Implementation effects and influencing factors of type 2 diabetes management pathway in a primary hospital
10.3760/cma.j.cn115682-20210705-02934
- VernacularTitle:2型糖尿病管理路径在基层医院的执行效果及影响因素分析
- Author:
Liang SUN
1
;
Huijia ZHOU
;
Huijuan CHEN
;
Yong WANG
Author Information
1. 河南省人民医院全科医学科，郑州 450003
- Keywords:
Diabetes mellitus, type 2;
Management pathway;
Primary hospital;
Influencing factors
- From:
Chinese Journal of Modern Nursing
2022;28(10):1333-1336
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the implementation effect of type 2 diabetes mellitus (T2DM) management pathway in a primary hospital, and analyze its influencing factors.Methods:Henan Provincial People's Hospital instructed Zhengzhou Beixia Street Community Health Service Center to implement the conventional T2DM management model from January to December 2019, and to implement the T2DM management pathway from January to December 2020. The implementation effect of the T2DM management pathway was observed. A total of 220 cases of T2DM patients after the implementation were set as the good group and the poor group according to the effect of the pathway management. Logistic regression was used to analyze the influencing factors of the implementation effect of T2DM management pathway.Results:Before the implementation, hospitalization time, hospitalization expenses, incidence of adverse nursing events, patient satisfaction, and good compliance rate of medication, diet, exercise, and blood glucose self-monitoring were (15.39±2.14) d, (4 256.87±536.14) yuan, 12.27% (27/220) , 81.82% (180/220) , 60.45% (133/220) , 69.55% (153/220) , 56.36% (124/220) , 54.55% (120/220) , respectively, and after the implementation were (12.20±2.82) d, (3 158.62±425.16) yuan, 6.36% (14/220) , 91.36% (201/220) , 72.27% (159/220) , 81.82% (180/220) , 73.18% (161 /220) , 78.18% (172/220) , respectively. After the implementation, the hospitalization time of the patients was shorter than that before the implementation, and the hospitalization expenses and the incidence of adverse nursing events were lower than those before the implementation, and the good compliance rate of medication, diet, exercise and blood glucose self-monitoring and patient satisfaction were higher than those before implementation, and the differences were statistical ( P<0.05) . Logistic regression showed that smoking, the course of T2DM, and the irregular pathway management were all factors that affected the implementation effect of the T2DM management pathway ( P<0.05) . Conclusions:The implementation of T2DM pathway management in primary hospitals can achieve obvious effects. Smoking, the course of T2DM, and irregular pathway management are all factors that affect its implementation effect.
