Wellard Sally J, Cox Helen, Bhujoharry Claire
University of Ballarat, Ballarat, Victoria, Australia.
Int J Nurs Pract. 2007 Aug;13(4):222-8. doi: 10.1111/j.1440-172X.2007.00631.x.
There has been little investigation of the issues associated with caring for patients presenting for cardiac surgery with a comorbid diagnosis of diabetes although there is some evidence that the diabetes management is suboptimal. This study aimed to identify issues that patients and cardiac specialist nurses experience with the provision of inpatient services for people undergoing cardiac surgery who also have type 2 diabetes. A qualitative interpretive design, using individual interviews with patients and nurses, provided data about some of these issues. The study found that nurses had high levels of confidence in their cardiac care but little confidence in diabetes management. Patients described concerns about their diabetes care and treatment regimens. A 'typical journey' for a person with diabetes undergoing cardiac surgery was identified. The findings support the need to build increased capacity in specialist nurses to support diabetes care as a secondary diagnosis.
尽管有证据表明糖尿病管理并不理想，但对于合并糖尿病诊断的心脏手术患者护理相关问题的研究很少。本研究旨在确定患者和心脏专科护士在为同时患有2型糖尿病的心脏手术患者提供住院服务时所遇到的问题。采用对患者和护士进行个人访谈的定性解释性设计，提供了有关其中一些问题的数据。研究发现，护士对心脏护理有很高的信心，但对糖尿病管理信心不足。患者描述了对糖尿病护理和治疗方案的担忧。确定了糖尿病患者进行心脏手术的“典型历程”。研究结果支持需要提高专科护士的能力，以支持将糖尿病护理作为次要诊断。
