study on community nursing service demand and influencing factors of elderly diabetes patients

Abstract

This study investigated the needs and influencing factors of community nursing service for elderly diabetes patients, and put forward corresponding countermeasures and suggestions to provide scientific basis for the community nursing service mode of elderly diabetes patients. A self-made questionnaire was used to investigate 520 elderly community diabetic patients in the sample area by stratified sampling. Descriptive analysis, single factor analysis and multiple stepwise linear regression analysis were used to analyze the nursing service needs and influencing factors. The study showed that the demand score of community elderly diabetes patients for health promotion was 34.18±5.084, and the highest demand score was regular physical examination. The demand score of disease care was 20.55±5.099, and the highest demand score was to provide fixed time for follow-up visit. The score of nursing demand for complications was 20.96±4.714, and the highest demand was the prevention and nursing of diabetic peripheral neuropathy. The results of multi-factor analysis showed that the factors affecting the demand for health promotion care included BMI, financial source, treatment condition, VAS score, pain/discomfort, and the standard of fasting blood glucose. In the development of community care for elderly diabetes, it is necessary to clarify the diversified nursing needs of patients and the problems existing in the service process, provide multi-level and individualized community care services, so as to improve the quality of life of patients.

Evaluation of Evidence-Based Interventions for the Nurse Coach Scope of Practice Within the Omaha System Guidelines Corpus

“…Specifically, the findings support the use of the Omaha System to describe several diverse practices designated in various guidelines (Monsen et al, 2017; Slipka, & Monsen, 2018; Southard et al, 2021; Choromanski, 2019; Kates, 2020; Luo et al, 2020; Piamjariyakul et al, 2019; Sezgin & Nihal Esin, 2019). For example, NCs practicing in areas such as home care (Home Health NC), acute (In-patient NC), chronic (Diabetic NC), or end of life (Palliative NC) would be able to adopt existing evidence-based guidelines in their care planning and documentation systems.…”