| 摘要: |
| 目的 了解非内分泌专科住院医生使用胰岛素进行血糖管理的能力，为糖尿病的教学、治疗提供依据，并针对存在问题找出对策。方法 设计调查问卷表，主要对住院医生的血糖管理水平认知、胰岛素基本疗效认知、胰岛素使用的了解程度和影响住院医生有效使用胰岛素的因素4个方面进行调查，并搜集相关建议。结果 190位被调查者中有143人（75.26%）未参加过内分泌科轮转工作；住院医生对血糖管理的理论知识掌握不足，回答正确率为41.26%；对胰岛素使用的了解程度较低，仅16.82%的被调查者熟悉糖尿病防治指南，仅有不到30%的住院医生对胰岛素种类、特点及常用胰岛素治疗方案熟悉。影响住院医生有效使用胰岛素的因素有“患者住院时间太短导致血糖难以有效控制”、“非内分泌专科未对住院患者血糖管理给予足够重视”、“不知道如何确定个体化的降糖方案”等。结论 院内血糖管理需要得到重视，临床工作迫切需要更加深入地加强住院医生的相关教育。 |
| 关键词: 糖尿病 住院医师 血糖管理能力 问卷调查 |
| DOI：10.3724/SP.J.1008.2014.01020 |
| 投稿时间：2014-07-09修订日期：2014-08-19 |
| 基金项目: |
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| Questionnaire survey of blood glucose-management ability among residents |
| JI Tao1△,LIU Sui-yi2△,ZHAI Xiao3,HUANG Qin3* |
(1. Department of Training, Second Military Medical University, Shanghai 200433, China;
2. Department of Hospital Service, Eastern Hepatobiliary Surgery Hospital, Second Military Medical University, Shanghai 200433, China;
3. Department of Endocrinology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
△Co-first authors.
* Corresponding author.) |
| Abstract: |
| Objective To know about the blood glucose-management ability of the residents not working in the endocrinology department, so as to provide the reference for the education and treatment of diabetes and solutions to the existing probelms. Methods We designed a questionnaire to investigate four aspects of residents concerning the blood glucose-management ability, including cognition of blood glucose-management, cognition of basic effect of insulin, application of insulin, and factors influencing the use of insulin. We also collected the related suggestions. Results Among the 190 residents surveyed, 143(75.26%) never rotated in the department of endocrinology. The residents had a poor knowledge of blood glucose-management, with the rate of correct answer being 42.16%; they also showed an unsatisfactory understanding of insulin use, with only 16.82% of the respondents familiar with the guideline for the prevention and treatment of diabetes and less than 30% familiar with the insulin types, characteristics and common-used insulin therapy strategies. The main factors affecting the use of insulin by residents included "short hospitalization caused poor control of blood glucose", "less attention on blood glucose-management by non-endocrinology residents" and "lack of knowledge on individualized blood glucose control strategies". Conclusion More attention is needed on inhospital blood glucose-management, and related education should be strengthened among residents. |
| Key words: diabetes mellitus residents blood glucose-management ability questionnaires |
