设置院内胰岛素泵健康管理师岗位的效果

Effect of setting insulin pump health manager role in intra-hospital diabetes management

目的建立专业的胰岛素泵健康管理师团队及院内科际间工作模式,为全院糖尿病带泵治疗患者提供专业的治疗方案,降低带泵治疗风险。方法随机抽取2018年12月至2019年6月在南院区进行胰岛素泵治疗的患者90例为对照组,按照置泵患者治疗原则进行常规护理。2019年6月至2020年1月在北院院区进行胰岛素泵治疗的患者90例为观察组,建立院内糖尿病泵治疗质控体系,由内分泌医生、营养师和10名胰岛素泵健康管理师组成的胰岛素泵健康管理师团队负责院内科际间糖尿病泵治疗的专业指导和教育。结果观察组血糖控制水平、胰岛素泵治疗满意度显著优于对照组,而带泵期间设备报警、管路滑脱、低血糖发生率显著低于对照组(P<0.05,P<0.01)。结论胰岛素泵健康管理师团队的建立提高了带泵患者血糖控制水平、胰岛素泵治疗满意度,提升非内分泌科室护士的胰岛素泵处置水平,降低了糖尿病患者的治疗风险。

Objective To establish a professional team of insulin pump health managers and an inter-disciplinary work model in the hospital,and to provide professional treatment plans,for all diabetes patients on insulin pump therapy in the hospital,and to minimize the risk of insulin pump therapy.Methods A total of 90 patients on insulin pump therapy and hospitalized in south branch of the hospital from December 2018 to June 2019,were assigned into the control group,who received routine insulin pump nursing care.Another 90 counterparts hospitalized in north branch of the hospital from June 2019 to January 2020,were assigned into the intervention group,who were managed with an inter-disciplinary model:a quality control system for intra-hospital insulin pump therapy was established,and a professional team which included endocrinologists,nutrition therapists,and 10 insulin pump health managers,was built to handle insulin pumps used in patients admitted to non-endocrinology departments,and provide professional guidance and education to the patients.Results The blood sugar control level,satisfaction with insulin pump therapy in the intervention group were significantly higher than in the control group;the incidence rates of such insulin pump adverse events as pump alarming,catheter dislodgement,and hypoglycemia in the intervention group were significantly lower than in the control group(P<0.05,P<0.01).Conclusion The establishment of the insulin pump health managers team could improve blood sugar control level and satisfaction of patients,enhance the expertise of pump handling among nurses working in non-endocrinology departments,and lower the risk of diabetes treatment.