| 王艳梅,潘欣欣,孙维禧,韦锡娟,胡 雁.糖尿病患者胰岛素注射循证实践方案的构建[J].上海护理,2020,20(12): |
| 糖尿病患者胰岛素注射循证实践方案的构建 |
| Construction of An Evidence-based Practice Scheme for Insulin Injection in Diabetic Patients |
| DOI： |
| 中文关键词: 糖尿病 胰岛素注射 临床实践指南 循证实践 方案构建 |
| 英文关键词:Diabetes Insulin injection Clinical practice guideline Evidence-based practice Scheme construction |
| 基金项目:上海市浦东新区卫生系统重点学科建设项目（PWZxk2017-10）；上海市浦东新区公利医院人才培养计划（GLRq2018-06） |
|
| 摘要点击次数: 1592 |
| 全文下载次数: 0 |
| 中文摘要: |
| 摘要：目的 构建适合我国国情的患者胰岛素注射循证实践方案，为胰岛素注射管理提供参考。方法 以JBI循证卫生保健模式及奥马哈系统为理论框架，结合医护患访谈、临床情景分析、循证资源数据库检索、专家咨询等方法，对纳入的9篇胰岛素注射相关指南进行深入评价、分析，初步构建患者胰岛素注射循证实践方案。结果 糖尿病患者胰岛素注射的循证实践方案主要包括4个方面：组建以糖尿病专科护士为主的医护团队、制订《胰岛素注射最佳实践信息手册》并进行胰岛素注射流程再造、组织临床护士进行相关培训以及实施临床干预。最佳实践信息手册中又涉及胰岛素注射的指导者、治疗与程序、教育与咨询、个案管理及监测5个方面的17条推荐意见。结论 该实践方案构建过程科学，适宜于临床推广应用，可为糖尿病患者胰岛素注射的自我管理提供参考依据。 |
| 英文摘要: |
| Abstract: Objective To construct an evidence-based practice scheme for insulin injection in patients according to the realities of China, so as to provide a reference for insulin injection management. Methods In light of the theory of JBI Model of Evidence-based Healthcare and Omaha System, combined with doctor-patient interviews, clinical scenario analysis, retrieval from evidence-based resource database, expert consultation and other methods, 9 papers of insulin injection guidelines were further evaluated and analyzed to construct a preliminary evidence-based practice scheme for insulin injection. Results The evidence-based practice of insulin injection in diabetic patients mainly included 4 aspects: Establish a medical team mainly consisted of diabetes specialist nurses; formulate a Best Practice Manual for Insulin Injection; Build insulin injection processes; organize clinical nurses to receive relevant training and take clinical intervention measures. In addition, the Best Practice Manual involved 17 recommendations on 5 aspects, namely insulin injection instructors, treatment and procedures, education and counseling, case management, and monitoring. Conclusion The practice scheme is constructed in a scientific manner and worthy of further clinical application and promotion, providing a reference for the self-management of insulin injection in diabetic patients. |
| 查看/发表评论 下载PDF阅读器 全文HTML |
| 关闭 |
|
|
|
