high-quality development of diabetes care in hospitals.

关 键 词：糖尿病护理专科建设 非内分泌科 糖尿病护理质量管理 横断面调查 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]