Construction and implementation of hospital specialized integrated perioperative blood glucose management model
10.3760/cma.j.issn.1674-2907.2018.36.018
- VernacularTitle:院内专科一体化围术期血糖管理模式的构建与实施
- Author:
Lin LIU
1
;
Huiqun WU
;
Yuling ZHANG
Author Information
1. 江西省人民医院护理部
- Keywords:
Diabetes;
Perioperative period;
Blood glucose management;
Integrated
- From:
Chinese Journal of Modern Nursing
2018;24(36):4415-4418
- CountryChina
- Language:Chinese
-
Abstract:
Objective To construct an hospital specialized integrated perioperative blood glucose management model, and analyze its effects on perioperative blood glucose management of non-endocrine patients.Methods In March 2017, under the leadership of Nursing Department, a specialized integrated diabetes nursing team was established, with 48 nurses from various departments as liaison nurses setting up the hospital diabetes nursing team. From April to July 2017, diabetes management knowledge was given to the liaison nurses, and the whole course management of blood glucose in patients during perioperative period were formulate and supervised to carry out in departments. The theoretical knowledge scores of diabetic nurses before and after training, and the quality of insulin management and bedside blood glucose detection in 45 non-edocrine wards before and after the implementation of integrated perioperative blood glucose management were compared. The incidence of abnormal blood glucose in gynecologic patients without diabetes mellitus history after the implementation of integrated perioperative blood glucose management was analyzed.Results After training, the scores of diabetes basic knowledge, insulin injection related knowledge and blood glucose detection related knowledge of diabetes liaison nurses were (79.60±6.56), (80.57±7.77) and (81.15±6.21) respectively, with statistically significant differences compared with those before training (P<0.01). After the implementation of integrated perioperative blood glucose management, the scores of insulin management quality and bedside blood glucose detection quality in non-endocrine specialty ward were (93.42±3.92) and (93.51±2.73) respectively, which were higher than those before the implementation of integrated perioperative blood glucose management, and the differences were statistically significant (P<0.01). After the implementation of integrated perioperative blood glucose management, the detection rate of abnormal blood glucose in gynecologic patients without diabetes mellitus history was higher, reaching 38％.Conclusions Specialized integrative blood glucose management has improved the diabetes-related knowledge of liaison nurses, improved the quality of diabetes care in non-endocrine specialty wards, and promoted the standardization of blood glucose management system in perioperative patients.
