Abstract:

Objective The aim of this study is to do a scoping review on nurse practitioners（NPs） in patients with diabetes mellitus and to analyze the research status in this filed,to provide references for future research in China. Methods According to methodology framework,Chinese and English literature from the establishment of the database to 19th November 2021 were searched and screened,and relevant studies on the application of NPs in diabetes were collected. Results From the initial 3 319 search results,64 studies qualified for inclusion were identified. NPs provide services mainly in primary health care institutions,focusing on patients with type 2 diabetes. Their service contents cover the implementation of health education,life style,psychological support,diabetic foot care and so on. The outcome types were mainly the effect evaluation of patients with diabetes and feasibility evaluation of interventions. Conclusion As a member of primary health care team,NPs play the important role in health management with diabetes,which has been confirmed. As there is little research on the nursing studies of NPs in China,this study may help improving the health management of diabetics.

Key words: Nurse Practitioners, Diabetes Mellitus, Health Management, Scoping Review, Nursing Care

摘要：

目的 对开业护士参与糖尿病患者健康管理的研究进行范围审查,剖析该领域相关研究现状,为未来糖尿病开业护士的研究提供参考。 方法 按照Arksey等的范围综述方法学框架,检索PubMed、Web of Science、The Cochrane Library、CINAHL、Embase、中国知网、万方数据库、维普中文科技期刊数据库和中国生物医学文献数据库中相关研究。对建库至2021年11月19日的中英文文献进行检索和筛选,并对纳入文献进行汇总和分析。 结果 检索共获得3 319篇文献,经筛选,最终纳入64篇文献。开业护士主要在初级卫生保健医疗机构提供服务,重点关注2型糖尿病患者,服务内容涵盖实施健康教育、自我管理、药物指导、生活方式管理、心理支持、糖尿病足护理等方面,结局指标主要为对糖尿病患者的影响及可行性指标。 结论 开业护士作为初级卫生保健团队的重要成员,在糖尿病患者健康管理中的重要作用已得到证实。然而,我国糖尿病领域鲜有开业护士相关研究,有必要进行相关研究,以促进糖尿病患者的健康管理,提高生活质量。

关键词: 开业护士, 糖尿病, 健康管理, 范围综述, 护理