Carr E K, Kirk B A, Jeffcoate W J
City Hospital, Nottingham, UK.
Diabet Med. 1991 Jul;8(6):556-9. doi: 10.1111/j.1464-5491.1991.tb01651.x.
This study compared the aims and needs of General Practitioners (GPs) and practice nurses who wished to improve the service they provided for non-insulin-treated diabetic patients. Contact was made with 242 GPs in 110 practices in Central and North Nottingham, and a questionnaire was sent to the 149 (62%) who requested one. Completed questionnaires were returned by 110 (74%) of these, and by 48 (80% of 60) of their practice nurses. Only 19 GPs ran a specific diabetic clinic, but nearly all (95%) wanted to improve the service they provided for diabetes care. In doing so, many wished for involvement of opticians, chiropodists, and dietitians, and all wished to involve the practice nurse. The need for involvement of hospital-based diabetes specialist nurses was perceived by only 37% GPs. More than two-thirds (69%) of practice nurses wanted more input into the care of diabetes. Both GPs and practice nurses felt that the role of the practice nurse should include screening for complications, although there was some disagreement about the extent of this involvement. GPs envisaged that patient education would be a major problem in establishing a diabetes service, but only 58% identified education as a task that could be accomplished by the practice nurse.
本研究比较了希望改善为非胰岛素治疗糖尿病患者所提供服务的全科医生（GP）和执业护士的目标与需求。研究联系了诺丁汉中部和北部110家诊所的242名全科医生，并向其中149名（62%）索要问卷的医生发送了问卷。这些医生中有110名（74%）返回了填写完整的问卷，他们的48名执业护士（占60名的80%）也返回了问卷。只有19名全科医生开设了专门的糖尿病诊所，但几乎所有医生（95%）都希望改善他们为糖尿病护理所提供的服务。在这样做的过程中，许多医生希望验光师、足病医生和营养师参与进来，并且所有医生都希望执业护士参与。只有37%的全科医生认为需要医院糖尿病专科护士的参与。超过三分之二（69%）的执业护士希望更多地参与糖尿病护理。全科医生和执业护士都认为执业护士的职责应包括筛查并发症，尽管对于参与的程度存在一些分歧。全科医生设想患者教育将是建立糖尿病服务中的一个主要问题，但只有58%的人认为教育是执业护士可以完成的一项任务。
