摘要
目的探究血糖信息化管理系统对院外糖尿病患者血糖监测效果及血糖指标的影响.方法选取海安县中医院2015年5月至2016年5月收治的行常规护理管理的糖尿病患者88例作为对照组,另选取该院2016年6月至2017年6月收治的行血糖信息化管理系统的糖尿病患者88例作为观察组.对比2组血糖监测效果及护理前后血糖指标、血糖控制情况变化.结果观察组自我血糖监测[(93.54±9.48)次]、主动随访频率[(37.31±3.27)次]高于对照组[(76.85±11.42)次、(19.49±4.36)次],就诊时间[(2.03±0.24)d]短于对照组[(5.42±1.98)d],差异有统计学意义(P<0.05);观察组护理6个月后空腹血糖(GLU)、餐后2 h血糖(2hPG)和糖化血红蛋白(HbA1c)指标均优于对照组,差异有统计学意义(P<0.05);观察组护理6个月后自觉症状、生活习惯、治疗情况、生存技能、治疗目标、知识结构评分均高于对照组,差异有统计学意义(P<0.05).结论血糖信息化管理系统应用于院外糖尿病患者血糖管理可显著提高血糖监测效果,降低患者血糖水平,有效控制血糖,值得临床推广.
Objective To investigate the effects of blood glucose information management system on blood glucose monitoring and blood glucose indicators in the blood glucose management of outpatients with diabetes mellitus (DM).Methods Eighty-eight patients with diabetes mellitus who received routine nursing care in Traditional Chinese Medicine Hospital from May 2015 to May 2016 were selected as the control group, while another 88 DM patients who were admitted to our hospital from June 2016 to June 2017 and received blood glucose information management were designated as the observation group. The effects of blood glucose monitoring and changes in blood glucose indicators and blood glucose control before and after nursing management were compared between the 2 groups. Results The frequencies of self management of blood glucose (SMBG)[(93.54±9.48)times] and active follow-up [(37.31±3.27)times] in the patients of the observation group were higher than those in the patients of the control group [(76.85±11.42) times,(19.49±4.36) times], and the time for searching medical care [(2.03±0.24)d] was shorter than that in the patients of the control group [(5.42±1.98)d]( P <0.05). Following 6 months of blood glucose management, the levels of fasting blood glucose (GLU), blood glucose 2 hours after meal (2hPG) and HbA1c in the observation group were all superior to those in the control group, with statistical significance ( P <0.05). After 6 months of nursing, the scores of subjective symptoms, life habits, treatment status, survival skills, treatment targets and knowledge structure of the observation group were all higher than those of the control group, also with statistical significance ( P <0.05). Conclusion The blood glucose information management system applied to the management of blood glucose in the outpatients with DM could significantly improve the effects of blood glucose monitoring, reduce blood glucose levels and effectively control blood glucose. For this reason, it is worth further clinical promotion.
作者
秦亚丽
李建平
Qin Yali;Li Jianping(Department of Endocrinology, Traditional Chinese Medicine Hospital, Haian County, Haian 226600, China)
出处
《海军医学杂志》
2019年第4期336-339,357,共5页
Journal of Navy Medicine
基金
南通市科技计划项目(qyz15038)
关键词
血糖信息化管理系统
院外糖尿病
血糖监测效果
血糖指标
Blood glucose information management system
Outpatient with diabetes mellitus
Blood glucose monitoring effect
Blood glucose index
