摘要
目的研究血糖管理团队和院级血糖管理系统在骨科围手术期的应用。方法选取萍乡市人民医院内分泌科于2017年6月至2020年6月收治的骨折或关节置换合并糖尿病择期手术患者68例,将血糖管理团队建立前(2017年6月至2018年12月)收治的34例患者设为对照组,将血糖管理团队建立后(2019年1月至2020年6月)收治的34例患者设为观察组。对照组患者进行常规血糖检测,观察组患者进行血糖管理团队和院级血糖管理系统联合血糖检测,两组患者均于出院后随访3个月。比较两组患者血糖管理知识健康教育接受情况、血糖管理知识问卷及格情况、低血糖发生情况及护理满意度。结果观察组患者血糖管理知识健康教育接受率、血糖管理知识问卷及格率及护理满意度均高于对照组,观察组患者低血糖发生率低于对照组,差异有统计学意义(P<0.05)。结论血糖管理团队和院级血糖管理系统能有效降低骨折或关节置换合并糖尿病择期手术患者低血糖发生概率,增加其对糖尿病相关知识的接受及了解程度,提高护理满意度。
Objective To explore the application of blood glucose management team and hospital-level blood glucose management system in the perioperative period of orthopedics.Methods A total of 68 patients with fracture or joint replacement undergoing elective surgery for diabetes mellitus were selected in Department of Endocrinology,Pingxiang People′s Hospital from June 2017 to June 2020.Thirty-four patients treated before the establishment of blood glucose management team(June 2017 to December 2018)were set as the control group,thirty-four patients treated after the establishment of blood glucose management team(January 2019 to June 2020)were set as the observation group.Patients in the control group received routine blood glucose detection,and patients in the observation group received combined blood glucose detection by blood glucose management team and hospital-level blood glucose management system.Patients in both groups were followed up for 3 months after discharge.The acceptance of health education on blood glucose management knowledge,the passing of blood glucose management knowledge questionnaire,the incidence of hypoglycemia and nursing satisfaction were compared between the two groups.Results The acceptance rate of health education on blood glucose management knowledge,the passing rate of blood glucose management knowledge questionnaire and nursing satisfaction in the observation group were higher than those in the control group;the incidence of hypoglycemia in the observation group was lower than that in the control group,the differences were statistically significant(P<0.05).Conclusion The blood glucose management team and the hospital level blood glucose management system can effectively reduce the incidence of hypoglycemia in patients with fracture or joint replacement undergoing elective surgery for diabetes mellitus,and increase their acceptance and understanding of diabetes related knowledge,and improve their satisfaction with nursing.
作者
朱明慧
张雅薇
ZHU Ming-hui;ZHANG Ya-wei(Department of Endocrinology,Pingxiang People′s Hospital,Jiangxi Province,Pingxiang337000,China)
出处
《中国当代医药》
CAS
2021年第34期113-115,共3页
China Modern Medicine
基金
江西省卫生计生委科技计划项目(20197276)。
关键词
糖尿病
血糖管理团队
院级血糖管理系统
骨科围手术期
Diabetes
Blood glucose management team
Hospital-level blood glucose management system
Orthopedic perioperative period
