我国三级甲等医院床旁血糖监测应用与管理现状调查

发布时间：2018-04-07 00:21

本文选题：医院　切入点：床旁血糖监测　出处：《中国糖尿病杂志》2017年09期

【摘要】：目的调查分析我国医院床旁血糖监测的临床应用和管理现状。方法采用委托问卷方式,调查我国三级甲等医院(下称"三甲医院")及所属内分泌代谢/糖尿病科的床旁血糖监测使用情况。结果 2015年7~10月问卷调查2014年全国1152家三甲医院,818家医院完成问卷。所调查医院平均拥有2种或以上(1~10种)品牌床旁血糖仪,血糖试纸年消耗中位数15万片;55.2%的内分泌代谢/糖尿病科,使用同品牌血糖仪,约10.0%的科室定期或不定期更换血糖仪品牌;91.2%的科室由护士操作床旁血糖仪,7.3%由多类别人员操作;65.0%的科室每月进行室内质控,每日室内质控仅占9.4%;67.8%的质控由厂家维护人员进行;96.2%的科室采用单纯纸质记录或人工输入电脑,仅4.0%(33/818)正在使用具有身份识别且数据自动同步HIS/LIS功能的床旁血糖监测系统。结论床旁血糖监测在我国三甲医院广泛应用。但绝大部分医院床旁血糖监测仪与普通自我血糖监测(SMBG)血糖仪无异,血糖仪缺乏恰当的室内质控;同时血糖数据缺乏自动化身份识别和系统管理,与国家2010年制订的管理和操作规范基本要求还存在较大差距。
[Abstract]:Objective to investigate and analyze the clinical application and management of blood glucose monitoring beside bed in Chinese hospitals.Methods A commissioned questionnaire was used to investigate the monitoring of blood glucose in bed in Grade 3A Hospital (third Class A Hospital) and the Department of Endocrine Metabolism / Diabetes.Results from July to October, 2015, 1152 hospitals in China completed the questionnaire.The hospitals investigated had an average of 2 or more kinds of bedside blood sugar meters. The median annual consumption of blood glucose test paper was 150000 tablets of endocrine metabolism / diabetes.About 10.0% of the departments changed the brand of blood sugar instrument regularly or inregularly. 91.2% of the departments were operated by nurses. 7.3% of the departments were operated by multi-class personnel. 65.0% of the departments carried out indoor quality control every month.Only 9.47.8% of the indoor quality control was carried out by factory maintenance personnel. 96.2% of the departments used pure paper records or manual input computer, only 4.0% 33 / 818) were using the bedside blood glucose monitoring system with the function of identification and data automatic synchronization of HIS/LIS.Conclusion Blood glucose monitoring by bed is widely used in third Class A Hospitals in China.However, most of the blood glucose monitoring instruments beside beds in hospitals are no different from those of SMBG, which lack proper indoor quality control, and lack of automatic identification and systematic management of blood glucose data.There is still a big gap with the basic requirements of the management and operational norms formulated by the state in 2010.
【作者单位】：广东省人民医院内分泌科;广东省人民医院检验科;
【分类号】：R587.1

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