Abstract:

Objective To investigate the current status of case management for children with diabetes in 31 provinces regions,and to provide references for the construction of case management model for children with diabetes. Methods Using convenient sampling,a self-designed electronic questionnaire was adopted to conduct across-sectional survey of nursing managers and diabetes nurses from 89 hospitals in 31 provinces of China from May 16 to May 31,2019. Results A total of 28 children’s hospitals,49 general hospitals and 12 maternal and child health care institutions were investigated. Among them,23 hospitals（25.84%） carried out case management for children with diabetes. However,among the 178 respondents,only 124（69.66%） were aware of case management. The implementation rales of pediatric diabetes case management in children’s hospitals and tertiary hospitals were better than those in non-children-specialized hospitals and secondary hospitals. The top 3 reasons why hospitals did not develop case management for diabetic children included the little knowing about case management among relevant professional personnel,imperfection of operation system and the shortage of staff. Conclusion Case management for diabetic children is far beyond fully covered in domestic hospitals. Taking full advantage of children’s hospitals and tertiary hospitals will facilitate the establishment of standardized work procedures and effective evaluation system,in order to provide high-quality services for diabetic children.

Key words: Children, Diabetes Mellitus,Type 1, Case Management, Cross-sectional Studies, Pediatric Nursing

摘要：

目的 调查31个省份儿童糖尿病个案管理的现状,为构建儿童糖尿病个案管理照护模式提供参考。 方法 采用便利抽样法,于2019年5月16日—31日采用自行设计的问卷对31个省份89所医院的护理管理者及糖尿病护士进行调查。结果 共调查28所儿童专科医院、49所综合医院和12所妇幼保健院,其中23所医院已开展儿童糖尿病个案管理,开展率为25.84%;参与调查的178名研究对象中仅有124名（69.66%）知晓个案管理;儿童专科医院及三级医院儿童糖尿病个案管理的开展率优于非儿童专科医院和二级医院;未开展儿童糖尿病个案管理的前3大原因依次为：相关医护人员对个案管理模式缺乏了解、未形成完善的运行机制、医护人员缺乏。结论 国内医院的儿童糖尿病个案管理开展率低,有必要发挥儿童专科医院和三级医院的优势,建立规范统一的工作流程及成效评价指标体系,进而为糖尿病患儿提供更加优质、规范、科学的服务。

关键词: 儿童, 糖尿病,1型, 个案管理, 横断面研究, 儿科护理学