血糖信息化管理系统对2型糖尿病患者治疗效果及自我管理能力的影响分析  

Effect of blood glucose information management system on therapeutic efficacy and self-management of patients with type 2 diabetes mellitus

作　　者：杨雪[1] 董其娟 于江红[1] 崔国敏[1] 孙晓菲[1] 范慧洁[1] 田勇[1] 王慧君[1] Xue Yang;Qi-juan Dong;Jiang-hong Yu;Guo-min Cui;Xiao-fei Sun;Hui-jie Fan;Yong Tian;Hui-jun Wang(Department of Endocrinology,Zhengzhou People’s Hospital,Zhengzhou,Henan 450003,China)

机构地区：[1]河南省郑州人民医院内分泌科,河南郑州450003

出　　处：《中国现代医学杂志》2018年第9期81-84,共4页China Journal of Modern Medicine

基　　金：2016年河南省医学科技攻关计划项目(No:201602339)

摘　　要：目的分析血糖信息化管理系统对糖尿病患者的疗效及自我管理能力的影响。方法实施全院血糖管理前,随机选取2016年1月-2016年6月在郑州人民医院治疗的112例2型糖尿病患者为对照组;实施全院血糖管理后,选取2016年7月-2016年12月该院收治的112例手术患者为观察组。对照组患者采用传统床旁血糖仪及血糖管理模式;观察组患者采用全信息化血糖管理模式。对比患者的自我管理能力的改变,检测患者空腹血糖(FPG)、餐后2 h血糖(2 h PG)、三酰甘油(TG)、总胆固醇(TC)及糖化血红蛋白(Hb A1c)等指标进行比较。结果观察组对血糖相关知识的知晓率、血糖达标率及糖化血红蛋白达标率高于对照组(P<0.05)。观察组的自测血糖率、适当运动率、合理饮食率及规范用药率均高于对照组(P<0.05)。观察组的FPG、2 h PG、TC、TG及Hb AIc低于对照组(P<0.05)。结论医院实施全院血糖信息化管理后,方便医护人员获取患者信息,纠正患者不良生活习惯,有效改善患者的血糖指标,提高患者对医院服务的满意度。Objective To investigate the effect of blood glucose information management system(BGIMS)on the therapeutic efficacy and self-management of patients with diabetes mellitus.Methods Totally 112 cases of type 2 diabetic patients admitted into our hospital from January 2016 to June 2016 were included as control group in which BGIMS was not performed.Another 112 of type 2 diabetic patients admitted into our hospital from July 2016 to December 2016 were involved as observation group in which BGIMS was activated.Patients in control group received traditional bedside glucose management mode.Patients in observation group was treated with BGIMS.Records on self-management,fasting blood glucose(FPG),2 h postprandial blood glucose(2 hPG),triglyceride(TG),total cholesterol(TC)and glycosylated hemoglobin(HbA1c)were documented.Results Acquirement of glucose related knowledge and normalization of blood sugar and HbA1c were significantly better compared with control group(P<0.05).Patients in observation group experienced better behavior in blood glucose self testing,exercise,dietingand medication when compared with control group(P<0.05).Concentration of FPG,2 hPG,TC,TG and HbAIc in observation group were significantly decreased compared with control group(P<0.05).Conclusion Application of BGIMS exerts beneficial effect on glucosecontrol.

关 键 词：2型糖尿病 自我管理能力 血糖信息化管理 

分 类 号：R587[医药卫生—内分泌]