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投稿时间：2024-05-24 网络发布日期：2024-07-20
投稿时间：2024-05-24 网络发布日期：2024-07-20
中文摘要: 目的 调查江苏地区院内信息化血糖监测系统（IGMS）的应用情况和医护人员使用IGMS满意度。
方法 通过问卷于2021年8月至2022年7月调研了江苏省内共119家二、三级医院的医护人员，调研内容：IGMS应用情况包括启用年份、使用医疗单元等；医护满意度，应用5分级Likert标度法建立满意度量表，调研医护使用IGMS满意度。
结果 （1） IGMS使用率：119家省内医院中有58家医院（48.7%）使用IGMS，IGMS使用率苏南医院（61.0%）显著高于苏中（34.8%）和苏北医院（37.8%）（χ2=7.113，P=0.029）。（2） 使用IGMS的医疗单元分布：内科（96.6%）显著高于外科（51.7%）及ICU（39.7%）（χ2=44.550，P＜0.01），内分泌科（96.6%）使用率最高。（3） 满意度调查：满意度量表的克仑巴赫α系数为0.702，KMO值为0.742，Bartlett球形检验的χ2值为298.268（P＜0.01）。有2个初始因子特征值大于1，累计贡献率为72.5%。根据碎石图提取2个因子，按照信效度进行题项删减，最终确定包含2个因子、7个题项的满意度量表。97名医护人员完成量表填写，得分29.0（25.5，31.0）。不同地区、不同等级医院、不同职称医护对IGMS的个人满意度差异无统计学意义（P＞0.05）。
结论 江苏地区二、三级医院IGMS使用率约为48.7%，苏南地区使用率较高。在使用IGMS的医院中，内分泌科IGMS使用率最高。医护人员使用IGMS的满意度良好，对联网稳定性及培训规范化提出了更高的期待。
Abstract:Objective To investigate the application of in-hospital informatized blood glucose monitoring system (IGMS) in Jiangsu and the satisfaction of medical staff to use IGMS.
Methods From August 2021 to July 2022, a survey was conducted among medical staff in 119 secondary and tertiary hospitals in Jiangsu Province. The survey included questions on the application status of IGMS, such as the year of initiation and the medical units using it, and the satisfaction with the use of IGMS in medical staff was investigated by a 5-level Likert scale.
Results (1) Utilization rate of IGMS: among the 119 hospitals, 58 (48.7%) utilized IGMS. The utilization rate in Southern Jiangsu (61.0%) was significantly higher than that in Central Jiangsu (34.8%) and Northern Jiangsu (37.8%) (χ2=7.113,P=0.029). (2) Distribution of medical units using IGMS: utilization rate in internal medicine department (96.6%) was significantly higher than that in surgical department (51.7%) and ICU (39.7%) (χ2=44.550,P＜0.01), with the highest utilization rate observed in endocrinology department (96.6%). (3) Satisfaction survey: the satisfaction scale had a Cronbach's alpha of 0.702 and a KMO value of 0.742, and Bartlett's sphericity test yielded aχ2 value of 298.268 (P＜0.01). Two initial factors with eigenvalues greater than 1 accounted for 72.5% of the variance. Following a scree plot analysis, two factors were extracted ,and the items were deleted according to the reliability and validity, and the satisfaction scale containing two factors and seven items was finally determined. Ninety-seven medical staff completed the scale with a score of 29.0 (25.5, 31.0). There was no significant difference in personal satisfaction with IGMS among medical staff in different regions, hospitals of grades and titles (P＞0.05).
Conclusion The utilization rate of IGMS in secondary and tertiary hospitals in Jiangsu is approximately 48.7%, with a higher rate in Southern Jiangsu. Endocrinology departments have the highest rate of IGMS usage. Medical staff are satisfied with the use of IGMS, and put forward higher expectations for the stability of networking and the standardization of training.
keywords: Informatized glucose monitoring system： Blood glucose data Real-time display Cloud sharing Blood glucose management Regional distribution Distribution of medical units Satisfaction
文章编号： 中图分类号：R587.1 文献标志码：A
基金项目:江苏省重点研发计划社会发展项目（BE2023774）;南京市科协“软科学研究”项目（2023-40）
引用文本：
张子成,杨龙璇,朱翔宇,等.江苏地区院内信息化血糖监测技术应用现况调查[J].中国临床研究,2024,37(7):1035-1038,1044.
张子成,杨龙璇,朱翔宇,等.江苏地区院内信息化血糖监测技术应用现况调查[J].中国临床研究,2024,37(7):1035-1038,1044.