先进实践护理干预在糖尿病患者的有效性:一个系统性审查
Ana Rodríguez-García1, Álvaro Borrallo-Riego2,3, Eleonora Magni2,3
1Andalusian Health Service, Virgen Macarena Hospital, 41009 Seville, Spain.
Healthcare (Basel, Switzerland)
|April 12, 2025
概括
高级实践护士通过糖尿病教育等干预措施有效地改善糖尿病管理. 这些护士可以提高患者的自我护理能力,减少并发症,从而改善健康状况.
科学领域:
- 护理 护理 护理
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 糖尿病是一种慢性疾病,需要持续的医疗保健和患者的坚持.
- 建议进行治疗教育,以改善糖尿病管理中的治疗坚持.
- 先进实践护士 (APN) 在提供影响糖尿病患者临床结果的干预方面发挥着至关重要的作用.
研究的目的:
- 系统地审查和分析先进实践护士为糖尿病患者提供的干预措施的有效性.
- 综合有关APN干预措施及其对糖尿病护理和患者结果的影响的证据.
主要方法:
- 进行了系统的文献审查,坚持PROSPERO注册.
- 搜索的数据库包括PubMed,Scopus,Web of Science和CINAHL在2014年至2024年之间发表的研究.
- 包括的研究包括定性,定量和混合方法设计,严格的质量评估.
主要成果:
- 在600项已识别的研究中,选择了17项,其中12项专注于糖尿病教育干预措施.
- 干预主要是面对面的,在初级保健,私人诊所和医院进行.
- 关键结果包括降低HbA1c,增强患者的自我认识和自我有效性,降低再入院和死亡率.
结论:
- 糖尿病教育,通常由APN亲自提供,是最常见的干预措施.
- 干预措施在改善糖尿病患者的健康结果方面表现出显著的有效性,特别是在60岁以上的女性中.
- 由APN主导的干预措施对于提高糖尿病护理和患者福祉至关重要.
相关概念视频
Diabetes: Management and Pharmacotherapy
213
The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
213
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
2.0K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
2.0K
Nursing Diagnosis
2.5K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
The nursing diagnosis focuses on evidence-based...
2.5K
Diabetes: Symptoms, Diagnosis, and Complications
486
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
486
Role of Communication in the Nursing Process II: Planning and Implementation
1.7K
Several factors are considered while creating a patient's care plan. Motivation is a factor in improving communication, and patients often require encouragement to try different approaches involving significant change. It is essential to involve the patient and family in decisions about the plan of care to determine whether the suggested methods are acceptable. Consider meeting critical comfort and safety needs before introducing new communication methods and techniques. Allow adequate time...
1.7K
Diabetes Mellitus: Overview and Type I Subtype
2.3K
Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
2.3K


