CAJ | 학술논문

目的：调查了非内分泌科室血糖监测管理情况，对所存在的问题进行分析，并提出改进。方法本研究于2013年6月调查了成都市某三级甲等医院非内分泌科室血糖监测的管理情况：血糖记录本、血糖仪及血糖试纸、制度和培训，并分析制度和培训对血糖记录本、血糖仪及试纸管理的影响。结果65个科室共有血糖仪161台，平均（2.5±2.0）台。88%科室有专用血糖仪存放点，91%科室有血糖仪交接班记录和上锁保管，血糖仪校对频率(19±14)次/月，校对人员为护士的占91%。7(11%)个科室中有专用血糖记录本，2%科室血糖试纸批号与血糖仪密码不一致。59(91%)个科室有血糖监测规范或制度，53(82%)个科室有血糖监测相关培训及记录。有无制度和培训对血糖仪校对频率、有校对记录的差异有统计学意义（P＜0.05）。结论非内分泌科室血糖监测管理在血糖仪及试纸的存储、质控和血糖记录方面欠规范，血糖监测制度和相关培训是其影响因素，为改善和规范血糖监测的管理现状，建立院内血糖管理小组。
목적：조사료비내분비과실혈당감측관리정황，대소존재적문제진행분석，병제출개진。방법본연구우2013년6월조사료성도시모삼급갑등의원비내분비과실혈당감측적관리정황：혈당기록본、혈당의급혈당시지、제도화배훈，병분석제도화배훈대혈당기록본、혈당의급시지관리적영향。결과65개과실공유혈당의161태，평균（2.5±2.0）태。88%과실유전용혈당의존방점，91%과실유혈당의교접반기록화상쇄보관，혈당의교대빈솔(19±14)차/월，교대인원위호사적점91%。7(11%)개과실중유전용혈당기록본，2%과실혈당시지비호여혈당의밀마불일치。59(91%)개과실유혈당감측규범혹제도，53(82%)개과실유혈당감측상관배훈급기록。유무제도화배훈대혈당의교대빈솔、유교대기록적차이유통계학의의（P＜0.05）。결론비내분비과실혈당감측관리재혈당의급시지적존저、질공화혈당기록방면흠규범，혈당감측제도화상관배훈시기영향인소，위개선화규범혈당감측적관리현상，건립원내혈당관리소조。
Objective To investigate the management of blood glucose monitoring in non-endocrine departments, analyze the existing problems and propose suggestions for improvement. Methods In June 2013, the investigation was conducted about blood glucose monitoring management including blood glucose records, glucose meter and test strips, systems and training, and the influence of system and training on blood glucose records, glucose meter and test strips management was analyzed. Results Totally 161 glucose meters were found in 65 departments, with an average of (2.5 ±2.0) meters per department. There was a special place to store the glucose meter in 88% of the departments and there were blood glucose meter shift recording and locked storage in 91% of the departments. The calibration frequency of blood glucose meter was (19 ±14) times every month, and 91% of the proofreaders were nurses. Seven (11%) departments had special blood glucose recording book, and blood glucose test strips ’ number couldn’t match the glucose meter’s password in 2% of the departments. A total of 59 (91%) departments had blood glucose monitoring system and specifications and 53 (82%) departments had blood glucose monitoring training and records. The system and training exerted statistical significance on the difference of blood glucose meter proofreading frequency and proof recording ( P<0.05). Conclusion The storage of blood glucose meter and test strips, quality control and recording are not reasonable and system specification and training are influencing factors of blood glucose monitoring. In order to improve and standardize the management of blood glucose monitoring in non-endocrine departments, a blood glucose management team needs to be established.