“集成共享”模式在社区糖尿病护理培训中的应用效果研究

Effect of the “integration and sharing” mode applied to the training of community diabetes care

目的：探讨“集成共享”模式应用于社区糖尿病护理培训后对社区护士糖尿病知识水平和患者满意度的影响。方法采用随机数字表法随机抽取30家社区卫生服务中心护士进行糖尿病培训，按照自愿原则分成2组，15家组成研究组参加构建“集成共享”模式，15家组成对照组采取常规培训方法。干预前和干预1年后对两组社区护士进行糖尿病知识水平调查，并对该社区糖尿病患者进行满意度调查。结果1年后研究组社区护士糖尿病知识得分从（29．29±5．91）分提高到（35．22±4．91）分，对照组从（29．39±6．33）分提高到（30．94±6．33）分，且干预后研究组得分高于对照组，差异均有统计学意义（Z分别为10．896，3．226，8．650；P＜0．01）。干预1年后研究组满意度（4．50±0．67）分，对照组（4．28±0．66）分，差异有统计学意义（t＝2．758，P＜0．01）。结论采用“集成共享”模式能够提高社区护士糖尿病知识水平，提高糖尿病患者满意度，提高社区糖尿病护理质量。

Objective Discussion the effect on the diabetes knowledge level of community nurses and the patients satisfaction after applied the mode of “integration and sharing” to the training of community diabetes care.Methods A total of 30 community health service centers were randomly divided into two groups in accordance with the principle of voluntariness .15 communities were distributed to the experimental group and constructed the mode of “integration and sharing”, and the other 15 communities were distributed to the control group adopted the conventional method for diabetic training .The diabetes knowledge level of the two groups and the satisfaction of patients with diabetes in those communities were investigated before the intervention .One year later, the two groups were re-investigated using the same questionnaire .Results One year later , the scores of diabetes knowledge of the experimental group increased significantly from （29.29 ±5.91） to （35.22 ±4.91）, while the scores of the control group increased from （29.39 ±6.33） to （30.94 ±6.33）.There were significant differences between the two groups after intervention （Z=10.896, 3.226, 8.650, respectively; P〈0.01）. One year after the intervention , the score of satisfaction of the experimental group and the control group were （4.50 ±0.67） and （4.28 ±0.66）, respectively.There was statistically significant between the two groups （t=2.758, P〈0.01）.Conclusions The mode of “integration and sharing” can improve the level of diabetes knowledge of community nurses , and the satisfaction rate of diabetic patients .It also can help to enhance the quality of diabetes care in community .