Laird Elizabeth Ann, Coates Vivien E, Ryan Assumpta A, McCarron Mark O, Lyttle Diane, Chaney David
School of Nursing, University of Ulster, Northland Road, Londonderry BT487JL, UK.
Nurs Res Pract. 2013;2013:715802. doi: 10.1155/2013/715802. Epub 2013 Aug 25.
Glucose derangement is commonly observed among adults admitted to hospital with acute stroke. This paper presents the findings from a descriptive cohort study that investigated the glucose monitoring practices of nurses caring for adults admitted to hospital with stroke or transient ischaemic attack. We found that a history of diabetes mellitus was strongly associated with initiation of glucose monitoring and higher frequency of that monitoring. Glucose monitoring was continued for a significantly longer duration of days for adults with a history of diabetes mellitus, when compared to the remainder of the cohort. As glucose monitoring was not routine practice for adults with no history of diabetes mellitus, the detection and treatment of hyperglycaemia and hypoglycaemia events could be delayed. There was a significant positive association between the admission hospital that is most likely to offer stroke unit care and the opportunity for glucose monitoring. We concluded that adults with acute stroke, irrespective of their diabetes mellitus status prior to admission to hospital, are vulnerable to both hyperglycaemic and hypoglycaemic events. This study suggests that the full potential of nurses in the monitoring of glucose among hospitalised adults with stroke has yet to be realised.
在因急性中风入院的成年人中，血糖紊乱情况普遍可见。本文介绍了一项描述性队列研究的结果，该研究调查了护理因中风或短暂性脑缺血发作入院的成年人的护士的血糖监测做法。我们发现，糖尿病史与开始血糖监测以及更高的监测频率密切相关。与队列中的其他患者相比，有糖尿病史的成年人血糖监测持续的天数明显更长。由于无糖尿病史的成年人未进行常规血糖监测，高血糖和低血糖事件的检测与治疗可能会延迟。最有可能提供中风单元护理的收治医院与血糖监测机会之间存在显著的正相关。我们得出结论，急性中风患者，无论入院前的糖尿病状况如何，都易发生高血糖和低血糖事件。这项研究表明，护士在监测住院中风成年人血糖方面的全部潜力尚未得到充分发挥。
