...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Journal of cardiovascular nursing >Practice changes in glycemic management and outcomes in coronary artery bypass surgery patients.
【24h】

Practice changes in glycemic management and outcomes in coronary artery bypass surgery patients.

机译：在冠状动脉搭桥手术患者中实践血糖管理和结果的变化。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

This study aims to evaluate whether a quality improvement initiative in hyperglycemia management could result in substantiated practice changes and improved outcomes for coronary artery bypass surgery patients. Retrospective chart review and analysis of 103 randomly selected patients hospitalized for coronary artery bypass surgery was used. After the glycemia awareness initiative, the perioperative use of intravenous insulin infusion therapy increased in the total population (P = .01) as well as in the diabetes population (P = .03). Frequency of blood glucose level tests ordered for nondiabetic patients increased from 2.8 per day to 4.3 per day (P = .38). Blood glucose values improved in the diabetic population (Ps = .02, .048). The average length of stay improved in all nondiabetic patients (10.7-8.1 days, P = .07) including those who had coronary artery bypass graft surgery with cardiac catheterization (7.8-6.2 days, P = .09) and coronary artery bypass graft surgery with catheterization with complications (15.0-9.0 days, P = .12). The glycemia awareness initiative resulted in a positive impact on practice patterns. Undiagnosed diabetes and impaired fasting glucose are important and unrecognized issues within this hospital population. It is recommended that healthcare practitioners assume that cardiac patients have an increased likelihood of impaired fasting glucose and hyperglycemia. Advanced practice nurses can improve patient outcomes by ordering glucose testing and glycemic management as a routine practice for all cardiac surgery patients, regardless of diabetes diagnosis. Cardiac staff nurses can recommend glucose testing and screening for prediabetes and diabetes as a routine part of all nursing assessment.
机译：这项研究旨在评估高血糖管理中的质量改进计划是否会导致经证实的实践改变以及冠状动脉搭桥手术患者的改善结局。使用回顾性图表回顾和分析方法，对103例随机选择接受冠状动脉搭桥手术住院的患者进行分析。在提高血糖意识之后，围手术期静脉注射胰岛素输注疗法的使用率在总人群（P = .01）和糖尿病人群（P = .03）中都有所增加。为非糖尿病患者订购的血糖水平检查频率从每天的2.8增加到每天的4.3（P = 0.38）。糖尿病人群的血糖值得到改善（Ps = .02，.048）。所有非糖尿病患者的平均住院时间都有改善（10.7-8.1天，P = .07），包括那些进行了心脏导管手术的冠状动脉搭桥术（7.8-6.2天，P = .09）和冠状动脉搭桥术的患者并发导管插入术并发并发症（15.0-9.0天，P = 0.12）。血糖意识倡议对实践模式产生了积极影响。在该医院人群中，未经诊断的糖尿病和空腹血糖受损是重要且无法识别的问题。建议保健医生认为心脏病患者的空腹血糖和高血糖受损的可能性增加。高级实践护士可以通过订购葡萄糖测试和血糖管理作为所有心脏外科手术患者的常规做法来改善患者的结局，而与糖尿病的诊断无关。心脏护理护士可以建议对所有糖尿病患者进行常规的葡萄糖检测和筛查糖尿病前期和糖尿病。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号