Lowes L
Department of Child Health, University Hospital of Wales Healthcare NHS Trust, Heath Park, Cardiff.
Br J Nurs. 1997;6(11):625-6, 628-33. doi: 10.12968/bjon.1997.6.11.625.
The specialist nurse caring for children with diabetes is widely recognized as a valued member of the paediatric diabetes team. However, there has been minimal exploration or examination of the clinical role of the paediatric diabetes specialist nurse (PDSN). This in-depth evaluation critically examines the impact of a PDSN post, comparing data from the first 2 years of the post against corresponding data from the previous 2 years. Results are encouraging, showing that much has been achieved. Home management was successfully introduced, length of stay was halved for newly diagnosed children initially hospitalized, suggested guidelines for length of stay for readmissions were met, age-banded education sessions were implemented and clinic non-attendance was substantially reduced. The readmission rate for children with established diabetes was increased, and reasons for this are discussed outlining intervention being introduced to proactively address this problem. The findings from this evaluation support the belief that PDSNs, as members of a multidisciplinary team, make a substantial and valuable contribution to paediatric diabetes care.
照顾糖尿病患儿的专科护士被广泛认可为儿科糖尿病团队中一位重要的成员。然而，对于儿科糖尿病专科护士（PDSN）的临床角色，几乎没有进行过深入的探索或研究。这项深入评估对PDSN岗位的影响进行了严格审查，将该岗位设立后头两年的数据与前两年的相应数据进行了比较。结果令人鼓舞，表明已取得了很多成果。成功引入了家庭管理模式，新确诊且最初住院的儿童住院时间减半，达到了再次入院建议的住院时间指导标准，实施了按年龄分组的教育课程，诊所缺勤率大幅降低。患有糖尿病的儿童再次入院率有所上升，并讨论了其原因，概述了为积极解决该问题而引入的干预措施。该评估结果支持了这样一种信念：作为多学科团队的成员，PDSN对儿科糖尿病护理做出了重大且有价值的贡献。
