摘要
目的 探讨胰岛素泵跨科室使用过程中的全院血糖中心化管理模式及安全管理措施，提高胰岛素泵使用的安全性与有效性。方法 在2024年1月至2025年11月期间，于我院内分泌科、外科选取100例需使用胰岛素泵进行血糖控制的患者，其中2024年纳入50例，2025年纳入50例，运用随机分组法将其均匀分为对照组和实验组，每组各50例。对照组（2024年）采用传统分散式护理管理，各科室自行负责本科室患者胰岛素泵的使用护理。实验组（2025年）实施全院血糖中心化管理与安全管理。结果 实验组胰岛素泵使用相关不良事件发生率显著低于对照组（P<0.05），患者对护理服务的满意度明显高于对照组（P<0.05）。结论 胰岛素泵跨科室使用的全院血糖中心化管理与安全管理能够有效降低不良事件发生率，提高患者满意度，对保障胰岛素泵安全、有效使用具有重要意义，值得在临床推广应用。
关键词： 胰岛素泵；跨科室使用；全院血糖中心化管理；安全管理；满意度
Abstract
Objective To explore the centralized management model and safety measures for insulin pump use across departments in an entire hospital, aiming to enhance the safety and effectiveness of insulin pump usage. Methods From January 2024 to November 2025,100 patients requiring insulin pump control for blood glucose management were selected from our hospital's endocrinology and surgery departments. Fifty cases were included in 2024, and another 50 cases in 2025. Using a randomization method, they were evenly divided into a control group and an experimental group, with each group consisting of 50 cases. The control group (2024) adopted traditional decentralized nursing management, with each department responsible for the care of insulin pumps used by their own patients. The experimental group (2025) implemented centralized management and safety measures for blood glucose across the entire hospital. Results The incidence of adverse events related to insulin pump use was significantly lower in the experimental group compared to the control group (P<0.05), and patient satisfaction with nursing services was notably higher in the experimental group than in the control group (P<0.05). Conclusion Centralized management and safety measures for insulin pump use across departments in an entire hospital can effectively reduce the incidence of adverse events and improve patient satisfaction, which is significant for ensuring the safe and effective use of insulin pumps and is worthy of clinical promotion and application.
Key words： Insulin pump; Inter-departmental use; Centralized management of blood glucose in the hospital; Safety management; Satisfaction
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