Analysis on the Influence of Diabetes Education and Management Measures on Lost Follow-up during Continuous Nursing_West China Medical Journal

Authors：

 GuYan , OuQing , XiongZhenzhen ,  YuanLi

Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

YuanLi, Email: 1409933235@qq.com

Keywords：

Diabetes education; Patients management; Continuous nursing; Lost follow-up analysis

DOI：

10.7507/1002-0179.20160034

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the influencing factors for lost follow-up of diabetic patients, looking for suitable follow-up methods for patients in the region of Central and Western China, in order to help ensure the quality of follow-up, improve the rate of follow-up and provide a basis for improving the quality of patients' continuous nursing outside of the hospital. Methods Continuous nursing was carried out for 600 patients discharged from our department by two full-time diabetes education nurses from September 2012 to April 2014. The data of outside hospital patients who were lost in the follow-up were retrospectively analyzed. According to the sequential order of the patients, they were divided into three groups. The difference among the three groups of patients was analyzed and the effect of nursing intervention on patients' follow-up loss was also analyzed. Results The rate of lost follow-up for the three groups were 29.4%, 20.3%, and 12.2%. Big classroom participation rate was 29.4%, 50.5%, and 57.5%. The lost follow-up rate of group three using team comprehensive management pattern was lower than that in group 1 with traditional supervision intervention. The age of the patients who were lost in the follow-up concentrated under 40 and above 75 years old. The patients with a disease history longer than 10 years with more complications were more likely to be lost in the follow-up. The main reason for lost follow-up was self-conceit and lack of awareness of the follow-up. Conclusion Diversified ways of follow-up can complement each other which can reduce the rate of lost follow-up.

Citation： GuYan, OuQing, XiongZhenzhen, YuanLi. Analysis on the Influence of Diabetes Education and Management Measures on Lost Follow-up during Continuous Nursing. West China Medical Journal, 2016, 31(1): 122-126. doi: 10.7507/1002-0179.20160034 Copy

1.	Wild S, Roglic G, Green A, et al. Global prevalence of diabetes:estimates for the year 2000 and projections for 2030[J]. Diabetes Care, 2004, 27(5):1047-1053.
2.	王洁, 莫永珍. 糖尿病护理门诊患者失访原因分析与对策[J]. 护理学报, 2011, 18(22):29-30.
3.	赵芳, 周立新, 王宣, 等. 加强随访管理降低2型糖尿病患者的血脂水平[J]. 中华护理杂志, 2011, 46(7):661-663.
4.	王娟, 王希梅. 出院随访在临床护理中的应用探讨[J]. 中国当代医药, 2013, 20(14):176-177.
5.	张红旭, 殷洪涛, 薛萍, 等. 我国延续性护理实施现状[J]. 护理研究, 2013, 27(32):3705-3706.
6.	刘敏, 陈丽清. 出院病人随访在优质服务中的应用[J]. 按摩与康复医学, 2012, 3(1):234.
7.	王新民, 周汉新, 曹海波. 我国开展病人随访工作的紧迫感与国内外进展[J]. 中国卫生质量管理, 2006, 13(6):41-43.
8.	Salaza S,Arguedas C. Evaluation of an educational program:"How totreat my diabetes"[C]. 16 th IDF Congress, 1997:A632.
9.	Renders CM, Valk GD, Griff IS, et al. Interventions to improvethe management of diabetes in primary care, outpatient, and community settings a system atic review[J]. Diabetes Care, 2001, 24(10):1821-1833.
10.	黄明君, 蒋晓莲. 糖尿病患者自我管理影响因素研究现状及展望[J]. 华西医学, 2012, 27(6):957-959.
11.	刘罗薇, 刘小军. 出院患者电话随访中出现的问题分析及对策[J]. 护理管理杂志, 2005, 5(7):18-19, 23.
12.	杨琴, 袁丽. 家庭健康教育对社区2型糖尿病病人社会支持影响的研究[J]. 护理研究, 2013, 27(19):2030-2031.
13.	National Diabetes Education Program. Team care:comprehensive lifetimemanagement for diabetes[EB/OL].[2016-01-05]. http://www.ndep.nih.gov/resources/health.htm.
14.	Codispoti C, Douglas MR, Mccallister T, et al. The use of a multidisciplinary team care approach to improve glycemic control and quality of life by the prevention of complications among diabetic patients[J]. J Okla State Med Assoc, 2004, 97(5):201-204.
15.	Gagliardino JJ, Etchegoyen G, PENDID-LA Research Group.A model educational program for People with type 2 diabetes:a cooperative Latin American implementation study (PEDNID-LA)[J]. Diabetes Care, 2001, 24(6):1001-1007.

1. Wild S, Roglic G, Green A, et al. Global prevalence of diabetes:estimates for the year 2000 and projections for 2030[J]. Diabetes Care, 2004, 27(5):1047-1053.
2. 王洁, 莫永珍. 糖尿病护理门诊患者失访原因分析与对策[J]. 护理学报, 2011, 18(22):29-30.
3. 赵芳, 周立新, 王宣, 等. 加强随访管理降低2型糖尿病患者的血脂水平[J]. 中华护理杂志, 2011, 46(7):661-663.
4. 王娟, 王希梅. 出院随访在临床护理中的应用探讨[J]. 中国当代医药, 2013, 20(14):176-177.
5. 张红旭, 殷洪涛, 薛萍, 等. 我国延续性护理实施现状[J]. 护理研究, 2013, 27(32):3705-3706.
6. 刘敏, 陈丽清. 出院病人随访在优质服务中的应用[J]. 按摩与康复医学, 2012, 3(1):234.
7. 王新民, 周汉新, 曹海波. 我国开展病人随访工作的紧迫感与国内外进展[J]. 中国卫生质量管理, 2006, 13(6):41-43.
8. Salaza S,Arguedas C. Evaluation of an educational program:"How totreat my diabetes"[C]. 16 th IDF Congress, 1997:A632.
9. Renders CM, Valk GD, Griff IS, et al. Interventions to improvethe management of diabetes in primary care, outpatient, and community settings a system atic review[J]. Diabetes Care, 2001, 24(10):1821-1833.
10. 黄明君, 蒋晓莲. 糖尿病患者自我管理影响因素研究现状及展望[J]. 华西医学, 2012, 27(6):957-959.
11. 刘罗薇, 刘小军. 出院患者电话随访中出现的问题分析及对策[J]. 护理管理杂志, 2005, 5(7):18-19, 23.
12. 杨琴, 袁丽. 家庭健康教育对社区2型糖尿病病人社会支持影响的研究[J]. 护理研究, 2013, 27(19):2030-2031.
13. National Diabetes Education Program. Team care:comprehensive lifetimemanagement for diabetes[EB/OL].[2016-01-05]. http://www.ndep.nih.gov/resources/health.htm.
14. Codispoti C, Douglas MR, Mccallister T, et al. The use of a multidisciplinary team care approach to improve glycemic control and quality of life by the prevention of complications among diabetic patients[J]. J Okla State Med Assoc, 2004, 97(5):201-204.
15. Gagliardino JJ, Etchegoyen G, PENDID-LA Research Group.A model educational program for People with type 2 diabetes:a cooperative Latin American implementation study (PEDNID-LA)[J]. Diabetes Care, 2001, 24(6):1001-1007.

Previous Article
健脾化湿法对特应性皮炎小鼠皮肤水通道蛋白3表达的影响
Next Article
一种新型鼻镜的设计与应用

West China Medical Journal

Analysis on the Influence of Diabetes Education and Management Measures on Lost Follow-up during Continuous Nursing

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content