Nursing Diagnosis Risk for Unstable Blood Glucose Level in Patients with Diabetes Mellitus

Abstract

To validate the nursing diagnosis risk for unstable blood glucose level in adult/elderly patients with type 1 and type 2 diabetes. METHOD: Study Methodological was used in this article. The validation process was carried out using the model proposed by Hoskins (1989). RESULTS: The risk factors ineffective medication management and high carbohydrate and lipid food intake achieved a concordance index greater than 85%. CONCLUSION: This study contributed to the identification of new risk factors, at risk populations, and important associated conditions. IMPLICATIONS FOR NURSING PRACTICE: It is believed that the findings reported in this paper can be used to improve clinical protocols for the prevention of unstable blood glucose, in addition to contributions to the advancement of nursing science.

Glycated haemoglobin: a biomarker of the life expectancy of Parkinson’s disease patients with type 2 diabetes

“…17,18 However, blood glucose level is affected by many factors and uctuates throughout the day. [19][20][21][22] The high instability and variability may be the reason for the lack of signi cant result. Although both can be used as diagnostic indicators of T2D, HbA1c is more stable compared with blood glucose, re ecting the state of glycemic control over a longer period of time.…”

Diagnósticos de enfermagem em pacientes diabéticos: revisão integrativa [Nursing diagnoses in diabetic patients: an integrative review] [Diagnósticos de enfermería en pacientes diabéticos: revisión integradora]

“…Neste sentido, o enfermeiro deve incentivar modificações do estilo de vida em pessoas em condições crônicas, com ações de promoção da saúde como práticas saudáveis de alimentação e realização de atividade física regular, que possam contribuir para a melhoria dos indicadores de controle clínicos da DM 10,25 . O DE risco de glicemia instável também foi identificado [19][20][21][22][23][24][25][26]28 , sendo este um dos principais diagnósticos de enfermagem a ser considerado no paciente diabético a fim de evitar as complicações decorrentes das alterações glicêmicas. Em relação aos fatores de risco de glicemia instável foram encontrados: alterações nos níveis de hemoglobina glicada, índice de massa corpórea >31 Kg/m 2 , história prévia de hipoglicemia, déficit cognitivo/demência, neuropatia autonômica cardiovascular, comorbidades e perda de peso que correspondem a fatores de risco descritos na taxonomia NANDA-I 4,29 .…”

Penerapan pencucian luka menggunakan air rebusan daun jambu biji terhadap tingkat malodor pasien luka kaki diabetik

“…serius (Renaldi et al, 2021). Penyakit DM yang tidak terkendali dapat mengakibatkan komplikasi makro-vaskular (kardiovaskular, penyakit arteri perifer, stroke) dan mikro-vaskular berupa retinopati dan nefropati (Armstrong et al, 2017;Nemer et al, 2020). Komplikasi yang sering terjadi pada penderita DM salah satunya adalah ulkus kaki diabetik atau Diabetic Foot Ulcer (DFU) yang terjadi akibat gangguan neuropati yang akibatnya penderita tidak dapat merasakan infeksi atau peradangan pada kaki, sehingga timbul ulkus (Wu, 2018).…”

“…2019). Pasien dengan DM memiliki risiko yang lebih besar terjadi komplikasi ulkus diabetes (Nemer et al, 2020) Hasil studi kasus didapatkan kedua responden mengalami gangguan integritas jaringan. Gangguan integritas jaringan pada pasien DM terjadi akibat adanya neuropati.…”