基于指标导向的糖尿病专科护理质量管理在老年医院的应用效果

目的分析基于指标导向的糖尿病专科护理质量管理在老年医院的应用效果。方法基于PDCA管理模式和Donabedian模型,构建糖尿病专科护理质量管理评价指标,应用该指标于2019年1—12月对北京老年医院25个护理单元进行糖尿病专科护理培训、督导与考核,最终实现全院糖尿病专科护理的同质化管理。比较实施前和实施后3、6、9、12个月院内护士及患者糖尿病知识与技能掌握情况,以及25个护理单元糖尿病专科护理质量管理检查的情况。采用SPSS 17.0软件进行统计分析。结果构建的糖尿病专科护理质量管理评价指标,包括2项一级指标、7项二级指标和11项三级指标。实施同质化管理后,护士与患者的糖尿病专科知识与技能得分均高于实施前,差异有统计学意义(P<0.01);糖尿病专科护理质量检查(胰岛素管理、胰岛素笔管理、血糖仪管理、降糖药物服用方法)得分高于实施前,差异均有统计学意义(P<0.01);糖尿病专科护理质量检查(质量管理工作手册书写、护士培训)实施12个月后得分均高于实施3个月后,差异有统计学意义(P<0.01)。结论在老年医院构建糖尿病专科护理质量管理评价指标,采取同质化管理,能有效促进非内分泌科护士掌握糖尿病专科护理知识与技能,有利于提高糖尿病专科护理质量管理水平。

Application effect of quality management of diabetes special nursing based on index orientation in geriatric hospital

Objective To analyze the application effect of quality management of diabetes special nursing based on index orientation in geriatric hospital.Methods The evaluation index of diabetes special nursing quality management was established based on PDCA cycle management and Donabedian model.This index was applied to conduct training,supervision and assessment of diabetes special nursing in 25 nursing units of Beijing Geriatric Hospital from January to December 2019,and the homogenized management of diabetes special nursing in the whole hospital was finally realized.The knowledge and skills of diabetes of in-hospital nurses and patients at 3,6,9 and 12 months before and after the implementation were compared,as well as the quality management examination of diabetes special nursing in 25 nursing units.SPSS 17.0 software was used in statistical analysis.Results The constructed evaluation index of diabetes special nursing quality management included 2 first-level indexes,7 second-level indexes and 11 third-level indexes.After the implementation of homogeneous management,the scores of nurses and patients in diabetes specialist knowledge and skills were higher than those before implementation,and the differences were statistically significant(P<0.01).The scores of quality examination of diabetes special nursing(insulin management,insulin pen management,glucose meter management,hypoglycemic drug taking method)were higher than those before the implementation,and the differences were statistically significant(P<0.01).After 12 months of implementation,the scores of quality examination of diabetes special nursing(quality management manual writing,nurse training)were all higher than those after 3 months of implementation,and the differences were statistically significant(P<0.01).Conclusions Establishing evaluation index of quality management of diabetes special nursing in geriatric hospitals and adopting homogeneous management can effectively promote non-endocrinology department nurses to master the knowledge and skills of diabetes special nursing and help improve the management quality of diabetes special nursing.