基于网络信息化系统的多科协作院内血糖管理模式探讨

Discussion on the in-hospital blood glucose management mode of multidisciplinary collaboration based on the network information system

目的:探讨基于网络信息化系统的多科协作院内血糖管理模式的临床效果。方法:选取2019年3月~ 2021年3月在汕头市中心医院外科住院的糖尿病患者553例作为研究对象。根据不同的血糖管理模式,将接受网络信息化多科协作院内血糖管理模式的患者归入观察组(n=259),将接受传统血糖管理模式的患者归入对照组(n=294)。比较两组基本资料、干预前后血糖水平、自我管理能力、预后情况及住院天数和住院费用。结果:两组患者的年龄、性别比例、BMI、入院空腹血浆血糖(FPG)、糖化血红蛋白(HbA1c)及糖尿病病程无统计学差异。干预后,观察组患者术后第1天空腹指尖血糖、出院当天空腹指尖血糖均显著低于对照组,空腹及餐后2小时指尖血糖达标率均显著高于对照组。干预后,观察组患者自我管理能力评分显著高于对照组。观察组患者的低血糖发生率、术后感染率、ICU入住率均显著低于对照组。观察组患者的住院天数和住院费用均显著低于对照组。结论:基于网络信息化系统的多科协作院内血糖管理模式能有效管理非内分泌科住院糖尿病患者的血糖,提高患者自我管理能力,缩短住院时间。

Objective To explore the clinical effect of multi-department cooperative blood glucose management mode based on network information system.Methods 553 diabetic patients who were hospitalized in the surgery of Shantou Central Hospital from March 2019 to March 2021 were selected as the research objects.According to different blood glucose management modes,patients receiving the in-hospital blood glucose management model were included in the observation group (n=259),and patients receiving the traditional blood glucose management model were included in the control group (n=294).The basic data of the two groups,blood glucose levels before and after the intervention,self-management ability,prognosis,hospitalization days and hospitalization expenses were compared before and after the intervention groups between two groups.Results There were no statistically significant differences in age,sex ratio,BMI,FPG,HbA1c and diabetes course in the two groups.After the intervention,the fingertip blood sugar of the first day after operation and on the day of discharge of the observation group were significantly lower than those of the control group,and fasting and 2 h after meal fingertip blood sugar compliance rate were significantly higher than that of the control group.After the intervention,the self-management ability score was significantly higher in the observation group than the control group.In the observation group,the incidence of hypoglycemia,postoperative infection rate,and ICU occupancy were significantly lower than the control group.The number of days and costs were significantly lower than the control group.Conclusion The multi-department cooperative hospital blood glucose management mode based on the network information system can effectively manage the blood glucose of non-hospitalized diabetic patients in the endocrine department,improve the self-management ability of patients,and shorten the length of stay in hospital.