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目的 将糖尿病患儿胰岛素注射部位皮肤评估与管理的最佳证据应用于临床，并评价其应用效果。方法 基于循证框架，将总结的最佳证据转化为24条质量审查指标进行基线审查，通过SWOT法分析障碍因素，实施变革。比较循证变革前后审查指标执行率和糖尿病患儿胰岛素注射部位皮肤并发症发生率。结果 最佳证据应用后，护理人员对胰岛素注射部位皮肤评估与管理的审查指标执行率明显高于基线审查水平；糖尿病患儿淤血的发生率低于基线审查水平（P<0.05）。结论 糖尿病患儿胰岛素注射部位皮肤评估与管理的最佳证据应用于临床实践，能有效提升护理人员审查指标执行依从性，降低患儿皮肤淤血发生率，进而促进患儿疾病的有效管理。
Abstract：Objective To apply the best evidence for skin assessment and management at insulin injection sites in children with diabetes mellitus to clinical practice and evaluate its effectiveness.Methods Based on the evidence based framework,the summarized best evidence was translated into 24 quality review indicators and a baseline audit was conducted.The SWOT method was used to analyze facilitators and barriers,and changes were implemented.The implementation rate of review indicators and the incidence of skin complications at insulin injection sites in children with diabetes were compared before and after the evidence based practice.Results After the application of the best evidence,the implementation rate of the review indicators for nursing staff regarding skin assessment and management at insulin injection sites was significantly higher than the baseline level.The incidences of bruising at the injection sites were significantly lower than baseline(P<0.05).Conclusion The application of the best evidence for skin assessment and management at insulin injection sites in children with diabetes mellitus to clinical practice can effectively improve nurses' compliance with evidence based guidelines,reduce the incidence of bruising in children,and thereby promote effective disease management.
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基本信息:
中图分类号:R473.72
引用信息:
[1]杨巾夏,王娅芸,王国英,等.糖尿病患儿胰岛素注射部位皮肤评估与管理的循证护理实践[J].护理管理杂志,2026,26(08):679-684.
基金信息:
姑苏卫生人才科研项目（GSWS2023049）
2026-08-10
2026-08-10