Opšti standardi sestinskih intervencija u nezi i lečenju bolesnika sa dijabetesom i akutnim moždanim insultom

Abstract

Introduction. Diabetes mellitus is a common metabolic disorder with more than 1.7% of the world population. Diabetes mellitus affects 3% of Serbian population. Stroke is one of the major macrovascular complications of Diabetes mellitus. Aim. Determining what additional intervention, care and treatment of diabetic patients with stroke needs, when comparing patients with stroke who have other risk factors. Material and Methods. The research was conducted in the Specialized Hospital "Sveti Sava", at the Intensive Care B, during the period from the 1 November 2019 th to the 31 December 2019. Total number of patients was 40. Subjects were divided into two equal groups of 20 patients: the first group the experimental group with diabetic patients with acute stroke, and the second group the control, with patients with acute stroke who have other risk factors. The study was based on general standards of nursing interventions, and advanced standards in the care and treatment of diabetic patients with stroke were used. Results. According to "Nursing activities score" of basic nursing interventions: continuous monitoring was present in 13 (65%) patients in the experimental group whereas the control group had 5 (25%) patients. Monitoring of vital parameters and the number of nursing interventions were much higher in the experimental group. Conclusions. Using the common standards of nursing interventions in the care and treatment of diabetic patients with acute stroke is not enough. Their demands are highlighted and they require a longer time and the increased number of nurses for the implementation of the plan of care and treatment for these patients. Patients with stroke are complex and prone to numerous complications and serious approach to each patient individually is needed.