住院患者血糖控制的挑战

Challenges of Inpatient Glycemic Control.

作者信息

Gerard Sally O, Ritchie Josephine

机构信息

Fairfield University School of Nursing, Fairfield, Connecticut (Dr Gerard); Professional Development Department, Stamford Hospital, Stamford, Connecticut (Dr Gerard); and Nursing Department, Western Connecticut Health Network, Danbury (Dr Ritchie).

出版信息

J Nurs Care Qual. 2017 Jul/Sep;32(3):267-271. doi: 10.1097/NCQ.0000000000000257.

DOI:10.1097/NCQ.0000000000000257

PMID:28323688

Abstract

Hyperglycemia occurs in more than 30% of hospitalized patients. The condition has been associated with higher mortality and poor outcomes. Systems to effectively treat dysglycemia have been put into place, although many focus on critical care areas. The purpose of this article is to provide an overview of the challenges for glycemic control in non-critical care areas. Standardized order sets, critical pathways, professional education, and collaborative systems can support improved control.

摘要

超过30%的住院患者会出现高血糖。这种情况与更高的死亡率和不良预后相关。尽管许多系统侧重于重症监护领域，但已经建立了有效治疗血糖异常的系统。本文的目的是概述非重症监护领域血糖控制面临的挑战。标准化医嘱集、关键路径、专业教育和协作系统有助于改善血糖控制。