Blonde Lawrence, Dempster Judith, Gallivan Joanne M, Warren-Boulton Elizabeth
Ochsner Diabetes Clinical Research Unit, Section on Endocrinology, Diabetes and Metabolic Diseases, Ochsner Clinic Foundation, 1514 Jefferson Highway, New Orleans, LA 70121, USA.
J Am Acad Nurse Pract. 2006 Nov;18(11):524-33. doi: 10.1111/j.1745-7599.2006.00171.x.
To provide nurse practitioners (NPs) a review of current practice guidelines that help clinicians' efforts to reduce the morbidity and mortality associated with diabetes and its major macrovascular complications.
This paper presents data from major evidence-based studies and clinical trials that define the scope of the problem, the rationale for risk reduction, and a patient-centered action plan for NPs to effectively manage cardiovascular risk factors in people with diabetes.
NPs are active partners with the National Diabetes Education Program and play a key role in efforts to effectively manage cardiovascular risk factors in people with diabetes and improve their awareness of the link between diabetes and heart disease and stroke.
The action plan to reduce cardiovascular risk in people with diabetes will help NPs to implement the most effective management strategies for medical nutrition therapy, physical activity, and pharmacological therapy required for patient-centered proactive management of hyperglycemia, hypertension, and lipid abnormalities.
为执业护士提供当前实践指南的综述，以帮助临床医生努力降低与糖尿病及其主要大血管并发症相关的发病率和死亡率。
本文呈现了来自主要循证研究和临床试验的数据，这些研究界定了问题范围、降低风险的基本原理，以及执业护士有效管理糖尿病患者心血管危险因素的以患者为中心的行动计划。
执业护士是国家糖尿病教育项目的积极合作伙伴，在有效管理糖尿病患者心血管危险因素以及提高他们对糖尿病与心脏病和中风之间联系的认识方面发挥着关键作用。
降低糖尿病患者心血管风险的行动计划将帮助执业护士实施以患者为中心的积极管理高血糖、高血压和血脂异常所需的最有效的医学营养治疗、体育活动和药物治疗管理策略。
