Ryan Donna B, Swift Carrie S
Diabetes Spectr. 2014 Aug;27(3):163-8. doi: 10.2337/diaspect.27.3.163.
In Brief Multiple staff members and departments have a responsibility for various aspects of nutrition therapy for glycemic management in the hospital setting. Implementation is initiated by physicians, nurse practitioners, and physician's assistants and planned and operationalized by registered dietitians. Meals are delivered by food service staff, and nurses monitor and integrate glycemic control components into patients' medical treatment plan. Although nutrition therapy is recognized as an important aspect of care in the hospital setting, it can also be challenging to appropriately coordinate meals with blood glucose monitoring and insulin administration. This article addresses current mealtime practices and recommendations to improve these processes in acute care.
简而言之，在医院环境中，多个工作人员和部门对血糖管理的营养治疗的各个方面负有责任。实施工作由医生、执业护士和医师助理发起，由注册营养师进行规划和操作。膳食由食品服务人员提供，护士监测血糖控制情况并将其纳入患者的医疗治疗计划。尽管营养治疗在医院环境中被认为是护理的一个重要方面，但要将膳食与血糖监测和胰岛素给药进行适当协调也可能具有挑战性。本文探讨了当前的用餐时间做法以及在急性护理中改进这些流程的建议。
