Background Glycemic control is crucial for reducing morbidity and mortality in critically ill patients. A standardized approach to glycemic control using a computer-guided protocol may help maintain blood glucose level within a target range and prevent human-induced medical errors. Objective To determine the effectiveness of a computer-guided glucose management protocol for glycemic control in intensive care patients. Methods This controlled, open-label implementation study involved 66 intensive care patients: 33 in the intervention group and 33 in the control group. The blood glucose level target range was established as 120 to 180 mg/dL. The control group received the clinic’s routine glycemic monitoring approach, and the intervention group received monitoring using newly developed glycemic control software. At the end of the study, nurse perceptions and satisfaction were determined using a questionnaire. Results The rates of hyperglycemia and hypoglycemia were lower and the blood glucose level was more successfully maintained in the target range in the intervention group than in the control group (P < .001). The time to achieve the target range was shorter and less insulin was used in the intervention group than in the control group (P < .05). Nurses reported higher levels of satisfaction with the computerized protocol, which they found to be more effective and reliable than routine clinical practice. Conclusions The computerized protocol was more effective than routine clinical practice in achieving glycemic control. It was also associated with higher nurse satisfaction levels.
Diyabet, vücutta insülin azlığı/yokluğu nedeniyle ya da yeterince insülin olmasına rağmen istenilen düzeyde etki göstermemesi sonucunda kan şekeri yüksekliğiyle karakterize kronik bir hastalıktır. Diyabette istenilen glisemik kontrolün sağlanmasında öz yönetimin önemi büyüktür. Diyabetin yönetiminde engellerin belirlenmesi optimal sağlığa ulaşmada kritik bir adımdır. Diyabetin öz yönetiminde başlıca engeller; diyabetle ilgili yetersiz bilgi, inanç ve davranışları, kaynak yetersizliği, sağlık sorunları, olumsuz duygular ve destek eksikliğidir. Diyabetli bireylerin öz yönetimde karşılaştıkları sorunların farkında olmak ve bu sorunların üstesinden gelinmesinde hastayı desteklemek diyabet hemşirelerinin temel rollerinden birisidir. Bu derlemenin amacı diyabet öz yönetimindeki kolaylaştırıcılar ve engelleri tartışmaktır. Yapılan çalışmalar diyabet öz yönetiminde hastaların algıladıkları destek ve engellerin farkında olunarak yapılan diyabet öz yönetim eğitimlerinin daha etkili olduğunu ortaya koymaktadır.
A-II TURKISH JOURNAL OF CARDIOVASCULAR NURSINGTurkish Journal of Cardiovascular Nursing (Turk J Cardiovasc Nurs) is a scientific, open access, online-only periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of Turkish Society of Cardiology -Cardiovascular Nursing Technicians Working Group, published tri-annually in April, August, and December. The publication languages of the journal are Turkish and English.Turkish Journal of Cardiovascular Nursing aims to contribute to the literature bu publishing mauscripts at the highest scientific level on coronary artery diseases, heart valve diseases, arrhythmia, heart failure, hypertension, congenital heart diseases, coronary intensive care nursing. The journal publishes Original article, review, rare case report, and letter to the editor that are prepared in accordance with ethical guidelines.The target audience of the journal includes nurses, academicians, clinical researchers, medical/health professionals, students, nursing professionals and related professional and academic bodies and institutions.
Aim: This study aimed to determine the effect of using a computerassisted glycemic monitoring protocol on the workload of intensive care nurses. Material and Methods: This quasi-experimental study was conducted with intensive care unit nurses (n=19). The time spent by the nurses during glycemia follow-up was recorded by two observer nurses using stopwatches. Glycemic monitoring was performed using a computerized and written protocol. After the application part of the research, the opinions of the nurses about the protocols were evaluated with a questionnaire form. Results: While the mean time spent on glycemia follow-up using the computerized protocol was 30.5 ± 8.18 seconds, the mean time spent using the written protocol was 42.7 ± 10.04 seconds (p < 0.001). 78.9% of nurses stated that written protocol was more complicated, 78.9% computerized protocol more suitable for intensive care unit, and 78.9% satisfied with using the computerized protocol. Conclusion:The use of the computerized protocol was shown to be effective in reducing the workload of intensive care nurses. The computerized protocol has increased nurse satisfaction in caring for patients with hyperglycemia who need intravenous insulin management.
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