Avtor/Urednik     Kalender Smajlović, Sedina
Naslov     Prednosti in slabosti različnih protokolov vodenja vrednosti glukoze v krvi pri kritično bolnih pacientih
Prevedeni naslov     The benefits and weaknesses of various blood glucose control protocols in critically ill patients
Tip     članek
Vol. in št.     Letnik 52, št. 1
Leto izdaje     2018
Obseg     str. 45-56
ISSN     1318-2951 - Obzornik Zdravstvene Nege
Jezik     slv
Abstrakt     Uvod: Medicinske sestre v enotah intenzivne terapije uravnavajo ciljno vrednost glukoze v krvi pri kritično bolnih po sprejetih in veljavnih protokolih. Namen raziskave je bil raziskati prednosti in slabosti različnih protokolov vodenja vrednosti glukoze v krvi pri kritično bolnih. Metode: Uporabljen je bil sistematični pregled znanstvene in strokovne literature. Iskanje literature je potekalo od 1. 2. 2017 do 8. 8. 2017. V pregled so bile vključene naslednje baze: COBIB.SI, Digitalna knjižnica Slovenije % Dlib.si, CINAHL, ProQuest, PubMed in Google Učenjak. Iskanje je potekalo z različnimi kombinacijami ključnih besed v slovenskem in angleškem jeziku: prednosti, slabosti, medicinske sestre, kritično bolni, glukoza v krvi in protokoli za vodenje vrednosti glukoze v krvi. Uporabljen je bil Boolov operater AND. Iz iskalnega nabora 1064 zadetkov je bilo v končno analizo vključenih 15 člankov. Za obdelavo podatkov je bil uporabljen model analize konceptov. Rezultati: Identificirana so bila tri tematska področja: (1) primernost različnih protokolov za vodenje vrednosti glukoze v krvi, (2) delovne obremenitve medicinskih sester pri teh protokolih in (3) varnost protokolov. Prednosti računalniško podprtega protokola za vodenje vrednosti glukoze v krvi so v boljšem doseganju ciljne vrednosti koncentracije glukoze v krvi, slabosti pa v pojavu odstopanj v zvezi z načrtovanim časom za merjenje glukoze v krvi. Diskusija in zaključek: Nekatere raziskave ugotavljajo prednosti računalniško podprtih protokolov za vodenje vrednosti glukoze v krvi v smislu tehnoloških izboljšav, zmanjšanja delovnih obremenitev medicinskih sester in izboljšanja varnosti pacientov. Raziskava prispeva k izboljševanju klinične prakse pri delu s kritično bolnimi pacienti.Introduction: Critical care nurses adjust the blood glucose target in critically ill according to the accepted and validated blood glucose control protocols. The purpose of this research was to investigate the benefits and weaknesses of blood glucose control protocols in critically ill patients. Methods: A systematic review of the scientific and professional literature was conducted. The research was done from 1 February 2017 to 8 August 2017. Databases COBIB.SI, The Digital Library of Slovenia % dLib.si, CINAHL, ProQuest, PubMed and Google Scholar were used for the literature review and analysis. The search was performed with the following key words in the Slovene and English language: benefits, weaknesses, critical care nurses, critically ill, blood glucose and protocols for tight glycemic control. The Boolean AND operator was used. From the total of 1064 results, 15 articles were included in the detailed analysis. The concept analysis model was used to process data. Results: Three thematic areas have been identified: (1) the suitability of different protocols for the management of blood glucose levels, (2) nurses' workload while following these protocols, and (3) the safety of the blood glucose control protocols. The benefits of a computerized blood glucose control protocol lie in better achievement of the target blood glucose concentration. The disadvantages of blood glucose control through control protocols are deviations related to the time allocated to blood glucose measurement. Discussion and conclusion: Some research has established benefits of computerized blood glucose control protocols in terms of technological improvements, reducing the nurses' workload and the safety of blood glucose control protocols. The research makes a contribution to improving the clinical practice in working with critically ill patients.
Proste vsebinske oznake     hiperglikemija
koncentracija glukoze v krvi
inzulinska infuzijska mešanica
hyperglycemia
blood glucose concentration
continuous insulin infusion