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  • 糖尿病论文 关于糖尿病论文范文参考资料

    这篇糖尿病论文范文为免费优秀学术论文范文,可用于相关写作参考。

    糖尿病专科护理强化培训对提高护士能力的影响

    【关键词】糖尿病;专科护理;培训;能力

    中图分类号:R473.58 文献标识码:BDOI:10.3969/j.issn.10031383.2015.04.037

    随着社会经济的发展,人民生活水平逐步提高,全球的糖尿病发病率呈快速增长的趋势.目前我国已成为世界上糖尿病人口最多的国家[1].糖尿病及其并发症的预防和治疗是摆在我们面前的一个重大社会卫生问题.为了应对糖尿病带来的重大公共卫生问题,建立一支高素质糖尿病专科护士队伍刻不容缓[2].很多发达国家逐渐形成了糖尿病专科护士队伍[3].为贯彻落实《中国护理事业发展规划纲要<2011-2015年>》及《广西实施〈中国护理事业发展规划纲要<2011-2015>方案》,进一步加强医院临床专业化护理骨干的培养,广西壮族自治区卫生和计划生育委员会于2014年开展糖尿病专科护士培训,并建立相应专业的临床培训基地.对此我院成立糖尿病专科护士临床培训基地领导小组并对基地小组成员进行为期3个月的强化培训,取做到满意的效果.

    1资料与方法1.1一般资料培训对象为内分泌科中级职称以下,未受过糖尿病专科培训的护理人员20名,年龄26~38(31.21±2.02)岁,均为女性;学历:本科16名,大专4名;职称:主管护师1名,护师11名,护士8名.根据基地成员的知识结构及能力,进行针对性的培训,由培训基地领导小组成员及高年资医生、护士对基地中级职称以下护士进行为期3个月的系统培训,培训时间为2014年9~11月.

    1.2方法

    1.2.1成立糖尿病专科护士临床培训基地领导小组领导小组由12名成员组成,包括高年资医生、专科护士、营养师、运动治疗师.主要负责制定糖尿病专科护士的培训方案及具体培训、考核工作,按培训计划目标要求完成教学工作任务;确立质量控制方法,开展日常质量督导和满意度调查,确保培训效果和护理质量的持续改进.

    1.2.2制定培训计划并组织实施为了使糖尿病专科护士培训基地顺利开展,针对调查中存在的问题及糖尿病专科护士培训基地实践培训计划,有针对性、有计划地对基地护理人员进行为期3个月的培训.利用每周一至周五16:00~18:00和20:00~22:00集中全科护理人员进行培训:①理论培训时间为每周一至周五20:00~22:00,由高年资医生、护士主讲,内容主要有糖尿病专科护理的发展及其趋势,糖尿病的概述、急慢性并发症、五架马车治疗,糖尿病的教育、专科护理操作规范、患者常见心理问题及沟通交流技巧,糖尿病的特殊诊疗技术及护理配合、临床护理工作中的科研问题,理论培训内容分3次进行闭卷笔试,及格分为80分.②操作培训时间为周一至周五16:00~18:00,内容:以内分泌科常见操作为主,主要包括血糖仪的操作及其质控方法、各种胰岛素注射装置使用、糖尿病足创面处理及危险因子筛查、胰岛素泵操作、动态血糖监测技术、动态血糖图谱分析、OGTT与胰岛素释放试验、糖尿病教育评估、糖尿病数据库管理、四肢血流多普勒检测操作技术、低血糖处理和抢救,并掌握糖尿病个案管理工作.每个项目培训结束均进行考试,共进行160人次的考试.

    1.3观察评价使用本院护理部设计的满意度调查表对住院患者进行满意度调查,包括基础护理方面、健康教育方面等内容,比较培训前、培训后住院患者满意度.

    1.4统计学方法使用SPSS 16.0软件对数据进行整理,用χ2检验作统计学分析,P<0.05为差异有统计学意义.

    2结果参加培训的20名糖尿病基地小组成员均按计划进行糖尿病专科理论知识和技术操作的考试.培训后,我院糖尿病培训基地小组成员的理论知识及操作考试合格率均明显提高,与培训前比较差异有统计学意义(P<0.001).培训后患者满意度明显提高,与培训前比较差异有统计学意义(P<0.001).见表1、表2.

    3讨论3.1强化糖尿病培训基地小组成员培训,提升护士专业水平为了成功申报广西壮族自治区糖尿病专科护士临床培训基地,提高护士的专科理论水平及操作技能,更好地服务患者,本科室有计划地对全科20名护理人员进行为期3个月的糖尿病专科理论知识和技术操作的强化培训,护士们利用业务时间参加专科理论培训和操作训练,从表1可看出,糖尿病培训基地小组成员培训前后比较差异显著(P<0001),强化培训后护理人员的糖尿病专科护理理论知识及技术操作均得到明显提高,考试合格率达100%,真正达到人人过关,护士长晨间提问护士也能正确回答,提升了糖尿病培训基地小组成员的素质和能力,为糖尿病专科护士临床培训基地的申报打下坚实的基础.

    3.2强化糖尿病培训基地小组成员培训,提高患者满意度经过全面、系统、专业的强化培训,小组成员具备了扎实的理论基础,专科操作规范、统一流程,经过多次的训练、考核,工作有条不紊,在与患者接触时,能主动解答患者的问题,增加了工作的自信心,更充分地体现了护士的专业化素质,赢做到患者的赞扬、信任,从表2可看出,培训前后住院患者满意度比较差异显著(P<0.001),培训后患者满意度明显提高,从而也提高了医院的影响力.

    3.3强化糖尿病培训基地小组成员培训,提高团队凝聚力经过3个月的强化培训,基地小组成员一起学习、训练、讨论问题,有利于增强科室凝聚力,提高责任心,形成浓郁的学习氛围,创造相互间交流、沟通的机会,及时化解同事间的误解和矛盾,有利于护士对所学糖尿病知识的巩固、运用和相互取长补短,提高护士对糖尿病患者的管理;有利于持续改进护理质量,既增长知识,也增进彼此之间的感情交流.培训了一批理论扎实、技术过硬的糖尿病专项护理人才,组建了一支糖尿病护理团队,同时也建立和完善了一套院内糖尿病护理管理工作模式.从糖尿病患者的自我管理、饮食治疗、运动治疗、药物治疗、血糖监测、胰岛素注射技术、健康教育方法和策略等方面制定工作目标及方案,加以落实,促进医院糖尿病护理工作的开展,提高糖尿病的整体护理水平,有效地进行糖尿病管理,让糖尿病患者能够做到到专业的护理.

    综上所述,强化糖尿病培训基地小组成员培训,对提升护士糖尿病护理知识与技能,提高团队成员的团队凝聚力,帮助糖尿病患者更好地改善生活质量,提高病人满意度有重要的意义.参考文献[1] Yang W,Lu J,Weng J,et al.Prevalence of Diabetes among Men and Women in China[J].N Engl J med,2010,362(12):10901101.

    [2] 罗艳,陈爱初,祝亚男.糖尿病专科护士培训的方法与体会[J].护理与康复,2013,12(4):372374.

    [3] 殷雪莲.香港糖尿病专科护士护理工作简介[J].护理与康复,2010,9(2):181182.

    糖尿病论文范文结:

    关于糖尿病方面的论文题目、论文提纲、糖尿病论文开题报告、文献综述、参考文献的相关大学硕士和本科毕业论文。

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