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김은성 ( Kim Eun-Sung ) - 세브란스병원 간호부
최스미 ( Choi-Kwon Smi ) - 서울대학교 간호대학
김영삼 ( Kim Young-Sam ) - 연세대학교 의과대학 호흡기내과
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Abstract
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Purpose: The purpose of this study was to examine the effect of a blood glucose control protocol for medical intensive care unit (ICU) patients.
Methods: The subjects were recruited from medical ICU adult patients whose blood glucose levels exceeded 200 mg/dL in two consecutive tests. The experimental group (n=62) received the modified Yale (MY) insulin protocol, whereas the control group (n=64) was treated with the conventional insulin therapy methods.
Results: In the experimental group, the mean blood glucose levels (p<.001) and the time to reach the target range of glucose (p<.001) decreased significantly while the incidence rates of a target range of glucose of 100-140 mg/dL (p<.001) increased significantly as compared to the control group. However, no statistically significant differences were found in the incidence of hypoglycemia(p=.644), or the number of glucose tests (p=.236) between the groups. The length of stays in the ICU (p=.001), ventilator care days (p=.038), and the Sequential Organ Failure Assessment (SOFA) score (p=.029) in the experimental group were significantly lower than those of the control group.
Conclusion: Application of the protocol was effective in improving the state of blood glucose control in medical ICU patients. Therefore, this protocol is expected to be used as a part of nursing intervention in critical care nursing.
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KeyWords
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중환자 간호, 임상 프로토콜, 고혈당증, 인슐린, 임상지표
Critical care, Clinical protocol, Hyperglycemia, Insulin, Clinical markers
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원문 및 링크아웃 정보
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등재저널 정보
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