Exploration and application of multidisciplinary information-based blood glucose management dominated by nurses in virtual wards
10.3760/cma.j.cn115682-20191219-04674
- VernacularTitle:以护士为主导的多学科-信息化血糖管理模式在虚拟病区中的探索与应用
- Author:
Wenzhen HUANG
1
;
Wei WEI
;
Yinghua LYU
;
Jie WANG
;
Li LI
;
Fan ZHOU
Author Information
1. 河南省人民医院 郑州大学人民医院内分泌科，郑州 450003
- Keywords:
Diabetes mellitus;
Information-based;
Blood glucose management;
Virtual ward;
Blood glucose monitoring
- From:
Chinese Journal of Modern Nursing
2020;26(27):3812-3816
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To establish a multidisciplinary information-based blood glucose management dominated by nurses, improve the specialized knowledge of non-endocrinological liaison nurses, and achieve homogenization of blood glucose management in the whole hospital.Methods:A multidisciplinary blood glucose management system was established in the hospital with the help of internet technology. From August to December 2018, specialized training was provided to totally 86 liaison nurses from 58 wards. Virtual wards were constructed using information technology, and remote treatment was provided to diabetic patients. A total of 10 wards were selected out of 58 wards, and the 212 diabetic patients who were admitted to the 10 wards in May 2018 were included into the control group, and the general consultation system in the hospital was adopted for them. Totally 238 diabetic patients admitted in May 2019 were included into the experimental group, and were subjected to multidisciplinary information-based blood glucose management. The diabetes knowledge of the liaison nurses before and after the training as well as the blood glucose management quality and patient satisfaction of the two groups of patients were compared.Results:After the training, the diabetes-related knowledge scores of the liaison nurses increased, and the difference was statistically significant compared with that before the training ( P<0.05) . The fasting blood glucose compliance rate at discharge, 2 h postprandial blood glucose compliance rate, in-hospital glycosylated hemoglobin detection rate, glucose tolerance detection rate, and patient satisfaction of the experimental group were 97.48%, 92.02%, 83.61%, 44.79%, and 99.16% respectively, all higher than those of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Creating a virtual ward and implementing multidisciplinary informatized-based blood glucose management can improve the quality of blood glucose management and satisfaction of diabetic patients, which is of certain clinical significance and is worth promoting in clinical practice.
