RESUMEN
PURPOSE: This study aimed to reveal the effects of a glycemic control protocol directed by nurses during the perioperative period on glycemic outcomes in diabetic patients undergoing major abdominal surgery. DESIGN: This was a prospective cohort study METHODS: The study was conducted at the Department of General Surgery of a research and training hospital in Turkey. The study included 47 patients with type 2 diabetes mellitus who underwent elective major abdominal surgery between September 2017 and December 2018. The number of patients in the intervention and the control groups was 22 and 25, respectively. Routine clinical glycemic control was implemented in the control group, whereas a glycemic management protocol developed by a multidisciplinary team was implemented in the intervention group. We collected data on the control group first, followed by the introduction of the glycemic management protocol to clinical staff and glycemia data collection using the new protocol. Blood glucose (BG) levels in patients and the factors that may affect BG were measured in the preoperative, intraoperative, and postoperative periods. Data on glycemic control was also collected. Furthermore, we measured the satisfaction of the nurses implementing the glycemic management protocol. FINDINGS: The rate of hyperglycemia in intensive care unit was 21% in the intervention group and 59% in the control group (P < .05). Time spent in the target BG range during insulin infusion was 76% in the intervention group and 35% in the control group (P < .05). The time required to achieve target BG range during insulin infusion was 6 hours for the intervention group and 15 hours for the control group, indicating that less time was required to achieve the target BG range in the intervention group (P < .05). Moreover, the insulin consumption rate in the intensive care unit was lower in the intervention group (P < .05). The satisfaction levels of the nurses that used the glycemic management protocol was 92.61 ± 7.93%. CONCLUSIONS: Results of this study showed that the implementation of a glycemic management protocol by nurses for patients undergoing major abdominal surgery decreases the rate of hyperglycemia, insulin consumption rate, and the time required to achieve the targeted BG range during the perioperative period. Therefore, it is recommended to use a glycemia management protocol to control glycemia in patients during the surgical process.
RESUMEN
This study aims to compare the effects of PechaKucha and traditional PowerPoint presentations on the learning performance of nursing students. This randomized controlled trial study was conducted in March 2016 at a nursing school in Ankara, Turkey. The participants were randomly distributed to the intervention group, which received a lecture using the PechaKucha presentation method (n = 66), and to the control group, which received a lecture using the traditional PowerPoint presentation (n = 68). The subject, "Knee Prosthesis and Nursing Approaches," was given to both groups in different classrooms at the same time. The efficiency of the presentation methods was evaluated by a test on the content of the lecture. Satisfaction levels of the participants were evaluated by using the Visual Analogue Scale. There was no statistically significant relationship between the average test results of the groups. The satisfaction levels of the participants in the intervention group was higher than the control group (p < 0.01). This study showed that, although there was no difference between groups in terms of information, the PechaKucha technique can be used for topics that nurse educators want to draw particular attention to.