ObjectiveTo explore the application effect of diabetes specialized nurse-led nursing group model on the standardized management of diabetic hypoglycemia in non-endocrine wards.
MethodsA hospital-level diabetes nursing team was established, consisting of 33 nurses(including 4 diabetes specialized nurses and 29 non-endocrine specialized nurses selected from the non-endocrine wards), of which the 4 diabetes specialized nurses were the core members.The management of 595 diabetic hypoglycemia cases in 29 non-endocrine wards from January to June 2020 were reviewed through the Jiahe electronic medical record system, and the existing problems were analyzed.The diabetes specialized nurse-led nursing group model was used to carry out homogenization training on the ability of nurses in non-endocrine wards to deal with hypoglycemia in a standardized manner.The standardized management ability of hypoglycemia(qualified rate of glucose rising food selection, qualified rate of 15-20 g glucose amount, implementation rate of hypoglycemia symptom evaluation, implementation rate of 15-minute retest of blood glucose), standardized rate of writing nursing records after hypoglycemia management, system reporting rate of hypoglycemia events and qualified rate of hypoglycemia knowledge were compared between January to June 2020(pre-implementation group) and August to December 2020(post-implementation group).
ResultsAfter receiving the training and management of diabetes nursing group model in non-endocrine wards, the qualified rate of hypoglycemia knowledge and the ability of standardized management of hypoglycemia and so on were improved(P < 0.05 to P < 0.01), and the system reporting rate of hypoglycemic events was increased(P < 0.01).The incidence of hypoglycemia at all levels in the post-implementation group was significantly lower than that in the pre-implementation group(P < 0.01).
ConclusionsThe diabetes specialized nurse-led nursing group model can improve the management ability of hypoglycemia in non-endocrine wards, improve the knowledge and management level of diabetic hypoglycemia of nurses in non-endocrine wards, and realize the safe management of blood glucose in the hospital to reduce the injury of diabetic hypoglycemia to patients.
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