“医院信息化血糖管理”在2型糖尿病患者围手术期的应用  

Application of informationized mode of blood glucose management in perioperative patients with type 2 diabetes

作　　者：张蕾 杨青敏[2] 黄新梅[2] 严翠丽[2] ZHANG Lei;YANG Qingmin;HUANG Xinmei;YAN Cuili(Minhang District Cancer Hospital,Shanghai 200240;Shanghai Fifth People’s Hospital of Fudan University)

机构地区：[1]上海市闵行区肿瘤医院,上海200240 [2]复旦大学附属上海市第五人民医院

出　　处：《天津护理》2020年第5期509-513,共5页Tianjin Journal of Nursing

基　　金：上海市卫生和计划生育委员会科研课题(20174Y0118);上海市闵行区自然科学研究课题(2018MHZ014)。

摘　　要：目的:探讨“医院信息化血糖管理”对围手术期2型糖尿病患者的影响。方法:选择择期手术治疗的300例2型糖尿病患者,随机分为观察组和对照组各150例,对照组采用传统血糖管理,观察组采用医院信息化血糖管理。干预后采用住院期间2型糖尿病患者围手术期血糖总达标率、围手术期血糖监测方案执行的准确率、围手术期糖尿病专科护士会诊率以及患者入院、出院时糖尿病相关知识得分进行评价。结果:观察组血糖达标率、围手术期血糖监测方案执行的准确率、糖尿病专科护士会诊率及出院时糖尿病知识得分均高于对照组,差异有统计学意义(P<0.01)。结论:“医院信息化血糖管理”操作简单、实用性强、可提高围手术期患者血糖达标率,提高住院围手术期患者血糖监测的规范执行率,增加患者住院期糖尿病专科护理会诊率,提高围手术期糖尿病患者糖尿病相关知识的掌握,保障专科护理质量。Objective:To explore the effect of informationized mode of blood glucose management in perioperative patients with type 2 diabetes.Methods:300 patients with type 2 diabetes who planned to undergo elective surgery were randomly divided into observation group(n=150)and control group(n=150).The patients of control group were given the conventional management of blood glucose monitoring,and the patients in the other group were given informationized management mode.The control rate of blood glucose in perioperative patients during hospitalization,the accuracy of blood glucose monitoring,the consultation rate of diabetes specialist nurses and the score of diabetes related knowledge of admitted and discharged patients were evaluated.Results:The control rate,the accuracy of monitoring,the consultation rate and the score of knowledge were higher than those of the control group(P<0.01).Conclusion:The informationized mode based on the information glucose management system(IGMS)which is easy to practical can effectively ensure the quality of specialized nursing for perioperative patients with type 2 diabetes.

关 键 词：信息化血糖管理 围手术期 糖尿病 护理 

分 类 号：R587.1[医药卫生—内分泌]