Study On The Grasp Situation Of Disables Mellitus Knowledge And Needs And Training Effectiveness In Non-endocrine Department Nurses

Objective：To understand the cognitive situation and training needs of the diabetesknowledge in non-endocrine department nurses, and to explore the way of diabetesspecialist training for non-endocrine nurses. To provide a scientific basis to improve theeffectiveness of training. Methods: The research includes four phases:(1) Preparation:Using stratified cluster sampling method, to investigate390non-endocrine nurses’knowledge status of diabetes and training needs in a hospital Grade Ⅲ in Xinjiang.(2)Drafting the training programs: Based on the findings of the preparatory stage, drawing upthe diabetes specialist training program.(3) Implementation of training:126participantswere divided into the experimental and control groups. Theoretical training stage, thecontrol group using traditional multimedia teaching method, the experimental group wasgave diversified teaching methods. Clinical practice training phase, the control group wasgave the training of join a regular shift, and the experimental group was gave the trainingof centered operation training and then specialist teaching.(4) The evaluation: Comparingeffectiveness and satisfaction of the both teaching methods and two clinical teachingmethods. Results:(1) The mastered level of diabetes knowledge of non-endocrine nursesis poor. The correct rate of the nurse’s diabetes monitoring knowledge and diabetes drugknowledge and diabetes basic knowledge were21%,28.5%,30.1%, respectively. Nursesof different education, job title and years of working was statistically significant (P＜0.01).The total score of whether diabetes knowledge in-service education and work experienceof endocrinology was statistically significant (P＜0.01).95.3%of nurses believe that it isnecessary to participate in a diabetes specialist training.(2) There was statisticallysignificant difference of the pre-training and post-training theory performance between the two groups (P＜0.01); Theoretical scores in the experimental group was higher than thatin the control group, the difference was statistically significant (P＜0.01). For furtheranalysis, the comparison of the proportion of participant who’s scores more than or equalto90points, the experimental group (44.3%) were higher than control group (23.3%),there were statistically significant difference in the two groups (P＜0.05). The degree ofsatisfaction of teaching methods and lectures practicality in the experimental group washigher (P＜0.05).(3) The participants rate (67.2%) who the scores greater than or equal to90points on comprehensive assessment of clinical practice ability in experimental groupwere higher than that in the control group (48.3%). The difference was statisticallysignificant (P＜0.05), and clinical practice training in experimental group the averagescores of satisfaction was higher than that in the control group (P＜0.05). Conclusion:(1)The integrated level of non-endocrine nurses’ diabetes knowledge should be improvedand the training should be systematic standardized.(2) Diversified teaching methods couldincrease the effectiveness of diabetes specialist training.(3)The improved specialistteaching benefits to develop the clinically practical ability, also can enhance theeffectiveness of training.