一项临床指导和质量改进计划，以支持卢旺达农村地区的卫生中心护士管理 2 型糖尿病。
A Clinical Mentorship and Quality Improvement Program to Support Health Center Nurses Manage Type 2 Diabetes in Rural Rwanda.
机构信息
Partners in Health/Inshuti Mu Buzima, Kigali, Rwanda.
Ministry of Health, Kigali, Rwanda.
出版信息
J Diabetes Res. 2017;2017:2657820. doi: 10.1155/2017/2657820. Epub 2017 Dec 3.
INTRODUCTION
The prevalence of diabetes mellitus is rapidly rising in SSA. Interventions are needed to support the decentralization of services to improve and expand access to care. We describe a clinical mentorship and quality improvement program that connected nurse mentors with nurse mentees to support the decentralization of type 2 diabetes care in rural Rwanda.
METHODS
This is a descriptive study. Routinely collected data from patients with type 2 diabetes cared for at rural health center NCD clinics between January 1, 2013 and December 31, 2015, were extracted from EMR system. Data collected as part of the clinical mentorship program were extracted from an electronic database. Summary statistics are reported.
RESULTS
The patient population reflects the rural settings, with low rates of traditional NCD risk factors: 5.6% of patients were current smokers, 11.0% were current consumers of alcohol, and 11.9% were obese. Of 263 observed nurse mentee-patient encounters, mentor and mentee agreed on diagnosis 94.4% of the time. Similarly, agreement levels were high for medication, laboratory exam, and follow-up plans, at 86.3%, 87.1%, and 92.4%, respectively.
CONCLUSION
Nurses that receive mentorship can adhere to a type 2 diabetes treatment protocol in rural Rwanda primary health care settings.
简介
在 SSA，糖尿病的患病率正在迅速上升。需要采取干预措施，支持服务的权力下放，以改善和扩大获得护理的机会。我们描述了一个临床指导和质量改进计划，该计划将护士导师与护士学员联系起来，以支持在卢旺达农村地区将 2 型糖尿病护理权力下放。
方法
这是一项描述性研究。从 2013 年 1 月 1 日至 2015 年 12 月 31 日在农村卫生中心 NCD 诊所接受 2 型糖尿病治疗的患者的电子病历系统中提取了常规收集的数据。从电子数据库中提取了作为临床指导计划的一部分收集的数据。报告了汇总统计数据。
结果
患者人群反映了农村环境，传统 NCD 风险因素的发生率较低：5.6%的患者为当前吸烟者，11.0%为当前饮酒者，11.9%为肥胖者。在观察到的 263 次护士学员-患者就诊中，导师和学员在 94.4%的时间里对诊断达成一致。同样，药物、实验室检查和随访计划的一致水平也很高，分别为 86.3%、87.1%和 92.4%。
结论
在卢旺达农村初级卫生保健环境中，接受指导的护士可以坚持 2 型糖尿病治疗方案。
Zotero 插件