Oliva Bolzoni M, Perari Donatella, Monesi Gabriella
Assist Inferm Ric. 2002 Oct-Dec;21(4):178-83.
Diabetes is a chronic and invalidating illness, therefore diabetic patients are eligible for home care. In one of the districts of the Veneto region the main data on diabetic patients cared at home were collected, in order to know their main characteristics and problems, and the problems nurses encounter in their daily care. Three meetings were planned with home care nurses, to update their knowledge and render more effective and appropriate their care plans, The main problems are related to a. the lack of a caring project at district level, b. the lack of care protocols for the glicemic monitoring and for the management of the hypoglicemic crises; c. the lack of nurses' autonomy in the management of insulin therapy; and d. the time needed for the care of diabetic foot. A course was planned, in order to offer answers to the problems encountered by nurses and proposals for changes were made, included a nurse-doctor integrated record for diabetic patients.
糖尿病是一种慢性致残性疾病，因此糖尿病患者适合接受家庭护理。在威尼托地区的一个区收集了在家接受护理的糖尿病患者的主要数据，以便了解他们的主要特征和问题，以及护士在日常护理中遇到的问题。计划与家庭护理护士召开三次会议，以更新他们的知识并使他们的护理计划更有效、更合适。主要问题包括：a. 区级缺乏护理项目；b. 缺乏血糖监测和低血糖危机管理的护理协议；c. 护士在胰岛素治疗管理方面缺乏自主权；d. 糖尿病足护理所需的时间。计划开设一门课程，以解决护士遇到的问题并提出改进建议，包括为糖尿病患者建立护士-医生综合记录。
