Analysis on the Influence of Diabetes Education and Management Measures on Lost Follow-up during Continuous Nursing_West China Medical Journal

Authors：

 GuYan , OuQing , XiongZhenzhen ,  YuanLi

Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

YuanLi, Email: 1409933235@qq.com

Keywords：

Diabetes education; Patients management; Continuous nursing; Lost follow-up analysis

DOI：

10.7507/1002-0179.20160034

Video：

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Objective To explore the influencing factors for lost follow-up of diabetic patients, looking for suitable follow-up methods for patients in the region of Central and Western China, in order to help ensure the quality of follow-up, improve the rate of follow-up and provide a basis for improving the quality of patients' continuous nursing outside of the hospital. Methods Continuous nursing was carried out for 600 patients discharged from our department by two full-time diabetes education nurses from September 2012 to April 2014. The data of outside hospital patients who were lost in the follow-up were retrospectively analyzed. According to the sequential order of the patients, they were divided into three groups. The difference among the three groups of patients was analyzed and the effect of nursing intervention on patients' follow-up loss was also analyzed. Results The rate of lost follow-up for the three groups were 29.4%, 20.3%, and 12.2%. Big classroom participation rate was 29.4%, 50.5%, and 57.5%. The lost follow-up rate of group three using team comprehensive management pattern was lower than that in group 1 with traditional supervision intervention. The age of the patients who were lost in the follow-up concentrated under 40 and above 75 years old. The patients with a disease history longer than 10 years with more complications were more likely to be lost in the follow-up. The main reason for lost follow-up was self-conceit and lack of awareness of the follow-up. Conclusion Diversified ways of follow-up can complement each other which can reduce the rate of lost follow-up.

Citation： GuYan, OuQing, XiongZhenzhen, YuanLi. Analysis on the Influence of Diabetes Education and Management Measures on Lost Follow-up during Continuous Nursing. West China Medical Journal, 2016, 31(1): 122-126. doi: 10.7507/1002-0179.20160034 Copy

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2.	王潔, 莫永珍. 糖尿病護理門診患者失訪原因分析與對策[J]. 護理學報, 2011, 18(22):29-30.
3.	趙芳, 周立新, 王宣, 等. 加強隨訪管理降低2型糖尿病患者的血脂水平[J]. 中華護理雜志, 2011, 46(7):661-663.
4.	王娟, 王希梅. 出院隨訪在臨床護理中的應用探討[J]. 中國當代醫藥, 2013, 20(14):176-177.
5.	張紅旭, 殷洪濤, 薛萍, 等. 我國延續性護理實施現狀[J]. 護理研究, 2013, 27(32):3705-3706.
6.	劉敏, 陳麗清. 出院病人隨訪在優質服務中的應用[J]. 按摩與康復醫學, 2012, 3(1):234.
7.	王新民, 周漢新, 曹海波. 我國開展病人隨訪工作的緊迫感與國內外進展[J]. 中國衛生質量管理, 2006, 13(6):41-43.
8.	Salaza S,Arguedas C. Evaluation of an educational program:"How totreat my diabetes"[C]. 16 th IDF Congress, 1997:A632.
9.	Renders CM, Valk GD, Griff IS, et al. Interventions to improvethe management of diabetes in primary care, outpatient, and community settings a system atic review[J]. Diabetes Care, 2001, 24(10):1821-1833.
10.	黃明君, 蔣曉蓮. 糖尿病患者自我管理影響因素研究現狀及展望[J]. 華西醫學, 2012, 27(6):957-959.
11.	劉羅薇, 劉小軍. 出院患者電話隨訪中出現的問題分析及對策[J]. 護理管理雜志, 2005, 5(7):18-19, 23.
12.	楊琴, 袁麗. 家庭健康教育對社區2型糖尿病病人社會支持影響的研究[J]. 護理研究, 2013, 27(19):2030-2031.
13.	National Diabetes Education Program. Team care:comprehensive lifetimemanagement for diabetes[EB/OL].[2016-01-05]. http://www.ndep.nih.gov/resources/health.htm.
14.	Codispoti C, Douglas MR, Mccallister T, et al. The use of a multidisciplinary team care approach to improve glycemic control and quality of life by the prevention of complications among diabetic patients[J]. J Okla State Med Assoc, 2004, 97(5):201-204.
15.	Gagliardino JJ, Etchegoyen G, PENDID-LA Research Group.A model educational program for People with type 2 diabetes:a cooperative Latin American implementation study (PEDNID-LA)[J]. Diabetes Care, 2001, 24(6):1001-1007.

1. Wild S, Roglic G, Green A, et al. Global prevalence of diabetes:estimates for the year 2000 and projections for 2030[J]. Diabetes Care, 2004, 27(5):1047-1053.
2. 王潔, 莫永珍. 糖尿病護理門診患者失訪原因分析與對策[J]. 護理學報, 2011, 18(22):29-30.
3. 趙芳, 周立新, 王宣, 等. 加強隨訪管理降低2型糖尿病患者的血脂水平[J]. 中華護理雜志, 2011, 46(7):661-663.
4. 王娟, 王希梅. 出院隨訪在臨床護理中的應用探討[J]. 中國當代醫藥, 2013, 20(14):176-177.
5. 張紅旭, 殷洪濤, 薛萍, 等. 我國延續性護理實施現狀[J]. 護理研究, 2013, 27(32):3705-3706.
6. 劉敏, 陳麗清. 出院病人隨訪在優質服務中的應用[J]. 按摩與康復醫學, 2012, 3(1):234.
7. 王新民, 周漢新, 曹海波. 我國開展病人隨訪工作的緊迫感與國內外進展[J]. 中國衛生質量管理, 2006, 13(6):41-43.
8. Salaza S,Arguedas C. Evaluation of an educational program:"How totreat my diabetes"[C]. 16 th IDF Congress, 1997:A632.
9. Renders CM, Valk GD, Griff IS, et al. Interventions to improvethe management of diabetes in primary care, outpatient, and community settings a system atic review[J]. Diabetes Care, 2001, 24(10):1821-1833.
10. 黃明君, 蔣曉蓮. 糖尿病患者自我管理影響因素研究現狀及展望[J]. 華西醫學, 2012, 27(6):957-959.
11. 劉羅薇, 劉小軍. 出院患者電話隨訪中出現的問題分析及對策[J]. 護理管理雜志, 2005, 5(7):18-19, 23.
12. 楊琴, 袁麗. 家庭健康教育對社區2型糖尿病病人社會支持影響的研究[J]. 護理研究, 2013, 27(19):2030-2031.
13. National Diabetes Education Program. Team care:comprehensive lifetimemanagement for diabetes[EB/OL].[2016-01-05]. http://www.ndep.nih.gov/resources/health.htm.
14. Codispoti C, Douglas MR, Mccallister T, et al. The use of a multidisciplinary team care approach to improve glycemic control and quality of life by the prevention of complications among diabetic patients[J]. J Okla State Med Assoc, 2004, 97(5):201-204.
15. Gagliardino JJ, Etchegoyen G, PENDID-LA Research Group.A model educational program for People with type 2 diabetes:a cooperative Latin American implementation study (PEDNID-LA)[J]. Diabetes Care, 2001, 24(6):1001-1007.

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West China Medical Journal

Analysis on the Influence of Diabetes Education and Management Measures on Lost Follow-up during Continuous Nursing

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