[1]杨列婵,李 苏,胡 萍,等.内分泌科联合糖尿病管理小组及总住院医生全程专人负责制优化管理在科外糖尿病患者胰岛素泵治疗中的应用[J].医学信息,2021,34(01):185-187.[doi:10.3969/j.issn.1006-1959.2021.01.052]
　YANG Lie-chan,LI Su,HU Ping,et al.Application of Endocrinology Department Combined with Diabetes Management Group and General Hospital Doctor’s Responsibility System in the Treatment of Insulin Pump in Patients with Diabetes Mellitus Outside the Department[J].Medical Information,2021,34(01):185-187.[doi:10.3969/j.issn.1006-1959.2021.01.052]
点击复制

内分泌科联合糖尿病管理小组及总住院医生全程专人负责制优化管理在科外糖尿病患者胰岛素泵治疗中的应用()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年01期
页码:
185-187
栏目:
护理研究
出版日期:
2021-01-01

文章信息/Info

Title:
Application of Endocrinology Department Combined with Diabetes Management Group and General Hospital Doctor’s Responsibility System in the Treatment of Insulin Pump in Patients with Diabetes Mellitus Outside the Department
文章编号:
1006-1959（2021）01-0185-03
作者:
杨列婵; 李 苏; 胡 萍; 等
（遵义医科大学附属医院内分泌科，贵州 遵义 563000）
Author(s):
YANG Lie-chan; LI Su; HU Ping; et al.
(Endocrinology Department,Affiliated Hospital of Zunyi Medical University,Zunyi 563000,Guizhou,China)
关键词:
内分泌科; 联合; 糖尿病管理小组; 院内胰岛素泵治疗
Keywords:
Endocrinology; Joint; Diabetes management team; In-hospital insulin pump therapy
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2021.01.052
文献标志码:
A
摘要:
目的 探讨在院内非内分泌科糖尿病患者胰岛素泵治疗中采用内分泌科联合糖尿病管理小组及总住院医全程专人负责制优化管理的应用效果。方法 选取2017年1月~2018年12月在我院非内分泌科安装胰岛素泵的496例糖尿病患者作为研究对象，随机分成对照组（224例）和观察组（272例），对照组采用内分泌科常规管理模式，观察组在对照组基础上联合糖尿病管理小组及总住院医全程专人负责制优化管理，比较两组平均血糖达标时间、胰岛素泵故障发生率、患者意外高血糖率及非计划性停泵率。结果 观察组血糖达标时间、非计划性停泵率、胰岛素泵故障及意外高血糖发生率均少于对照组，差异有统计学意义（P＜0.05)。结论 在科外糖尿病患者胰岛素泵治疗中采用内分泌科联合糖尿病管理小组及总住院医全程专人负责制优化管理，可使科外糖尿病患者得到同质化护理，有助于胰岛素泵有效运行，缩短患者的血糖达标时间，及时处理意外高低血糖，保障胰岛素泵治疗效果。
Abstract:
Objective To explore the application effect of using the endocrinology department in conjunction with the diabetes management team and the general inpatient system to optimize the management of the whole process in the treatment of insulin pumps for patients with diabetes in the non-endocrinology department.Methods Selecting 496 diabetic patients who installed insulin pumps in the non-endocrinology department of our hospital from January 2017 to December 2018 as the research subjects, and were randomly divided into a control group (224 cases) and an observation group (272 cases). The control group adopted the routine endocrinology department management mode, the observation group is based on the control group in conjunction with the diabetes management team and the general hospital doctor to optimize the management throughout the whole process. Compare the average blood glucose compliance time, the incidence of insulin pump failure, the unexpected high blood sugar rate and unplanned pump stoppages between the two groups rate.Results The observation group’s blood glucose standard time, unplanned pump stop rate, insulin pump failure and accidental hyperglycemia rate were all lower than those of the control group, the difference was statistically significant (P<0.05).Conclusion In the treatment of insulin pumps for diabetic patients outside the department, the endocrinology department combined with the diabetes management team and the general inpatient will be responsible for the whole process to optimize the management, so that the patients with diabetes outside the department can receive homogeneous care, help the effective operation of the insulin pump and shorten the number of patients. Time to reach the blood sugar standard, deal with unexpected high and low blood sugar in time, and guarantee the effect of insulin pump treatment.

参考文献/References:

[1]中国医师协会内分泌代谢科医师分会,中华医学会内分泌学分会,中华医学会糖尿病学分会.中国胰岛素泵治疗指南(2014版)节选(上)[J].糖尿病临床,2014,8(8):353-359. [2]中国医师协会内分泌代谢科医师分会,中国住院患者血糖管理专家组.中国住院患者血糖管理专家共识[J].中华内分泌代谢杂志,2017,1,33(1):1-10. [3]周燕,黄洁微,卢筱华,等.多学科协助模式在围手术期胰岛素泵治疗患者血糖管理中的应用[J].护理学报,2018,12,25(23):43-46. [4]侯文静.内分泌科实施科外带胰岛素泵应用的管理体会[J].天津护理,2016,24(3):259-260. [5]邱欢.非内分泌科胰岛素泵治疗患者的多学科协作优化管理[J].医院管理,2018,11(31):380. [6]徐晶晶,朱敏,何畏,等.跨学科团队精细血糖管理在非内分泌胰岛素泵治疗患者中的应用及效果[J].中国护理管理,2018,18(8):1021-1024. [7]徐晶晶,顾则娟.多学科协助优化管理模式在非内分泌科胰岛素泵治疗患者中的应用[J].中国护理管理,2018,18(z1):12-13.

更新日期/Last Update: 1900-01-01