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首页> 美国卫生研究院文献>Behavioral Sciences >The Role of Nurses and the Facilitators and Barriers in Diabetes Care: A Mixed Methods Systematic Literature Review
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The Role of Nurses and the Facilitators and Barriers in Diabetes Care: A Mixed Methods Systematic Literature Review

机译：护士和促进者与障碍在糖尿病护理中的作用：混合方法系统文献综述

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Background: The aim of this review is to identify the roles and activities of nurses working with people with diabetes and to examine the facilitators and barriers in caring for such people. Methods: A systematic review was conducted. From 531 abstracts reviewed, 29 studies were included (18 studies comprised questionnaire surveys, one was an intervention study, two used both questionnaires and interviews, and eight of them used interviews). Barriers and facilitators were extracted and combined using qualitative synthesis. Results: The literature review revealed three major roles and a number of barriers. A model for achieving enhanced nursing care of patients with diabetes has been developed according to the findings of this literature. Specifically, a stepladder suggesting that through better nursing training and education and by providing adequate resources, time, and synergies to diabetes specialists, nurses will be able to correctly perform their diabetes care roles, which include patient education, advanced care, and psychological support. Conclusions: Taking into serious consideration that a large number of hospital users are people with diabetes and that there is an inconsistency among countries about the work settings of Diabetes Specialist Nurses (DSNs), it is important to give greater focus to inpatient care and perhaps to enhance nurses’ roles by eliminating any barriers that prevent them from providing adequate quality care. Furthermore, integrated care involving the role of DSNs within the inpatient care would have been more beneficial for patients.
机译：背景：这项审查的目的是确定与糖尿病患者一起工作的护士的角色和活动，并检查照顾此类患者的促进因素和障碍。方法：进行系统评价。从531篇摘要中，包括29项研究（18项研究包括问卷调查，一项是干预研究，两项使用问卷调查和访谈，其中八项使用访谈）。使用定性合成提取障碍物和促进剂并将其结合。结果：文献综述揭示了三个主要作用和许多障碍。根据该文献的发现，已经开发出一种用于增强糖尿病患者护理的模型。具体来说，一个阶梯建议，通过更好的护理培训和教育，并通过向糖尿病专家提供足够的资源，时间和协同作用，护士将能够正确地履行其糖尿病护理职责，包括患者教育，高级护理和心理支持。结论：认真考虑到很多医院使用者是糖尿病患者，并且各国之间在糖尿病专科护士（DSNs）的工作环境方面存在矛盾，因此，重要的是要更加重视住院治疗，也许还要关注消除阻碍他们提供足够优质护理的障碍，从而提高护士的作用。此外，在住院治疗中涉及DSN作用的综合治疗对患者会更加有益。

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