中华护理杂志 ›› 2023, Vol. 58 ›› Issue (10): 1166-1171.DOI: 10.3761/j.issn.0254-1769.2023.10.002

• 糖尿病护理专题 • 上一篇    下一篇

以糖尿病专科护士为主导的胰岛素泵全程管理系统的构建及应用

姚慧岚(), 袁红娣, 黄晨, 程丽丽, 吴黎莉, 潘红英(), 石文莉   

  1. 310016 杭州市 浙江大学医学院附属邵逸夫医院护理教育部(姚慧岚,袁红娣,吴黎莉),护理部(黄晨,程丽丽,潘红英),骨科病房(石文莉)
  • 收稿日期:2022-08-05 出版日期:2023-05-20 发布日期:2023-05-30
  • 通讯作者: 潘红英,E-mail:Pan3191016@zju.edu.cn
  • 作者简介:姚慧岚:女,本科(硕士在读),E-mail:Yaohl@srrsh.com
  • 基金资助:
    浙江省医药卫生科技计划项目(2019ZD006);浙江省医药卫生科技计划项目(2022KY837)

Design and application of an insulin pump whole process management system led by advanced practice nurses for diabetes mellitus

YAO Huilan(), YUAN Hongdi, HUANG Chen, CHENG Lili, WU Lili, PAN Hongying(), SHI Wenli   

  • Received:2022-08-05 Online:2023-05-20 Published:2023-05-30

摘要:

目的 设计以糖尿病专科护士为主导的胰岛素泵全程管理系统,并评价其应用效果。 方法 组建研究小组设计胰岛素泵全程管理系统,包括专科护士工作站模块和住院护士工作站模块,比较系统应用前(2020年6月—12月)与系统应用后(2021年6月—12月)非内分泌科使用胰岛素泵治疗患者的专科护理质量指标(上报胰岛素泵不良事件例数、低血糖事件发生例数)和护理文书书写质量,调查护士对胰岛素泵全程管理系统的满意度。 结果 应用胰岛素泵全程管理系统后,低血糖事件发生例数减少(P=0.039);护理文书质量优于系统应用前(P<0.001);护士对系统满意度得分为40(36,45)分(满分45分)。 结论 应用以糖尿病专科护士为主导的胰岛素泵全程管理系统能提高非内分泌科使用胰岛素泵治疗患者的护理质量、改善对患者的安全管理,提高临床护士护理文书记录质量,护士对诊系统整体较为满意。

关键词: 糖尿病, 专科护士, 非内分泌科, 胰岛素泵, 信息化, 护理

Abstract:

Objective To design an insulin pump whole process management system led by advanced practice nurses(APN) for diabetes,and to explore its application effect. Methods A research group was established and a whole-process insulin pump management system was designed,including the functions of receiving nursing consultation,installation records,daily pump inspection records,pump withdrawal,quality monitoring of documents related to the responsible nurse pump,closed-loop management of insulin pumps,and quality control,and the differences of nursing document quality statistics. Specialty nursing quality indicators(number of adverse events reported to insulin pump and number of hypoglycemia events) and nursing document quality of patients treated with insulin pump in non-endocrinology department were compared before(June to December 2020) and after (June to December 2021) application of the system. In January 2022,a self-designed satisfaction questionnaire was used to investigate 154 nurses’ satisfaction with the system. Results After the application of insulin pump whole process management system,the number of hypoglycemia events decreased(P=0.039). The quality of nursing documents was significantly better than that before the system application(P<0.001). The nurse scored 40(36,45) quartile in their satisfaction with the system,with a total score of 45,which was generally satisfactory. Conclusion The insulin pump whole process management system led by diabetes APN can improve the quality of nursing and the safety management of clinical nurses,and improve the satisfaction of nurses,improve the quality of nursing documents.

Key words: Diabetes Mellitus, Practice Nurse, Non-Endocrinology, Insulin Pump, Informatization, Nursing Care