Abstract
Background: In participating in the medical support work in the Nyingchi area of Tibet, the author found that the medical education resources in this area are scarce, and the clinical nurses in this area have relatively insufficient knowledge about blood glucose monitoring and management. Accurately understanding the knowledge-attitude/belief-practice (KAP) level of nurses in Nyingchi area on blood glucose management is of great significance to the development of blood glucose monitoring management guidance for nurses in this area. Therefore, this study investigated the current status of the management of blood glucose monitoring management standards for clinical nurses in Nyingchi, Tibet. Objective: To investigate and analyze the current situation of clinical nurses in Nyingchi region of Tibet to grasp the regulation of blood glucose monitoring and guide the implementation of the norm of blood glucose monitoring for clinical nurses. Methods: The research survey was carried out from March to April 2020. Random sampling method was used to select 134 clinical in-service nurses in Nyingchii, Tibet. The self-designed knowledge-attitude/belief-practice survey questionnaire for clinical nurses’ blood glucose monitoring and management in Tibet was used. Nurses’ blood glucose monitoring management “KAP” scores and related influencing factors are analyzed. Results: Blood sugar monitoring and management knowledge score is (36.78 ± 6.80), attitude dimension is (42.48 ± 6.42), practice dimension is (61.87 ± 10.24) and total score is (304.73 ± 36.24). The nurse’s department and whether to participate in diabetes training are the main influencing factors of the blood glucose monitoring management norms, knowledge and behavior (both P < 0.05). Conclusion: The standard knowledge of blood glucose monitoring and management of clinical nurses in Nyingchi region of Tibet is at the middle level, positive attitude and unsatisfactory behavior. Nursing managers should conduct standardized training for clinical nurses in blood glucose monitoring, develop the training mode of diabetes specialty nursing talents in Nyingchi area, and construct a complete management system of diabetes specialty nursing.
Highlights
Diabetes is a group of metabolic diseases characterized by chronic high blood glucose and carbohydrate, fat and protein metabolic disorders, which are caused by defective insulin secretion and/or insulin action [1]
The results of this study show that the knowledge level of blood glucose monitoring management is at a medium level, the knowledge score rate is 66.8%, and the total knowledge average score is (36.78 ± 6.80) points, which is lower than that of clinical nurses in Grade A hospitals in Guangdong Province [7]
The low oxygen environment there will lead to a strong, sticky and concentrated blood plateau characteristics, which will aggravate the symptoms of hypoxia and ischemia in patients with diabetes, and promote the development of diabetes [19] [20]
Summary
Diabetes is a group of metabolic diseases characterized by chronic high blood glucose and carbohydrate, fat and protein metabolic disorders, which are caused by defective insulin secretion and/or insulin action [1]. In order to accurately understand the level of knowledge, credit, and execution about blood glucose management among nurses in Nyingchi area, we analyze the influencing factors of blood glucose monitoring and management behavior of nurses, and do a good job in training and guiding the blood glucose management of nurses in this area. This study investigated and analyzed the current situation of clinical nurses in Nyingchi area, Tibet, in mastering the blood glucose monitoring management standard. Understanding the knowledge-attitude/belief-practice (KAP) level of nurses in Nyingchi area on blood glucose management is of great significance to the development of blood glucose monitoring management guidance for nurses in this area. Conclusion: The standard knowledge of blood glucose monitoring and management of clinical nurses in Nyingchi region of Tibet is at the middle level, positive attitude and unsatis-
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