相关实验视频
Updated: Jan 7, 2026

12:08
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
19.3K
在重症监护室的护士领导的血糖控制协议:一个范围审查
Eugene Han1, Eunhye Park2, Eui Geum Oh3
1Yonsei University College of Nursing and Intensive Care Unit, Division of Nursing, Severance Hospital, Yonsei University Health System, Seoul, Korea.
Acute and critical care
|December 29, 2025
概括
在重症监护病房中,护士领导的血糖控制有效地减少了高血糖和低血糖事件和变化. 这种方法通过基于证据的协议稳定葡萄糖水平来改善患者的结果.
科学领域:
- 关键护理护理 关键护理护理
- 内分泌学 在内分泌学.
- 基于证据的实践.
背景情况:
- 在重症监护中的血糖管理对于患者的治疗结果至关重要.
- 护士领导的方案旨在减少失糖症 (高血糖和低血糖) 和血糖变化.
- 现有的协议在目标葡萄糖范围和监测频率等组件上有所不同.
研究的目的:
- 在重症监护室 (ICU) 确定由护士领导的血糖管理协议.
- 分析这些协议的组成部分,包括目标葡萄糖水平,监测频率和实施方法.
- 评估护士主导的血糖管理在重症监护中的有效性.
主要方法:
- 对七个数据库 (PubMed,CINAHL等) 的范围审查. 对于2015年1月至2025年4月期间发表的研究.
- 纳入标准和JBI批判性评估工具用于研究选择和质量评估.
- 包括七项准实验性研究,重点关注静脉注射胰岛素输注或低血糖管理.
主要成果:
- 通常使用的持续静脉注射胰岛素输注协议,目标葡萄糖范围为100-180 mg/dl.
- 监测间隔从15分钟到4小时不等;协议排除了口服饮食或间歇性肠道营养的患者.
- 护士领导的血糖控制与降低的血糖变异性,高血糖和低血糖有关.
结论:
- 在重症监护机构,护士主导的血糖管理在稳定血糖水平方面表现出有效性.
- 这些发现支持需要基于证据的更新,以确保安全有效的患者管理.
- 建议采用多学科的方法,优化护士领导的ICU中血糖控制策略.
相关概念视频
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.0K
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:
3.0K
Nursing Clinical Information System
1.2K
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
1.2K
SBAR II: Application of SBAR
5.6K
SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
5.6K
Chronic Pancreatitis II: Collaborative Care
284
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
284
Diabetes: Management and Pharmacotherapy
844
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...
844
Chronic Kidney Disease IV: Nursing Management
287
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
287
