Rubin Daniel J, Moshang Joan, Jabbour Serge A
Department of Internal Medicine and Division of Endocrinology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Endocr Pract. 2007 Jan-Feb;13(1):17-21. doi: 10.4158/EP.13.1.17.
To assess and compare the diabetes knowledge of nurses and residents in surgery, internal medicine, and family practice.
A 21-question survey based on current diabetes standards of care was developed and administered. The results were stratified by type of participant and analyzed statistically.
A total of 52 internal medicine residents (IMR), 21 family practice residents (FPR), 42 surgery residents (SR), and 48 registered nurses (RN) participated. The survey had good overall internal consistency (Cronbach a of 0.78) and test-retest reliability (Pearson correlation coefficient of 0.71). The total mean percent correct for all participants was 61%. The total scores of IMR, FPR, and RN groups were similar (69%, 64%, and 66%) and significantly greater (P<0.001) than the SR score (44%). Collectively, all survey participants averaged less than 50% correct on several items. The IMR scored higher than the SR and FPR on several items. The nurses outscored the physicians on items regarding insulin preparations, treatment of hypoglycemia, and perioperative insulin management. A subgroup of 13 RN with additional diabetes training earned the highest total score (82%).
Our novel survey was shown to be a statistically valid tool for assessment of diabetes knowledge. IMR, FPR, and inpatient RN have similar but insufficient levels of knowledge about diabetes. SR may have a more profound deficit of diabetes knowledge. Previous additional diabetes training among nurses was associated with greater diabetes knowledge. Most nurses and residents require additional education in order to provide optimal care to patients with diabetes.
评估并比较外科、内科和家庭医疗科护士及住院医师的糖尿病知识。
基于当前糖尿病护理标准编制了一份包含21个问题的调查问卷并进行发放。结果按参与者类型进行分层并进行统计学分析。
共有52名内科住院医师（IMR）、21名家庭医疗科住院医师（FPR）、42名外科住院医师（SR）和48名注册护士（RN）参与。该调查问卷具有良好的总体内部一致性（Cronbach α系数为0.78）和重测信度（Pearson相关系数为0.71）。所有参与者的总平均正确百分比为61%。IMR组、FPR组和RN组的总分相似（分别为69%、64%和66%），且显著高于SR组的分数（44%，P<0.001）。总体而言，所有调查参与者在几个项目上的平均正确率低于50%。IMR在几个项目上的得分高于SR和FPR。在胰岛素制剂、低血糖治疗和围手术期胰岛素管理等项目上，护士的得分高于医生。13名接受过额外糖尿病培训的RN亚组获得了最高总分（82%）。
我们新编制的调查问卷被证明是一种评估糖尿病知识的统计学上有效的工具。IMR、FPR和住院RN对糖尿病的知识水平相似但不足。SR可能在糖尿病知识方面存在更严重的缺陷。护士之前接受的额外糖尿病培训与更多的糖尿病知识相关。大多数护士和住院医师需要接受额外教育，以便为糖尿病患者提供最佳护理。
