Chinese Journal of Nursing ›› 2019, Vol. 54 ›› Issue (10): 1524-1528.DOI: 10.3761/j.issn.0254-1769.2019.10.016

• Specialist Practice and Research • Previous Articles     Next Articles

Survey on perioperative period blood glucose management among surgical nurses

ZHAO Fang,ZHANG Mingxia(),MO Yongzhen,YUAN Li,XING Qiuling,ZHOU Yingxia,WANG Qun,JIA Yun   

  • Received:2018-11-16 Online:2019-10-15 Published:2019-10-30
  • Contact: Mingxia ZHANG

外科护士围手术期血糖管理的现状调查

赵芳,张明霞(),莫永珍,袁丽,邢秋玲,周莹霞,王群,贾芸   

  1. 100029 北京市 中日友好医院护理部(赵芳); 北京大学人民医院内分泌科(张明霞); 江苏省省级机关医院护理部(莫永珍); 四川大学华西医院大内科(袁丽); 天津代谢病医院护理部(邢秋玲); 瑞金医院内分泌科(周莹霞); 北京大学第三医院内分泌科(王群); 上海仁济医院内分泌科(贾芸)
  • 通讯作者: 张明霞
  • 作者简介:赵芳:女,本科,副主任护师,护理部副主任,E-mail: zhaof01@aliyun.com
  • 基金资助:
    北京市科技计划课题-首都健康保障培育研究项目子课题(Z181100001618010)

Abstract: Objective To investigate perioperative period blood glucose management and cognition among surgical nurses,and analyze the influencing factors. Methods A self-designed questionnaire was carried out online from May 2016 to May 2018,including general information,basic information of departments,and knowledge of perioperative period blood glucose management. Totally 1819 surgical nurses in 69 secondary and tertiary hospitals were included. Results The nursing standards for diabetic patients in surgical department were not complete,and the surgical nurses' cognition of perioperative period blood glucose management was at a low level. The correct number of the 10 questions was 2.00(1.00,3.00),and their mastery of relevant knowledge was far lower than their self-evaluation level. Hospital grade,education,professional title,position,“diabetes contact nurse in the department” and “participated in inpatient diabetes management training” could improve the number of correct number of answers. Conclusion The blood glucose management of surgical departments needs to be strengthened,surgical nurses have poor knowledge of perioperative period blood glucose management. The surgical department should actively carry out construction of blood glucose management,such as setting up diabetes contact nurses,strengthening the training of perioperative period blood glucose management,etc.,to improve the diabetes prevention and treatment ability of medical institutions and the level of diabetes care and management.

Key words: Perioperative Nursing, Blood Glucose Management, Surgical Nurses, Questionnaires, Cross-Sectional Studies, Root Cause Analysis, Nursing Administration Research

摘要: 目的 调查外科护士对围手术期血糖管理认知和实践现状,并分析其影响因素。 方法 自行设计问卷,2016年5月—2018年5月利用网络平台对全国69所二级以上医院的1 819名外科护士进行问卷调查,问卷内容包括研究对象的一般资料、科室血糖管理实践情况和围手术期血糖管理知识,并对调查结果进行分析。 结果 外科糖尿病患者护理规范设置不全,外科护士对围手术期的血糖管理认知处于较低水平,围手术期血糖管理知识10道题回答正确2.00(1.00,3.00)道,对相关知识的掌握程度远低于自我评价水平。医院等级高、学历高、职称高、职务高、所在科室有糖尿病联络护士以及参加过住院糖尿病患者护理培训的外科护士围手术期血糖管理知识答题正确数量较多。 结论 目前外科血糖管理建设有待加强,外科护士对围手术期血糖管理知识水平不高,外科科室应积极开展血糖管理建设,如设置糖尿病联络护士、加强对护士围手术期血糖管理相关知识的培训等,以提高外科护士的糖尿病防治能力和血糖管理水平。

关键词: 围手术期护理, 血糖管理, 外科护士, 问卷调查, 横断面研究, 影响因素分析, 护理管理研究