| Objective:By questionnaire survey of the pediatric or endocrinologists and the families of children with diabetes in nine tertiary hospitals within the jurisdiction of Shijiazhuang City,Hebei Province,to understand the overall situation of pediatric or endocrinology in tertiary hospitals,to master the preventive measures of medical staff to implement the treatment of children with diabetes,to analyze the status and influencing factors of prophylactic treatment of the families of children with diabetes during treatment and provide reference for the related work of preventive treatment of children with diabetes.Methods:The method of convenient sampling was used to select the medical staff of pediatric or endocrinology in 9 tertiary hospitals in Shijiazhuang,Hebei Province,and 0-14 years old children who were hospitalized from August 1 to 31,2017.Family members of diabetes as the objects.To carry out the overall situation of preventive treatment of children with diabetes on pediatric or endocrinology medical staff and the knowledge of families of children with diabetes in preventive treatment as the investigation.In this study,we use the form of qualitative and quantitative research to design the questionnaire,and evaluate the reliability and validity of the questionnaire.The data of the research project were analyzed by SPSS17.0statistical software,and the test level was ? = 0.05.Result:1 General level of pediatric or endocrinology in tertiary hospitals Questionnaire 1 by the pediatric or endocrinology director and head nurses to fill out,issued a total of 22 questionnaires,22 were recovered,are valid questionnaires,the effective rate of 100%.Nine tertiary hospitals,one is a children's specialist hospitals,the rest arecomprehensive hospitals.There are one hospital in the general hospital in pediatric treatment of children with diabetes,children,the rest are in endocrinology;pediatric or endocrinology for the provincial key disciplines have one or two provincial clinical key specialist,the rest are ordinary specialist or the subjects;two hospital bed care ratio reached the relevant requirements,respectively,1: 0.40 and 1: 0.43,the remaining hospital beds were lower than the average;nine hospital health care ratio did not meet the relevant requirements;two pediatric treatment of diabetes Children's hospitals to carry out a variety of educational activities with children,and the remaining7 in the endocrine treatment of children with diabetes in children's hospitals did not carry out special education for children diabetes campaign;nine hospitals through health care cooperation to complete health education;hospitals are used one-to-one education,group education,large classroom education methods,including the most widely used classroom education;9hospitals have adopted a variety of forms of health education,in which the activities of the activities and the printing of the most common information,role play is rare;9 hospitals have carried out to blood glucose monitoring methods,diet nutrition program,acute and chronic complications prevention and treatment,three hospitals for children with diabetes and their families carried out special education;health education to carry out a monthly six hospitals,and the remaining three every two weeks or a week to carry out once.2 The implementation of children with diabetes prevention treatment in the health care workersQuestionnaire 2 was completed by pediatric or endocrinologists in chief physicians and nurses.A total of 216 questionnaires were sent and 216 were recovered,of which 205 were valid and 94.9% effective.Diabetes prevention knowledge average score of 3.05 ± 1.36 points.According to the results of statistical analysis,the title and educational level of health care workers were positively correlated with the level of prevention of diabetes.The higher the title and the educational level,the higher the level ofdiabetes prevention knowledge and the higher level of prevention of diabetes than nurses.The scores of medical staff on the attitude of preventive treatment were higher,and the preventive treatment was positive for the control of children with diabetes mellitus effect.In the recent treatment of diabetes prevention and treatment of professional knowledge of medical staff accounted for 74.1%,the training rate is low;for children with psychological counseling and diet treatment program of medical staff accounted for 67.8% and 64.9%,which accounted for health education,blood sugar monitoring,the development of low weight loss program.3 The status of the implementation of preventive treatment by families of children with diabetesQuestionnaire 3 is completed by family members.A total of 67 questionnaires were sent and 67 were collected,of which 65 were valid questionnaires and 97.0% were valid.The scores of family members of diabetes mellitus were 7.55 ± 2.39points(12 points).The results of statistical analysis showed that the educational level and occupation of children's family members were positively correlated with their knowledge of diabetes prevention and treatment.The higher the educational level,the higher the level of diabetes prevention knowledge;the level of preventive knowledge of science and technology,medical workers and teachers Highest,lowest peasant.There was a negative correlation between the number of hospitalized children and the prevention of diabetes in children with family members.The higher the number of hospitalized children,the lower the level of knowledge of pediatric family members,but there was no statistical significance with the sex and age of children.The scores of family members of diabetes in assisting children to develop preventive treatment were higher,which were more positive from drugs,exercise,nutrition diet,psychological therapy Urge children to carry out treatment.Diabetes family members of children with many aspects of behavioral guidance,the statistical results show that the proportion of nutrition programs compared to other aspects of low 30.8%,and its continued implementation rate of only 10.0%;23.1%;76.9% and 75.4% were higher than those with low blood glucose monitoring and health education.Conclusion:1 Tertiary hospital pediatric or endocrinology specialist construction is poor,especially the endocrinology carry out less special preventive treatment work for children with diabetes.Department of medical staff generally carried out preventive treatment of diabetes,but there is not deep work,the way is not advanced,lack of personnel,lack of medical care exchange platform,multidisciplinary cooperation and many other deficiencies.Therefore,the hospital should pay attention to specialist investment,regulate and improve the relevant system,pay attention to personnel training,innovative work forms,deepen multi-professional collaboration,and gradually improve the status of preventive treatment.2 The cognition of health care workers on diabetes preventive treatment is better,and carried out some professional guidance,but the level of knowledge of preventive treatment is low,poor guidance,but also because of their own characteristics of diabetes children,the compliance is poor.Therefore,besides the strengthening of medical staff in the relevant knowledge,develop personalized treatment programs according to the characteristics of each child to make up for poor compliance to protect the treatment effect.3 Generally the families of children with diabetes assist the children with preventive treatment work,the cognitive situation is better,but the level of knowledge is low and the implementation of the intensity is not enough.Therefore,the families of children should strengthen learning,confidence,encourage other family members to actively participate in the multi-directional effective supervision of children to improve the life quality of children. |
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