Background: In participating in the medical support work in the Nyingchi area of Tibet, the author found that the medical education resources in this area are scarce, and the clinical nurses in this area have relatively insufficient knowledge about blood glucose monitoring and management. Accurately understanding the knowledge-attitude/belief-practice (KAP) level of nurses in Nyingchi area on blood glucose management is of great significance to the development of blood glucose monitoring management guidance for nurses in this area. Therefore, this study investigated the current status of the management of blood glucose monitoring management standards for clinical nurses in Nyingchi, Tibet. Objective: To investigate and analyze the current situation of clinical nurses in Nyingchi region of Tibet to grasp the regulation of blood glucose monitoring and guide the implementation of the norm of blood glucose monitoring for clinical nurses. Methods: The research survey was carried out from March to April 2020. Random sampling method was used to select 134 clinical in-service nurses in Nyingchii, Tibet. The self-designed knowledge-attitude/belief-practice survey questionnaire for clinical nurses’ blood glucose monitoring and management in Tibet was used. Nurses’ blood glucose monitoring management “KAP” scores and related influencing factors are analyzed. Results: Blood sugar monitoring and management knowledge score is (36.78 ± 6.80), attitude dimension is (42.48 ± 6.42), practice dimension is (61.87 ± 10.24) and total score is (304.73 ± 36.24). The nurse’s department and whether to participate in diabetes training are the main influencing factors of the blood glucose monitoring management norms, knowledge and behavior (both P < 0.05). Conclusion: The standard knowledge of blood glucose monitoring and management of clinical nurses in Nyingchi region of Tibet is at the middle level, positive attitude and unsatisfactory behavior. Nursing managers should conduct standardized training for clinical nurses in blood glucose monitoring, develop the training mode of diabetes specialty nursing talents in Nyingchi area, and construct a complete management system of diabetes specialty nursing.
References
[1]
Huang, L.J., Lu, L., Fang, M. and Lei, Y.X. (2020) Advances in TCM Dialectical Nursing for Type 2 Diabetes Mellitus. General Practice Care, 18, 540-542.
[2]
Yang, W.Y., Lu, J.P., et al. (2010) Prevalence of Diabetes among Men and Women in China. The New England Journal of Medicine, 362, 1090-1101.
[3]
Li, X.W. and Lu, Y. (2014) Current Situation and Some Suggestions of Diabetes Health Education in Plateau Area. Journal of Highland Medicine, 14, 56-57.
[4]
Dai, Q.X. (2009) Prevention and Treatment of Diabetic Complications in Plateau Region. Qinghai Medical Journal, 39, 76-77.
[5]
Zhong, Y. and Qiu, C.Q. (2017) Tang Province Three, Wang Na. A Study on the Effect of WeChat Platform Training on Blood Glucose Monitoring in New Nurses. Journal of Applied Clinical Nursing, 2, 161-162.
[6]
American Diabetes Association (2018) Standards of Medical Care in Diabetes 2018. Diabetes Care, 41, 1-159.
[7]
Zhou, P.R., Liu, X.Y., Huang, J.W. and Chen, W.J. (2012) Investigation on the Management of Blood Glucose Monitoring by Clinical Nurses of Grade 3A Hospital in Guangdong Province. Journal of Nursing Administration, 12, 466-468.
[8]
Hao, K. (2014) CRHR1 Regulatory Mechanisms of Inhibition of Insulin Secretion by High Altitude Hypoxia. Zhejiang University, Hangzhou.
[9]
Ding, W. (2019) Effects of Two Skin Disinfection Methods on Peripheral Blood Glucose Monitoring in Diabetic Patients. New Diabetes Mellitus, 22, 3-5.
[10]
Zhang, Y., Song, J.J., Gao, S.Q. and Zhao, R.R. (2018) Analysis on the Status of Peripheral Blood Glucose Monitoring. Journal of Binzhou Medical College, 41, 292-293 + 297.
[11]
Guan, X.H., Zhou, P.R., Huang, J.W., et al. (2010) Analysis of the Problems of Blood Glucose Monitoring in Outpatients. Journal of Nursing Studies, 25, 166-167.
[12]
Yu, Z.X., Gu, Q., Liu, N., et al. (2010) A study on the Influencing Factors of Blood Glucose Monitoring by Continuous Venous Blood Filtration in Critically Ill Patients. Chinese Journal of Respiratory and Critical Care, 9, 85-87.
[13]
Lei, H. (2013) Correlation Analysis of High Blood Lipid and Carotid Atherosclerotic Plaque Formation in Middle-Aged People in Plateau Area. Qinghai Medicine, 43, 22-23.
[14]
Liu, M. (2002) Analysis and Countermeasures of Nurses’ Continuing Education. Journal of Tibetan Medicine, No. 3, 34-36.
[15]
Qin, Y. and Dai, H. (2014) Investigation and Analysis of Hand Washing before Blood Glucose Test by Fingertip Blood Collection. Nursing Practice and Research, 11, 104-105.
[16]
Diabetes Net. Dutch Study on the Use of Second Drops of Blood in Blood Glucose Testing without Hand Washing. http://www.tnbz.com/a/redian/2011/3303.html
[17]
Sun, B. (2018) Comparative Analysis of Blood Glucose Results by Rapid Blood Glucose Meter and Biochemical Analyzer. China Medical Device Information, 24, 8-9.
[18]
Guo, X.T., Liu, P.Y. and Ma, H.M. (2020) Instant Detection—Status of Use and Management of Portable Blood Glucometer. Tianjin Nursing, 28, 123-125.
[19]
Zhang, P. (2015) Analysis of the Correlation between Microangiopathy and Hematology in Patients with Type 2 Diabetes in Plateau Region. Chinese Experimental Diagnostics, 19, 1510-1511.
[20]
Chaido (2016) Analysis of Clinical Characteristics of Tibetan Patients with Different Age Diabetes Mellitus and Pneumonia in Plateau Region. Journal of Nantong University: Medical Edition, 36, 300-302.