scholarly journals Effectiveness of a simulation activity on knowledge about glucose monitoring and hypoglycemia management: a pre-post intervention study

2020 ◽  
Vol 9 (11) ◽  
pp. e92891110700
Author(s):  
Thais Lima Vieira de Souza ◽  
Tatiana Rebouças Moreira ◽  
Samila Torquato Araújo ◽  
Francisca Diana da Silva Negreiros ◽  
Lucilane Maria Sales da Silva ◽  
...  

Adequate management of diabetes requires professional improvement programs. This study aimed to analyze the effect of a simulation activity on the acquisition of knowledge about blood glucose monitoring and hypoglycemia management. The study employed a pre-post intervention approach and was carried out in a university hospital located in Brazil. The participants were 82 graduating nursing students and nursing professionals studying/working at the university hospital. The intervention consisted of theoretical sessions, a practical simulation about glycemic monitoring and hypoglycemia management, and the pre- and post-tests. The simulation consisted of a rubber hand mannequin that allows simulating the glucose testing. There was a significant increase in knowledge after intervention with the total number of correct answers increasing from 186 in the pre-test to 326 in the post-test (+140, p < .001). The intervention was effective in increasing the participants' knowledge about glycemic monitoring and hypoglycemia management, favoring a better nursing care for people with diabetes.

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1250-1254
Author(s):  
Kurvatteppa Halemani ◽  
Merlin Cheema ◽  
Shabana Khatun ◽  
Yadidya ◽  
Bhumika Singh ◽  
...  

The pandemic COVID-19 is a highly infected disease caused by a novel coronavirus or SARS-Cov-2. The virus was reported for the first time  December 2019 in, China's Wuhan province. Later the virus has broken down into the world and claimed millions of lives. In India, the disease was reported for the first time in Kerala on 30th January 2020. a cross-section one group pre-test & post-test research design was used among the 40 final year BSc nursing students, College of Nursing SGPGIMS, Lucknow India. Samples were selected based on purposive sampling technique and sample criteria. An instrument, the first tool included demographic characteristics Similarly, second instrument used for knowledge assessment. After pre-test assessment, a teaching session was held at the seminar room, college of nursing SGPGIMS Lucknow, India. Subsequently post assessment was held after intervention.  A total of 40 participants responded to the study. Demographic variables like 30(75%) participants had less than 22 years of age, 22(55%) were girls, 14(35%) families income found INR 10000-15000, and the majority of participants obtained COVID-19 related knowledge from news paper16(40%). A gender was found significant with pretest knowledge, and other variables weren't found significant (P=0.05). Knowledge mean & standard deviation in pre & post-intervention, 11.90±2.16 vs15.82±1.39. The mean difference was found in a pre-test & post-test-1 &post-test-2, 3.9, 5.02, & 1.1, respectively. The effectiveness of the training program was checked by paired t-test -10.20 & -13.93, P=0.00.  The study revealed that the teaching session was efficient in the COVID-19 program among BSc nursing students.


Author(s):  
Li-Nong Ji ◽  
Li-Xin Guo ◽  
Li-Bin Liu

AbstractBlood glucose self-monitoring by individuals with diabetes is essential in controlling blood glucose levels. The International Organization for Standardization (ISO) introduced new standards for blood glucose monitoring systems (BGMS) in 2013 (ISO 15197: 2013). The CONTOUR PLUSThis study evaluated the accuracy and precision of CONTOUR PLUS BGMS in quantitative glucose testing of capillary and venous whole blood samples obtained from 363 patients at three different hospitals.Results of fingertip and venous blood glucose measurements by the CONTOUR PLUS system were compared with laboratory reference values to determine accuracy. Accuracy was 98.1% (96.06%–99.22%) for fingertip blood tests and 98.1% (96.02%–99.21%) for venous blood tests. Precision was evaluated across a wide range of blood glucose values (5.1–17.2 mmol/L), testing three blood samples repeatedly 15 times with the CONTOUR PLUS blood glucose meter using test strips from three lots. All within-lot results met ISO criteria (i.e., SD<0.42 mmol/L for blood glucose concentration <5.55 mmol/L; CV<7.5% for blood glucose concentration ≥5.55 mmol/L). Between-lot variations were 1.5% for low blood glucose concentration, 2.4% for normal and 3.4% for high.Accuracy of both fingertip and venous blood glucose measurements by the CONTOUR PLUS system was >95%, confirming that the system meets ISO 15197: 2013 requirements.


2017 ◽  
Vol 70 (3) ◽  
pp. 481-488 ◽  
Author(s):  
Talita de Oliveira Melo ◽  
Antônio Fernandes Costa Lima

ABSTRACT Objective: to identify the mean direct cost (MDC) of the most frequent procedures performed by nursing professionals on severely burned patients in an Intensive Care Unit. Method: exploratory-descriptive quantitative single-case study. The MDC was calculated by multiplying time (timed) spent by nursing professionals in the performance of the procedures by the unit cost of direct labor, and adding the costs of material and medicine/solutions. Results: a MDC of US$ 0.65 (SD=0.36) was obtained for "vital signs monitoring"; US$ 10.00 (SD=24.23) for "intravenous drug administration"; US$ 5.90 (SD=2.75) for "measurement of diuresis"; US$ 0.93 (SD=0.42) for "capillary blood glucose monitoring"; and US$ 99.75 (SD=129.55) for "bandaging". Conclusion: the knowledge developed can support managerial decision-making, contribute to the efficiency distribution of the resources involved and, when possible, provide cost-containment or cost-minimization strategies without impairing the quality of nursing care.


1989 ◽  
Vol 15 (5) ◽  
pp. 444-448 ◽  
Author(s):  
Beverlyp. Giordano ◽  
Wayne Thrash ◽  
Laura Hollenbaugh ◽  
William P. Dube ◽  
Carol Hodges ◽  
...  

Consumers and health care professionals expect blood glucose monitoring systems to consistently generate results that are close to actual blood glucose levels. Numerous environmental, physiologic, and operational factors can affect system performance, yielding results that are inaccurate or unpredictable. This study examined the effect of one factor—high altitude—on the performance of seven blood glucose monitoring systems. One of the systems overestimated blood glucose results; the other six systems underestimated blood glucose values (more than the expected variance). The findings of this study support previous reports of altered blood glucose monitoring system performance at high altitude. Diabetes educators can use this information when counseling consumers who reside or who plan to visit locations at high altitude.


Author(s):  
Ruoyan Lu ◽  
Yueping Li ◽  
Zhenquan Zheng ◽  
Zi Yan

The purpose of the study was to examine the social-ecological factors associated with diabetic self-management compliance among elders with diabetes in China. A total of 2,586 rural elderly residents who were 60-years-old or above participated in the survey. Socio-demographic factors, social support, healthcare accessibility and health risk factors were measured, along with self-reported medication and blood glucose monitoring data. Among the 117 individuals with diabetes, the medication compliance rate was 79.49%. The elderly who had high economic status were more likely to meet medication treatment compliance. Only 58.97% of study participants monitored blood glucose once a month. Younger age (<70-year-old), higher economic status, more social support and better healthcare accessibility were associated with higher blood glucose monitoring compliance odds. Diabetic medication and blood glucose testing tools should be more comprehensively covered by the national insurance program. Healthcare accessibility should be increased through transportation support, building more local facilities, such as mobile labs, and promoting affordable home-visit care. Self-management education programs about diabetes for rural elders should be promoted.


2021 ◽  
pp. 414-419
Author(s):  
F. O. Ushanova ◽  
T. Yu. Demidova ◽  
M. Ya. Izmaylova

Introduction. Blood glucose monitoring is critical in maintaining glycemic control in women with GDM and in reducing adverse maternal and fetal outcomes. One of the tools that can help achieve optimal glycemic control during pregnancy is continuous glucose monitoring, which empowers clinicians to assess the characteristics of daily glycemic variability.The aim. Compare biweekly glycemic profiles and glycemic variability in pregnant women with GDM and in healthy pregnant women using the FreeStyle Libre flash glycemic monitoring system.Materials and methods. Analysis of the glycemic profile of 49 pregnant women aged 33.2 ± 6.1 years. The average gestational age of the women included in the study was 12.6 ± 6.4 weeks. Pregnant women were divided into 2 groups: 37 pregnant women with GDM and 12 healthy pregnant women. Each group underwent two-week glucose profile monitoring using the FreeStyle Libre continuous monitoring system. Statistical analysis was carried out using Microsoft Office Excel 2016, STATISTICA 10 programs (developed by StatSoft.Inc), EasyGV, version 9.Results. The average glycemic level in the groups was 4.724 ± 0.37 mmol/L vs 4.24 ± 0.34 mmol/L, respectively (p˂0.001). Comparative analysis of GV parameters in groups of pregnant women with and without GDM: SD – 0.908 vs 0.7213 (p˂0.05); LI – 1.5 vs 0.8 (p˂0.05); HBGI – 0.503 vs 0.42 (p˂0.05); J-index – 10.343 vs 7.9870 (p˂0.001); MOOD – 0.956 vs 0.7992 (p˂0.05); MAGE  – 2.326  vs 1.8042  (p˂0.05); ADDR  – 2.216  vs 0.4210  (p˂0.05); MAG  – 4.612  vs 2.6163  (p˂0.001), respectively. The CONGA index did not show a statistically significant difference in both groups: 3.95 vs 3.7 (p = 0.5).Conclusions. Flash-glycemic monitoring can be used to obtain more detailed information about the glycemic profile, especially when it is difficult to assess the degree of GDM compensation. Continuous glucose monitoring can facilitate the optimization of glycemic control and provide a basis for treatment decisions. 


Author(s):  
Maria Shuk Yu Hung ◽  
Stanley Kam Ki Lam ◽  
Meyrick Chum Ming Chow ◽  
Winnie Wing Man Ng ◽  
Oi Kiu Pau

As future healthcare professionals, nursing students should possess the appropriate knowledge, skills, and positive attitude to respond to public health emergencies or disasters worldwide. This study evaluated the effectiveness of a disaster management training course at improving Hong Kong nursing students’ disaster knowledge, willingness, and perceived ability. A mixed-method design using a single group with pre- and post-intervention comparisons followed by qualitative focus group interviews, was conducted. A 45-h disaster management training course with theoretical and practical inputs was conducted. A total of 157 students participated in and completed the pre- and post-intervention questionnaires. Positive significant results in disaster knowledge (t(156) = −8.12, p < 0.01, d = −0.84) and perceived ability (t(156) = −7.95, p < 0.01, d = −0.72) were found, but no substantial change in willingness to respond to disasters was observed. The participants expressed various concerns regarding their willingness to respond, which can be summarized and grouped as (1) personal risk perceptions, (2) contextual factors of the disaster events, and (3) organizational support. Incorporating disaster training into the tertiary education curricula for basic nursing professionals’ training could be a long-term strategy to prepare and expand the competent workforce for future disasters. Government or healthcare organizations are recommended to provide strategies and adequate support to alleviate nursing professionals’ concerns and enhance their willingness.


2020 ◽  
Vol 7 (2) ◽  
pp. 87-95
Author(s):  
Rian Adi Pamungkas ◽  
Kanittha Chamroonsawasdi

AbstractObjectiveThis review is aimed at explaining the psychological problems related to capillary blood glucose (CBG) testing and insulin injection, as well as recommending essential strategies to solve the fear thereof.MethodsDatabases, including PubMed, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Scopus, and Google Scholar, were searched to extract the relevant articles. Initially, the terms used to retrieve related studies were “fear of blood glucose monitoring”, “anxiety capillary blood glucose testing and insulin injection”, “psychological problems on blood glucose monitoring and insulin injection”, “diabetes management”, and “diabetes mellitus”.ResultsResults showed that the psychological problems related to CBG testing and insulin injection were associated with the stress and depression experienced during diabetes self-monitoring of blood glucose. This psychological issue has its impacts such as nonadherence to medication as well as a lack of self-discipline in terms of CBG testing and insulin injection. Inadequate information, inappropriate perception, and pain/discomfort during pricking of fingers were the main reasons for the psychological issues in CBG testing and self-injection of insulin.ConclusionsThe expected benefits of this review include the explanation of the issues related to the psychological problems in CBG testing and insulin injection among type 2 diabetes mellitus (T2DM) patients. This review article also provides the recommendations on providing counseling and empowering the patients on CBG monitoring and insulin injection. Moreover, family members should provide psychological support to reduce fear, anxiety, and distress arising from CBG testing and insulin injection.


2021 ◽  
Vol 11 (4) ◽  
Author(s):  
Débora Gomes Da Rocha ◽  
Émilly Giacomelli Bragé ◽  
Lahanna Da Silva Ribeiro ◽  
Domênica Bossardi Ramos ◽  
Lauren Ruas Vrech ◽  
...  

Objetivo: Relatar as ações de educação permanente realizadas pelo Projeto de Extensão “Educação Permanente de Enfermagem em Saúde Mental” da Universidade Federal de Ciências da Saúde de Porto Alegre. Método: Relato de experiência sobre as atividades desenvolvidas pelo Projeto de Extensão na Internação Psiquiátrica do Hospital Materno-Infantil Presidente Vargas. As ações de educação permanente foram ofertadas para os profissionais de enfermagem em encontros mensais de maio a dezembro de 2019. As atividades foram ministradas e planejadas pelas acadêmicas de enfermagem, sob supervisão da professora coordenadora. Resultados: Obteve-se a participação em média de 5 profissionais de enfermagem por encontro. A média geral de acertos no pré-teste foi de 53,38% enquanto no pós-teste 81,27%, representando um aumento de 27,89% nos acertos. Os participantes engajaram-se nas atividades e fortaleceram um espaço fértil para trocas de saberes. Conclusões: Os encontros possibilitaram a busca pelo embasamento científico para a prática, viabilizando uma assistência sob a perspectiva psicossocial. A educação permanente engloba as vivências profissionais e as especificidades do ambiente de trabalho, estimulando o raciocínio crítico do profissional.Descritores: Educação Continuada; Enfermagem; Saúde Mental. Objective: To report the permanent education actions carried out by the Extension Project “Permanent Nursing Education in Mental Health” at the Federal University of Health Sciences of Porto Alegre. Method: Experience report on the activities developed by the Extension Project on Psychiatric Internment at Hospital Materno-Infantil Presidente Vargas. Permanent education actions were offered to nursing professionals in monthly meetings from May to December 2019. The activities were taught and planned by nursing students, under the supervision of the coordinating professor. Results: An average participation of 5 nursing professionals per meeting was obtained. The general average of correct answers in the pre-test was 53.38% while in the post-test 81.27%, representing an increase of 27.89% in the correct answers. Participants engaged in activities and strengthened a fertile space for exchanging knowledge. Conclusions: The meetings enabled the search for a scientific basis for the practice, enabling assistance from a psychosocial perspective. Permanent education encompasses professional experiences and the specifics of the work environment, stimulating the professional's critical thinking.Keywords: Education, Continuing; Nursing; Mental Health. Objetivo: Informar sobre las acciones de educación continua realizadas por el Proyecto de Extensión “Educación Permanente en Enfermería en Salud Mental” en la Universidad Federal de Ciencias de la Salud de Porto Alegre. Método: Informe de experiencia sobre las actividades desarrolladas por el Proyecto de Extensión sobre Internación Psiquiátrica en el Hospital Materno-Infantil Presidente Vargas. Se ofrecieron acciones de educación permanente a profesionales de enfermería en reuniones mensuales de mayo a diciembre de 2019. Las actividades fueron impartidas y planificadas por estudiantes de enfermería, bajo la supervisión del profesor coordinador. Resultados: se obtuvo una participación promedio de 5 profesionales de enfermería por reunión. El promedio general de respuestas correctas en la prueba previa fue del 53.38% mientras que en la prueba posterior el 81.27%, lo que representa un aumento del 27.89% en las respuestas correctas. Los participantes participaron en actividades y fortalecieron un espacio fértil para el intercambio de conocimientos. Conclusiones: Las reuniones permitieron la búsqueda de una base científica para la práctica, lo que permitió la asistencia desde una perspectiva psicosocial. La educación permanente abarca las experiencias profesionales y las características específicas del entorno laboral, estimulando el pensamiento crítico del profesional.Palabras clave: Educación Continua; Enfermería; Salud Mental. 


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