13. Diabetes Care in the Hospital, Nursing Home, and Skilled Nursing Facility

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doi:10.2337/dc15-s016

Cited by 48 publications

(13 citation statements)

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“…No modelo encontrado, os sintomas de ansiedade, depressão e estresse se constituíram na variável que melhor explicou a percepção que o adolescente tem de sua QV. Destacam-se as repercussões desses sintomas na vida dos adolescentes com DM1 e a importância de um adequado suporte, tanto emocional quanto técni-co. É importante que os adolescentes recebam informações sobre a doença e o tratamento, a fim de evitar novas internações (American Diabetes Association, 2015). Outras variáveis associadas à QV foram a adesão e o autocuidado, que permitem, inclusive, que os jovens se sintam mais independentes e satisfeitos com sua vida.…”

Section: Discussionunclassified

Relações entre qualidade de vida e diabetes mellitus tipo 1 na adolescência

Greco-Soares

Dell’Aglio

2016

ctc

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Resumo. O impacto do diabetes na qualidade de vida de adolescentes se dá desde o diagnóstico até a manutenção do tratamento, podendo interferir nas relações sociais e no desenvolvimento. Este estudo investigou a qualidade de vida em adolescentes com diabetes mellitus tipo 1, observando também sintomas como ansiedade, depressão e estresse, e sua associação com a adesão ao tratamento, autocuidado e variáveis sociodemográficas. Participaram 122 adolescentes com diagnóstico de diabetes mellitus tipo 1, com idades entre 12 e 18 anos (M=14,71; ±1,77), sendo 56,6% do sexo masculino, que responderam instrumentos de autorrelato. Quatro variáveis conjuntamente explicaram 55,9% da variância da qualidade de vida desses adolescentes: sintomas de ansiedade, depressão e estresse; adesão ao tratamento; número de internações; e autocuidado. Os achados deste estudo destacam o impacto dos sintomas psicológicos e a importância da adesão ao tratamento e das atividades de autocuidado na qualidade de vida de adolescentes com diabetes mellitus tipo 1.Palavras-chave: diabetes mellitus tipo 1, adolescentes, qualidade de vida.Abstract. The impact of diabetes in the quality of life of teenagers starts at the diagnosis and goes until the maintenance of the treatment. It may interfere in social relationships and growth. This study investigated the quality of life of teenagers with type 1 diabetes mellitus, also observing symptoms such as anxiety, depression and stress, and their association with treatment adherence, self-care and sociodemographic variables. The study consisted of 122 teenagers diagnosed with type 1 diabetes, aged 12 to 18 years (M= 14.71; ±1.77), in which 56.6% were male, who responded to self-report tools. Four variables together explained 55.9% of the variance in the quality of life of adolescents: symptoms of anxiety, depression and stress; adherence to treatment; hospitalizations; and self care. The findings of this study highlight the impact of psychological symptoms and the importance of treatment adherence and self-care in the quality of life of teenagers with type 1 diabetes mellitus. Keywords

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Section: Discussionunclassified

Relações entre qualidade de vida e diabetes mellitus tipo 1 na adolescência

Greco-Soares

Dell’Aglio

2016

ctc

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“…8 Walfridsson et al who assessed the status of elderly diabetic patients in nursing homes for the care of the elderly and an article by the American Diabetes Association titled "Diabetes Management in Long-Term Care Nursing in Nursing Home" both shared common goals. 10,12 In the study of Walfridsson et al, the use of common antidiabetic drugs, HbA1c and blood glucose levels, and diabetes complications were documented in patient medical records. Blood glucose loss due to lack of nursing and medical stuff education was reported in 24% of diabetics, with only 43.1% of them having an HbA1c of less than 52 mm/L.…”

Section: Discussionmentioning

confidence: 99%

“…9 The limitations in assessing the educational challenges of caring for diabetic patients at home for nurses and nurse aides can be cited as the shortcomings in these two recent studies. 10,12 Restriction of the study by Hugstudt et al (2016) was also considered. In this study provision of high-quality health care in nursing homes and home care centers; and also the need for appropriate tools for assessing the level of diabetes knowledge among health care providers who were not aware of the specific parameters of diabetes control; were investigated.…”

Section: Discussionmentioning

confidence: 99%

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Educational Challenges to Nurses and Nurse Aides of Caring for Diabetic Patients at Home: A Systematic Review

2019

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Introduction: The prevalence of diabetes among the elderly presents nurses and nurse aides with new challenges to providing high-quality, evidence-based care in nursing homes. Considering the importance of home care, this overview seeks to examine the challenges to organizational home-based care in nursing and nursing patients with diabetes. Methods: A systematic review of intervention studies from between 2012 and 2016 was conducted using standard and sensitive keywords such as: "development," "implementation," "evaluation," "education," "diabetes patient," "home care," and "nursing homes" with other possible word combinations, such as advancement, assessment, nursing care providers, and home care centers. The databases searched included PubMed, Science Direct, Ovid, Wiley, and Scholar. The articles which met the inclusion criteria and quality standards for this study were selected for review. Results: Out of 543 retrieved articles, seven articles were analyzed in a case study. Three articles showed the professional development of nurses, the exchange of their experiences, professional self-confidence, increased professional development, and improved communication between care-provider and caregivers. Conclusions: Now more than ever, the lack of continuous training in treatment and care plays a pivotal role among teaching staff as a basic requirement for reducing the incidence of complications of diabetes among individuals, especially the elderly. Getting to know more about the benefits of severe glycemic control in people with advanced disease can help achieve therapeutic goals.

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“…Current treatment guidelines for hospitalized patients recommend blood glucose target of 140 – 180 mg/dL for most critically ill, hospitalized patients and for non-critically ill patients, pre-meal blood glucose of <140 mg/dL and random blood glucose of <180 mg/dL 111426 . The results of this study demonstrated that these targets can be achieved safely using the NP with a lower incidence of hypoglycemia.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of Less Intensive Glycemic Target for a Subcutaneous Insulin Protocol in Hospitalized Patients

Kaur

Markley

Schlauch

et al. 2015

The American Journal of the Medical Sciences

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Background This study looked at the effect of replacing an intensive subcutaneous insulin correction protocol (OP) with a less intensive protocol (NP) in a tertiary hospital with the hypothesis that using the NP will result in less hypoglycemia and improved hospital outcomes. Methods The charts for 200 hospitalized patients managed with the OP (glycemic target 90 – 116 mg/dL for intensive care and 90 – 130 mg/dL for non-intensive care patients) and 200 with the NP (glycemic target 150 – 200 mg/dL) were reviewed. Data were collected and were analyzed using Fisher’s exact test and Student’s t-test. The primary outcome was the difference in hypoglycemia rates between the two protocols. Hypothesis test p-values of p<0.05 were deemed significant. Results There was no statistically significant difference in age, gender, ethnicity, BMI, level of hospital care or use of scheduled insulin for the two groups (p > 0.05 for all). Average blood glucose values were 160.45 and 169.98 mg/dL for the OP and NP, respectively (p=0.063). There were 14 readings ≤40 mg/dL in the OP compared to 6 in the NP (p = 0.046). With the OP, 27 patients required dextrose treatment compared to 11 with the NP (p = 0.0097). The average length of hospitalization was longer for the NP compared to the OP (13.16 vs. 6.56 days, p = 0.00085). Conclusions A less intensive subcutaneous insulin correction protocol in hospitalized patients resulted in similar glucose values with less severe hypoglycemia. However, it was associated with longer length of hospitalization.

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13. Diabetes Care in the Hospital, Nursing Home, and Skilled Nursing Facility

Cited by 48 publications

References 37 publications

Relações entre qualidade de vida e diabetes mellitus tipo 1 na adolescência

Relações entre qualidade de vida e diabetes mellitus tipo 1 na adolescência

Educational Challenges to Nurses and Nurse Aides of Caring for Diabetic Patients at Home: A Systematic Review

Outcomes of Less Intensive Glycemic Target for a Subcutaneous Insulin Protocol in Hospitalized Patients

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