基于指标导向的糖尿病专科护理质量控制效果评价

Effect evaluation of diabetes specialty nursing quality control based on index guidance

目的探讨基于指标导向的糖尿病专科护理质量控制效果。方法基于Donabedian三维质量结构模式和Deming持续质量改进理论建立糖尿病专科护理质量评价指标。应用糖尿病专科护理评价指标对全院57个护理单元每季度实施检查、监督,每个护理单元抽查2名护士进行理论与操作考核,定期分析数据、持续改进,规范统一全院糖尿病专科护理的操作、仪器管理及健康宣教。比较实施前及实施后3个月、6个月、9个月、1年、2年院内糖尿病专科护理质量指标完成与达标情况。结果实施后,护士糖尿病专科技能达标率、住院糖尿病患者对降糖药物使用时间与方法知晓率、血糖仪管理达标率、联络护士工作手册完成达标率较实施前逐步提高,差异有统计学意义(P<0.05,P<0.01)。结论建立糖尿病专科护理质量评价指标,形成糖尿病专科联络护士监控科室专科质量工作模式,有利于糖尿病专科护理质量的控制和不断改进,促进非糖尿病专科护士提高糖尿病专科护理知识与技能,从而提高护理质量。

Objective To explore the effect of diabetes specialty nursing quality control based on index guidance.Methods The diabetes specialty nursing quality evaluation index was established based on Donabedian three dimensions quality structure model and Deming continuous quality improvement theory,then the index was utilized to inspect and supervise 57 nursing units every quarter,2 nurses in each unit were selected for theoretical and skill appraisal,the data were analyzed regularly and improved continuously,and the operation,instrument management and health education of diabetes specialty nursing in the whole hospital were standardized and unified.The diabetes specialty nursing quality index completion and standard reaching in the whole hospital before the intervention,3 months,6 months,9 months,one year and two years after the intervention were compared.Results After the intervention,nurses′standard reaching rate in diabetes specialty skills,diabetes inpatients′awareness rate on using time and methods of hypoglycemic drus,the standard reaching rate of blood glucose meter management and liaison nurses′completion and standard reaching rate in workbook increased step by step and significantly when compared with those before the intervention(P<0.05,P<0.01).Conclusion Establishing diabetes specialty nursing quality control index,and forming the working model for diabetes specialty liaison nurses monitoring the quality of diabetes care in their departments,is conducive to controlling and enhancing nursing quality of diabetes specialty,promoting non-diabetes specialist nurses to improve their knowledge and skills of diabetes specialty,and increasing nursing quality.