RESUMO
To increase the comprehension about the profound effects of hyperglycemia within the first 48 hours poststroke on the outcomes of acute ischemic stroke, the authors reviewed multiple studies and literature reviews. Research supports the detrimental effects of hyperglycemia on the morbidity and mortality of patients diagnosed with acute ischemic stroke. The studies that were examined revealed that although further research is necessary, controlling hyperglycemia is overall beneficial to support superior clinical outcomes. The purpose of this article was to discuss the importance of not only glucose control but also the vital role of nurses in controlling glucose levels efficiently and immediately during the first 48 hours poststroke.
Assuntos
Isquemia Encefálica/epidemiologia , Mortalidade Hospitalar , Hiperglicemia/epidemiologia , Unidades de Terapia Intensiva , Acidente Vascular Cerebral/epidemiologia , Glicemia/análise , Isquemia Encefálica/diagnóstico , Isquemia Encefálica/enfermagem , Causas de Morte , Comorbidade , Enfermagem de Cuidados Críticos/métodos , Estado Terminal/terapia , Feminino , Humanos , Hiperglicemia/sangue , Hiperglicemia/enfermagem , Incidência , Masculino , Avaliação das Necessidades , Projetos Piloto , Prognóstico , Ensaios Clínicos Controlados Aleatórios como Assunto , Índice de Gravidade de Doença , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/enfermagem , Análise de SobrevidaRESUMO
To gain an understanding of and increased knowledge about the effects of open visiting hours on patients, their family members, and nurses within the intensive care unit environment, the author reviewed 10 empirical studies. Much has been debated about the essentials needed to create a healing environment that best promotes harmony of the mind, body, and spirit for the critically ill patient. Research indicates an open visiting policy may improve the quality of care and satisfaction of patients, family members, and nurses in the intensive care unit. The studies reviewed show that although most critical care nurses find that open visiting hours may impede patient care, the benefits to patients and family outweigh any negative impact to the patient.
Assuntos
Atitude do Pessoal de Saúde , Unidades de Terapia Intensiva/organização & administração , Recursos Humanos de Enfermagem Hospitalar/psicologia , Visitas a Pacientes , Cuidados Críticos , Pesquisa Empírica , Família/psicologia , Relações Familiares , Humanos , Fatores de Tempo , Visitas a Pacientes/psicologiaRESUMO
To gain an understanding and increased knowledge regarding the presence and affects of ambient stressors on patients' sleep and the efficacy of implementing sleep promotion measures within the intensive care unit environment, the author reviewed 10 empirical studies. Research indicates that ambient stressors within the intensive care unit have detrimental effects on patients' sleep, and nursing interventions that focus on the abatement of ambient stressors enhance patients' sleep. In the intensive care unit, optimizing the environment to promote sleep requires the active removal of ambient stressors.