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포도당 수액요법을 받는 당뇨병 환자와 비당뇨병 환자의 양쪽 손가락 끝 혈당치 비교

 Comparison of Blood Glucose Levels from the Fingertips of Both Patients with and without Diabetes Who are Receiving Dextrose Fluid Therapy

성인간호학회지 2016년 28권 2호 p.127 ~ 135
KMID : 0367020160280020127
박숙현 ( Park Suk-Hyun ) - 삼성서울병원 간호본부

이창관 ( Lee Chang-Kwan ) - 케이씨대학교 간호학부
김연우 ( Kim Yeon-Woo ) - 삼성서울병원 간호본부
권지혜 ( Kwon Chi-Hye ) - 삼성서울병원 간호본부

Abstract

Purpose: The aim of this study was to identify the effect of dextrose intravenous fluid (IVF) on the blood glucose levels taken from both fingertips of patients with diabetes mellitus (DM) and those without DM.

Methods: From October 2012 to February 2013, 21 DM and 25 non-DM patients were recruited. Blood glucose levels taken from the both fingertips of patients at 7AM while IVF was not infusing and at 11AM, 5PM, and 9PM while IVF was infusing.
Results: The differences between the mean values of blood glucose from the fingertips at four different times was not statistically significant in DM patients as well as non-DM patients. Also intra-class correlation for blood glucose levels from the fingertips with and without IVF infusion in both groups was shown over about 0.95 at each time (p<.001).
Conclusion: Blood glucose levels measured in the same fingertips of both arms were the same regardless of dextrose IVF infusion. The results indicated that IVF with dextrose may not have any significant effect on the fingertip results of blood glucose level. This study may suggest that patients' both arms and any fingertips can be used for blood glucose monitoring even when the patients are on dextrose IVF infusion.
KeyWords
당뇨병, 수액주입, 자가혈당검사
Diabetes mellitus, Fluid infusion, Blood glucose self-monitoring
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학술진흥재단(KCI) KoreaMed