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1.
J Clin Nurs ; 28(23-24): 4513-4524, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31430410

RESUMO

AIMS AND OBJECTIVE: To investigate the effects of a home-based nursing intervention programme established based on the Health Promotion Model on the health outcomes of adolescents with type 1 diabetes mellitus. BACKGROUND: After diagnosed with diabetes, it is necessary to ensure that nursing care is not limited to the hospital setting but continues at home. DESIGN: A quasi-experimental design with a pre- and post-test control group was used. The researchers have complied with the guidelines of TREND Checklist in presenting this study. METHOD: This study was conducted in Izmir, Turkey, with 71 adolescents (35 in an intervention group and 36 in a control group) diagnosed with type 1 diabetes mellitus who were registered at the paediatric endocrinology outpatient clinics of two hospitals and were selected using the convenience sampling method between June-December 2017. A home-based nursing intervention programme (5 week) was provided to the intervention group while standard care was provided to the control group. Data were collected at the baseline, and 3 and 6 months after a 5-week home-based nursing intervention. Multi-way and one-way analysis of variance, the Bonferroni correction, regression analysis, t test, chi-squared analysis and a structural equation model were used for data analysis of the iterative measurements. RESULTS: At the end of the home-based nursing intervention programme, the HbA1c mean scores significantly decreased, while self-efficacy perception, frequency of managing diabetes and taking responsibility in managing diabetes increased in the intervention group compared to those in the control group. Frequency of admission to the hospital and average costs were lower in the intervention group than in control group. The home-based nursing intervention programme using structural equation modelling increased the frequency of managing diabetes and taking responsibility in managing diabetes and decreased HbA1c levels. CONCLUSION: The home-based nursing intervention programme was effective in decreasing HbA1c levels, increasing the frequency of diabetes management and taking responsibility in managing diabetes, and improving the self-efficacy of the adolescents. RELEVANCE TO CLINICAL PRACTICE: The home-based nursing intervention programme can be applied by nurses to ease the transition of adolescents with type 1 diabetes mellitus and their parents to healthy daily life practices and ensure their glycemic controls after being discharged.


Assuntos
Automonitorização da Glicemia/métodos , Diabetes Mellitus Tipo 1/enfermagem , Assistência Domiciliar/métodos , Autoeficácia , Adolescente , Aconselhamento/métodos , Feminino , Humanos , Masculino , Ensaios Clínicos Controlados não Aleatórios como Assunto , Turquia
2.
Rech Soins Infirm ; (136): 80-89, 2019 03.
Artigo em Francês | MEDLINE | ID: mdl-31210504

RESUMO

BACKGROUND: Type 1 diabetes in children in Switzerland is becoming increasingly prevalent. The coordination of care seems to be a determining element and is essential for effective and efficient care. OBJECTIVE: Identify the difficulties and the levers of coordination faced by healthcare workers and families during the discovery of type 1 diabetes in children aged from birth to fifteen. METHOD: Qualitative analysis using semi-directed interviews. RESULTS: Three families and five healthcare workers participated in the study. Confirmation of the diagnosis was received badly and was a shock for the families. Nurses specializing in pediatric diabetes are recognized for being experts in diabetes care and education. Non-specialist nurses consider diabetes care to be stressful and complex. Collaboration between units is described as compartmentalized. ICT tools are not shared between units. Psychological support is considered to be unsatisfactory by the families. DISCUSSION: Interdisciplinary nurses need to work together and with a structured coordination of care.


Assuntos
Prática Avançada de Enfermagem , Continuidade da Assistência ao Paciente/organização & administração , Diabetes Mellitus Tipo 1/enfermagem , Família/psicologia , Papel do Profissional de Enfermagem , Adolescente , Criança , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Pesquisa Qualitativa , Suíça
3.
Br J Nurs ; 28(7): 434-439, 2019 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-30969870

RESUMO

Diabetes mellitus is a condition that results in elevated blood glucose levels. Continued elevation can contribute to progressive micro- and macrovascular complications, leading to renal, nerve and ocular damage, representing a significant contributor to patient morbidity and mortality. The measurement of blood glucose provides information on the effectiveness of blood glucose metabolism and guides interventions to achieve optimal glucose control within the body. All nurses should be familiar with the importance of blood glucose monitoring and the procedure to carry out testing safely and effectively. Appropriate and timely monitoring of blood glucose will allow for the successful management of blood glucose that is out of the target range. This will ensure ongoing patient safety during episodes of acute illness or effective management of diabetes mellitus in the longer term, minimising future diabetic-related health complications.


Assuntos
Automonitorização da Glicemia , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 2/sangue , Glicemia/metabolismo , Diabetes Mellitus Tipo 1/enfermagem , Diabetes Mellitus Tipo 2/enfermagem , Humanos , Hipoglicemiantes/uso terapêutico
4.
J Clin Nurs ; 28(1-2): 125-137, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30302838

RESUMO

AIM AND OBJECTIVES: To examine trends since a previous 2006-2008 survey in diabetes knowledge held by primary health care nurses and their use of national diabetes guidelines, perceived ability to advise diabetes patients and preferences for further diabetes education. BACKGROUND: The obesity epidemic has led to a rapid increase in the prevalence of prediabetes and type 2 diabetes and to greater expectations for an expanded role for primary health care nurses in the prevention and community management of diabetes. DESIGN: Cross-sectional survey using a self-administered questionnaire and telephone interview and adheres to the STROBE guidelines. METHODS: All nurses who provide community-based care in a major urban area were identified, and stratified by group, prior to random selection to participate in the study. A total of 1,416 practice, district (home care) and specialist nurses were identified who provide community-based care. Of the 459 who were randomly selected, 336 (73%) participated in 2016 and were compared with a representative sample of 287 nurses surveyed in 2006-2008. RESULTS: Compared with nurses in 2006-2008, significantly more nurses in 2016 used diabetes guidelines, knew that stroke was a diabetes-related complication, had a greater understanding of the pathology of diabetes and reported having sufficient knowledge to advise patients on laboratory results and improving outcomes through lifestyle changes. Despite these improvements, in 2016, only 24% of nurses could state that stroke was a complication of type 2 diabetes, only 37% felt sufficiently knowledgeable to advise patients on medications, and <20% could state that hypertension, smoking and the dyslipidaemia profile were important modifiable risk factors. CONCLUSION: There have been improvements in nurse's knowledge but gaps remain for cardiovascular outcomes and associated modifiable risk factors and medication management. RELEVANCE TO CLINICAL PRACTICE: Education programmes should focus on improving cardiovascular risk management in patients with type 2 diabetes.


Assuntos
Diabetes Mellitus Tipo 1/enfermagem , Diabetes Mellitus Tipo 2/enfermagem , Conhecimentos, Atitudes e Prática em Saúde , Enfermeiras de Saúde Comunitária/estatística & dados numéricos , Padrões de Prática em Enfermagem , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nova Zelândia , Papel do Profissional de Enfermagem , Atenção Primária à Saúde/organização & administração
5.
NASN Sch Nurse ; 34(2): 86-89, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30382764

RESUMO

The hybrid closed-loop insulin delivery system, a form of "artificial pancreas," is composed of an insulin pump, a standardized algorithm, and a continuous glucose monitor. The system streamlines insulin delivery by connecting continuous glucose monitor data with an insulin pump and an algorithm to drive basal insulin delivery. The hybrid closed-loop insulin delivery system, approved by the Food and Drug Administration in 2016 for children older than 7 years, is a major improvement in the management of type 1 diabetes. The purpose of this article is to educate school nurses about the components of the hybrid closed-loop insulin delivery system, the relevance to care, and the future direction of blood glucose management.


Assuntos
Diabetes Mellitus Tipo 1/tratamento farmacológico , Pâncreas Artificial , Criança , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 1/enfermagem , Humanos , Papel do Profissional de Enfermagem , Serviços de Enfermagem Escolar
6.
Int J Qual Stud Health Well-being ; 13(1): 1487758, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29944465

RESUMO

PURPOSE: The diagnosis of diabetes in pre-school children poses a number of unique challenges related to everyday responsibility, and the continuous need for supervision and caregiving. This may affect both the child's and the parents' perceived burden caused by the condition. The aim of the study was to explore the lived experience of being mothers and fathers of a child with type 1 diabetes aged 1 to 7 years. METHODS: The study is rooted in an interpretive phenomenological methodology as described by van Manen. In-depth interviews were carried out to collect data. FINDINGS: We were able to identify one essential theme across the interviews: Striving to live an ordinary family life, yet feeling and living very differently-with interrelated sub-themes: A life-changing situation, Always on guard, and Struggling to let go. CONCLUSION: Parents described a profoundly changed situation, and they were indeed striving to live like a "normal" family. They were in need of support from health care professionals at the outpatient clinic, not only support and supervision in regard to practical tasks, but also concerning handling a changed life situation and emotional reactions, especially in the first year after diagnosis.


Assuntos
Adaptação Psicológica , Atitude , Cuidadores/psicologia , Diabetes Mellitus Tipo 1 , Emoções , Poder Familiar/psicologia , Pais/psicologia , Adulto , Criança , Pré-Escolar , Doença Crônica/psicologia , Diabetes Mellitus Tipo 1/enfermagem , Diabetes Mellitus Tipo 1/psicologia , Relações Familiares , Pai/psicologia , Feminino , Necessidades e Demandas de Serviços de Saúde , Humanos , Lactente , Masculino , Mães/psicologia , Inquéritos e Questionários
7.
Br J Nurs ; 27(10): 542, 2018 May 24.
Artigo em Inglês | MEDLINE | ID: mdl-29791221

RESUMO

Laura Lennard, Children's Diabetes Nurse, West Hertfordshire Hospitals NHS Trust, reflects on the challenges of encouraging behaviour change and the importance of understanding patients' real-life experiences.


Assuntos
Adaptação Psicológica , Comportamento do Adolescente , Diabetes Mellitus Tipo 1/psicologia , Papel do Profissional de Enfermagem , Adolescente , Criança , Diabetes Mellitus Tipo 1/enfermagem , Feminino , Humanos , Masculino , Resolução de Problemas , Medicina Estatal , Reino Unido
8.
Can J Diabetes ; 42(5): 540-544, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-29606327

RESUMO

OBJECTIVE: To evaluate the impact of the Diabetes Coach Program (DCP) on glycated hemoglobin (A1C) levels in youth with type 1 diabetes. The youth were referred to and participated in the DCP between October 2011 and May 2016. METHODS: The Diabetes Coach visited families in their homes every 1 to 2 weeks and updated patients' diabetes teams regularly. A1C levels before the DCP were compared with A1C levels during and after discharge from the DCP. Six participating families completed satisfaction surveys via telephone. RESULTS: The DCP included 23 participants (43% male; median age, 11 years; range, 8.8 to 14.5 years); median duration of type 1 diabetes, 1.7 years (range, 0.1 to 6.3 years); median time in the DCP, 1.5 years (range, 0.2 to 2.5 years). During involvement in the program, median A1C levels decreased from baselines of 11.1% (range, 8.9% to 15.3%) to 10.2% (range, 7.6% to 12.4%) (p=0.0028). For 11 of 13 patients discharged from the DCP, the most recent median A1C levels, 11.2% (range, 9.1% to 13.6%), an average of 2.4 years later, were not different from the initial A1C levels (p=0.85). Family feedback was overwhelmingly positive. CONCLUSIONS: Participation in the DCP decreased A1C values in pediatric patients; however, the levels were not sustained after visits stopped. Pediatric health coaches may play an important role in the management of type 1 diabetes, but further research is needed to explore their benefits and how positive effects can be sustained.


Assuntos
Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 1/terapia , Hemoglobina A Glicada/metabolismo , Tutoria/métodos , Educação de Pacientes como Assunto , Autogestão/educação , Adolescente , Glicemia/metabolismo , Criança , Diabetes Mellitus Tipo 1/enfermagem , Feminino , Hemoglobina A Glicada/análise , Humanos , Masculino , Tutoria/normas , Papel do Profissional de Enfermagem , Educação de Pacientes como Assunto/métodos , Educação de Pacientes como Assunto/normas , Melhoria de Qualidade , Autocuidado/métodos , Falha de Tratamento
11.
J Pediatr Nurs ; 38: 99-105, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29357987

RESUMO

PURPOSE: We aimed to evaluate patient self-management activities, patient perceptions of the therapeutic relationship and satisfaction with nurse-led consultations as part of a structured, pilot program transitioning young adults with type 1 diabetes (T1DM) to adult-oriented community-based practices. DESIGN AND METHODS: A descriptive, cross-sectional study of patients receiving nurse-led consultations. Patients provided sociodemographic/health information, glycated hemoglobin (HbA1c) measures and completed questionnaires assessing self-management (Revised Self-Care Inventory) and the therapeutic relationship (Caring Nurse-Patient Interaction - short scale). HbA1c values were compared to guideline recommendations. RESULTS: Twenty patients participated. HbA1c was ≤7.5% in 3/14 (21%) and 5/14 (36%) exhibited poor glycemic control (≥9.5%). The greatest concordance for self-care was in relation to insulin therapy (4.5±0.5) while patients reported the lowest adherence to diet recommendations (2.9±0.8). Overall satisfaction with nurse-led consultations was high (4±0.5 out of 5). Patients considered diabetes knowledge and technical competence as very important and were most pleased with the humanistic aspects of nursing care. Respect for privacy was deemed the most important (and most frequently observed) nursing attitude/behavior during consultations. CONCLUSIONS: Young adults found the nurse-led consultations with therapeutic education to develop T1DM self-care skills are an important complement to medical management during transition. PRACTICE IMPLICATIONS: Patient autonomy and privacy should be respected during this developmental period. Nurses taking a humanistic approach towards accompanying and supporting the patient can enhance the therapeutic relationship during transition and promote continuity of care. Transition nurses can use technical competence and therapeutic education to empower patients for self-management.


Assuntos
Diabetes Mellitus Tipo 1/terapia , Hemoglobina A Glicada/análise , Satisfação do Paciente , Encaminhamento e Consulta/organização & administração , Transição para Assistência do Adulto/organização & administração , Adolescente , Adulto , Estudos Transversais , Diabetes Mellitus Tipo 1/diagnóstico , Diabetes Mellitus Tipo 1/enfermagem , Feminino , Humanos , Masculino , Papel do Profissional de Enfermagem , Relações Enfermeiro-Paciente , Projetos Piloto , Medição de Risco , Autogestão/métodos , Índice de Gravidade de Doença , Inquéritos e Questionários , Suíça , Resultado do Tratamento , Adulto Jovem
12.
Int J Nurs Stud ; 80: 29-35, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29353709

RESUMO

BACKGROUND: Diabetes Mellitus type 1 (T1DM) is a chronic disease that requires patients' self-monitoring and self-management to achieve glucose targets and prevent complications. Telenursing implicates technology in the interaction of a specialized nurse with patients with chronic diseases in order to provide personalized care and support. OBJECTIVE: To evaluate the effect of telenursing on T1DM patients' compliance with glucose self-monitoring and glycemic control. DESIGN: Randomized controlled study. SETTINGS: Outpatient Department of Diabetes, Endocrinology and Metabolism of a University Hospital in Northern Greece. METHODS: Ninety-four T1DM patients were recruited and randomized in two groups by a random number generator. The intervention group (N = 48) was provided with telenursing services. A specialized nurse made a weekly contact via telephone motivating patients to frequently measure blood glucose and adopt a healthy lifestyle. The control group (N = 46) received standard diabetes advice and care in the clinic. The primary outcome was the effect of the intervention in glucose control and glucose variability. The secondary outcome was the effect on frequency of self-monitoring. SPSS 20.0 was used for data analysis. RESULTS: The two groups did not differ in age, sex, physical activity or initial HbA1c. In the intervention group, blood glucose significantly decreased at the end of the study in all predefined measurements, compared to control group: morning (93.18 ±â€¯13.30 mg/dl vs. 105.17 ±â€¯13.74 mg/dl, p < 0.005), pre-prandial (114.76 ±â€¯9.54 mg/dl vs. 120.84 ±â€¯4.05 mg/dl, p < 0.005), post-prandial (193.35 ±â€¯25.36 mg/dl vs. 207.84 ±â€¯18.80 mg/dl, p < 0.005), and HbA1c decreased significantly over time in the intervention group (8.3 ±â€¯0.6% at the beginning of the study vs. 7.8 ±â€¯1% at the end of the study, p = 0.03). In the intervention group there were also fewer omitted glucose measurements than in the control group. CONCLUSIONS: Patients in the intervention group achieved better glucose control and more frequent self-monitoring than patients in routine care in the clinic. The findings of our study indicate that telenursing can motivate T1DM patients to better control their disease.


Assuntos
Diabetes Mellitus Tipo 1/enfermagem , Relações Enfermeiro-Paciente , Telenfermagem , Adulto , Glicemia/análise , Diabetes Mellitus Tipo 1/psicologia , Gerenciamento Clínico , Feminino , Hemoglobina A Glicada/metabolismo , Grécia , Humanos , Estilo de Vida , Masculino , Pessoa de Meia-Idade , Cooperação do Paciente , Período Pós-Prandial , Autoeficácia , Adulto Jovem
13.
Can J Diabetes ; 42(4): 437-441, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29284562

RESUMO

OBJECTIVES: To determine the impact of a diabetes nurse educator (DNE) on glycemic control in a multidisciplinary diabetes foot (MDF) clinic. METHODS: A prospective cohort trial to measure the impact of a DNE on glycemic control was conducted in an MDF clinic. Change in glycated hemoglobin (A1C) levels over time was measured against the percentage of patient visits (PPVs) accompanied by a glucose meter and/or diary. RESULTS: Increasing PPVs were significantly associated with decline in A1C levels in females. Every 10% increase in PPVs resulted in a 0.18% decrease in A1C levels (p<0.0001). To achieve a clinically important decrease of 1% in A1C levels, a 56% increase in PPVs was required. Increased A1C levels were significantly associated with higher baseline A1C levels (p<0.001) and increased hospital days for foot complications (p<0.0052). CONCLUSIONS: Regular, face-to-face contact with a DNE in an MDF clinic has a positive impact on glycemic control in females.


Assuntos
Instituições de Assistência Ambulatorial , Glicemia/metabolismo , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 2/sangue , Pé Diabético/enfermagem , Educação de Pacientes como Assunto , Adulto , Idoso , Instituições de Assistência Ambulatorial/normas , Calibragem , Diabetes Mellitus Tipo 1/complicações , Diabetes Mellitus Tipo 1/enfermagem , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/enfermagem , Pé Diabético/sangue , Feminino , Educadores em Saúde , Humanos , Comunicação Interdisciplinar , Masculino , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Educação de Pacientes como Assunto/normas , Recursos Humanos
14.
J Clin Res Pediatr Endocrinol ; 10(2): 162-167, 2018 06 01.
Artigo em Inglês | MEDLINE | ID: mdl-28825591

RESUMO

OBJECTIVE: The aim of this study was to produce and validate a Turkish version of the University of Virginia Parent Low Blood Sugar Survey (P-LBSS). The P-LBSS is used to assess parental fear of their diabetic children's hypoglycemia. METHODS: Linguistic, content and face validity of the translated P-LBSS was tested. Afterwards, explanatory and confirmatory factor analyses were conducted in order to evaluate construct validity. RESULTS: The sample included 390 parents of type 1 diabetic adolescents aged 12-17 years. Results of the factor analysis showed that the Turkish P-LBSS had 2 subscales (behavior and worry) as in the original. The Cronbach's alpha coefficient of the Turkish version of the total P-LBSS was found to be 0.803, and the value was 0.865 for the behavior and 0.790 for the worry subscales. Psychometric investigation of the Turkish version of P-LBSS indicated high reliability and good retestability, content and construct validity. CONCLUSION: The Turkish P-LBSS is a valid and reliable instrument to measure the fear of hypoglycemia experienced by parents of diabetic adolescents aged between 12-17 years in the Turkish population.


Assuntos
Diabetes Mellitus Tipo 1/enfermagem , Hipoglicemia/enfermagem , Pais/psicologia , Psicometria/normas , Adolescente , Adulto , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/instrumentação , Reprodutibilidade dos Testes , Turquia
15.
Exp Clin Endocrinol Diabetes ; 126(3): 162-167, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-28750428

RESUMO

BACKGROUND: Caring for a child with type 1 diabetes is a tremendous challenge for a family. The aim of the study was to explore the experiences of transition to sensor-augmented pump therapy (SAP) in families with 2 affected children and the internal and external conditions which potentially impede or facilitate the adjustment process. METHODS: 5 families (9 parents, 8 children and adolescents) who used the SAP technology for 6 months were interviewed to describe their experiences. The interviews were analysed using thematic content analysis. RESULTS: Qualitative analysis of the transcribed interviews revealed that the adaptation process to SAP consisted of several phases and differed among families. There were benefits as well as hassles of using SAP with regard to managing the diabetes, and psychosocial issues: school and peer relations, as well as family relations. While parents clearly regarded the improved metabolic control and hypoglycaemic safety as the most important benefits of SAP, the hassles reported as most important covered a wide range, from technical problems of the system to family conflicts. On the whole, families rated the experience of using SAP as a positive one, with most recommending SAP to other families as long as they were willing to come to terms with the technology and commit to the work and time involved. CONCLUSION: Sensor-augmented pump therapy can be extremely beneficial and a resource for families who care for more than one child with diabetes. During the adaptation process there is a great need of education and frequent follow-up e. g., by telemedical support.


Assuntos
Automonitorização da Glicemia/psicologia , Diabetes Mellitus Tipo 1/tratamento farmacológico , Família/psicologia , Hipoglicemiantes/administração & dosagem , Sistemas de Infusão de Insulina/psicologia , Insulina/administração & dosagem , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Satisfação do Paciente , Adolescente , Adulto , Automonitorização da Glicemia/normas , Criança , Diabetes Mellitus Tipo 1/enfermagem , Feminino , Humanos , Sistemas de Infusão de Insulina/normas , Masculino , Pesquisa Qualitativa , Telemedicina
16.
Nurse Res ; 25(2): 34-38, 2017 09 19.
Artigo em Inglês | MEDLINE | ID: mdl-29115753

RESUMO

BACKGROUND: This paper is a reflection by a PhD candidate on her qualitative study involving parents, diabetes educators and school teachers who were caring for a child with type 1 diabetes using intensive insulin therapy in primary school. AIM: To reflect on a novice researcher's experience of recruiting research participants from community, health and education settings in Australia. DISCUSSION: Participants were successfully recruited for the study using internet communication tools: Facebook support groups; the Australian Diabetes Educators Association (ADEA) e-newsletter; and emails sent to school principals. These methods were successful as Facebook and online support groups are popular, the study topic was of interest, the ADEA has many members, and numerous emails were sent to schools. Potential barriers to recruitment were a lack of access to those who did not use Facebook or the internet, gatekeepers, the high workloads of diabetes educators and teachers, and the time needed to obtain ethics approval and send a large number of emails to schools. CONCLUSION: Internet communication tools were successful in recruiting participants from community, health and education settings. However, different approaches were required for each type of participant. Lessons learned from this experience were: the importance of taking time to plan recruitment, including an in-depth understanding of potential participants and recruitment tools, the benefit of being an insider, and the need to work closely with gatekeepers. IMPLICATIONS FOR PRACTICE: An understanding of recruitment is essential for ensuring access to appropriate participants and timely collection of data. The experience of the novice researcher may provide insight to others planning to use internet communication tools for recruitment.


Assuntos
Diabetes Mellitus Tipo 1 , Seleção de Pacientes , Pesquisa Qualitativa , Pesquisadores , Austrália , Criança , Diabetes Mellitus Tipo 1/enfermagem , Correio Eletrônico , Feminino , Humanos , Internet
17.
Nurs Clin North Am ; 52(4): 499-511, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29080573

RESUMO

Comprehensive type 1 diabetes management requires understanding of the pathophysiology of disease and the ability to contrast this process with type 2 diabetes. Nurses are often the first contact with patients and must be aware of the advancements in detection, therapies, and signs of complications in these patients. Individuals with type 1 diabetes are at high risk for glycemic complications caused by potentially preventable errors in medication administration, which can be mitigated with appropriate education.


Assuntos
Competência Clínica , Complicações do Diabetes/enfermagem , Diabetes Mellitus Tipo 1/enfermagem , Papel do Profissional de Enfermagem , Glicemia/análise , Complicações do Diabetes/prevenção & controle , Diabetes Mellitus Tipo 1/tratamento farmacológico , Enfermagem Baseada em Evidências , Humanos , Hipolipemiantes/uso terapêutico , Relações Enfermeiro-Paciente
18.
Nurs Clin North Am ; 52(4): 539-552, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29080576

RESUMO

Since its development, insulin therapy has been a mainstay in the arsenal of every practitioner battling against diabetes. For patients with type 1 diabetes mellitus, insulin is essential for survival, and for those with type 2 diabetes mellitus, as the disease progresses, it may become a necessary addition to treatment. The goal of this article is to discuss insulin therapies that are currently available for use in the management of diabetes, from the old to the new and novel, and briefly discuss insulin use in special populations.


Assuntos
Diabetes Mellitus Tipo 1/tratamento farmacológico , Diabetes Mellitus Tipo 1/enfermagem , Diabetes Mellitus Tipo 2/tratamento farmacológico , Diabetes Mellitus Tipo 2/enfermagem , Hipoglicemiantes/uso terapêutico , Insulina/uso terapêutico , Humanos
20.
Nurs Clin North Am ; 52(4): 621-663, 2017 12.
Artigo em Inglês | MEDLINE | ID: mdl-29080582

RESUMO

Diabetes is a complex medical condition that requires evidence-based care. This article discusses the current diabetes screening, diagnostic criteria, and treatment recommendations for patients with type 1 diabetes, type 2 diabetes, gestational diabetes, and prediabetes.


Assuntos
Diabetes Mellitus Tipo 1/diagnóstico , Diabetes Mellitus Tipo 1/enfermagem , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/enfermagem , Médicos de Atenção Primária/normas , Fidelidade a Diretrizes , Humanos , Programas de Rastreamento/estatística & dados numéricos , Padrões de Prática Médica , Estado Pré-Diabético/diagnóstico , Estado Pré-Diabético/enfermagem
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