对北京五家三甲医院内分泌科医务人员低血糖护理流程的知晓情况现状调查

Knowledge levels of medical staff in endocrinology department of five classⅢ grade A hospitals in Beijing for hypoglycemia care process

目的 调查内分泌科医务人员对低血糖护理流程的知晓情况,为进行相关知识培训及干预提供依据.方法 应用横断面调查法,方便选取北京市5家三甲医院内分泌科医务人员119人,应用自制一般情况调查表、低血糖护理流程知识问卷进行调查.结果 患者发生低血糖时进食糖类食品的数量、进食后首次复测时间、首次进食后血糖未恢复的处理方法、血糖恢复正常后再次进行复测的时间正确率较低（〈70%）.护士在首次进食后复测血糖时间、首次进食后血糖未恢复的处理方法的正确率（75.9%、55.6%）优于医生（42.2%、22.2%）,不同学历医务人员在首次进食后复测血糖时间、首次进食后血糖未恢复的处理正确率不同,差异均具有统计学意义（P〈0.05）.结论 内分泌科医务人员对低血糖护理流程的知晓情况并不理想,不同层次人员的知晓情况不尽相同,提示应加强对低血糖事件处理流程的培训.

Objective To investigate current knowledge levels of medical staff for hypoglycemia care process in endocrinology department and provide basis for related knowledge training and interventions. Methods A total of 119 medical workers were recruited and investigated using self-made hypoglycemia care process questionnaire via cross-sectional survey.Results The correct rates in knowledge of carbohydrate foods number, first retest time after eating, treatments for patients who were not recover after first eating and retest time of patients who were recover after eating were low （〈70%）. The correct rates of first retest time after eating in nurses （75.9%, 55.6%） were better than doctors （42.2%, 22.2%）. The correct rates of first retest time after eating and treatments for patients who were not recover after first eating were significantly different among patients with individual degrees （P〈0.05）.Conclusions The knowledge levels of medical staff for hypoglycemia care process in endocrinology department are not high and different among individuals. The training of hypoglycemia care process is necessary.