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通过在郊区初级保健环境中利用以糖尿病为重点的"正确护理"访问来实施有效的护理
Tricia Neu1, Christopher Eppley2, Kristin Gianelis3
1Department of Nursing, Miami University, Oxford, OH, USA neutn@miamioh.edu.
Journal of doctoral nursing practice
|July 19, 2023
概括
护士执业人员领导的"正确护理"访问改善了糖尿病管理. 患者表现出更好的血红蛋白A1c控制,并增加了对重要年度查的坚持,提高了整体健康结果.
科学领域:
- 内分泌学 在内分泌学.
- 初级医疗保健医学 一级医疗保健医学
- 护理实践 护理实践
背景情况:
- 糖尿病是美国死亡和残疾的主要原因,数百万人受到不受控制的病例的影响.
- 在过去的二十年中,糖尿病的患病率大幅上升.
- 在郊区初级保健实践中,在未经控制的糖尿病患者中观察到对推的年度查的低遵守率 (15%).
研究的目的:
- 增强患有失控糖尿病 (血红蛋白A1c>9%) 的患者的血糖控制.
- 通过有针对性的干预措施,增加患者遵守推的年度查.
- 为了评估护士执业者驱动的,以糖尿病为重点的"正确护理"访问的有效性.
主要方法:
- 使用四个计划-做-研究-行动周期进行质量改进试点研究.
- 干预措施包括糖尿病登记,"正确护理"检查清单,药物管理的患者参与工具和团队参与计划.
- 数据收集的重点是血红蛋白A1c水平,查遵守,访问坚持和与工作有关的压力.
主要成果:
- 访问后实现了平均2.4%的血红蛋白A1c降低.
- 在8周内,对年度查包的遵守率从15%增加到44%.
- 患者参与改善了18%的访问遵守,团队参与减少了12%的与工作有关的压力.
结论:
- "正确的护理"访问有效地改善了血糖控制和不受控制的糖尿病患者的年度查遵守.
- 患者参与工具突出了影响糖尿病药物坚持的因素.
- 团队参与策略减少了提供者的压力,并提高了查率,特别是基底镜检查.
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