Tímarit hjúkrunarfræðinga - 01.05.2000, Blaðsíða 17

Samantekt
Blóðsykurstjórnun sykursjúkra með insúlínháða sykursýki
er vandaverk. Rannsóknir hafa sýnt að ef blóðsykur er
sem næst eðlilegum mörkum dregur úr fylgikvillum sykur-
sýki en um leið eykst hættan á blóðsykurfalli þar sem hinn
sykursjúki þarf á aðstoð annarra að halda. Þátttakendur
töluðu um mikilvægi fræðslu fyrir hinn sykursjúka, svo og
kennslu í líkamlegri umhirðu, m.a. að öðlast færni í
sprautugjöfum og blóðsykurmælingum. Stuðningur og
jákvætt viðhorf gagnvart sykursýki voru talin mikilvæg,
sem og kennsla í að þekkja einkenni of hás og of lágs
blóðsykurs. Þar kom inn í heildræn samfelld hjúkrun þar
sem sykursjúkir læra að treysta eigin tilfinningum varðandi
sykursýkina, en það getur stuðlað að bættri blóðsykur-
stjórnun. Það kom skýrt fram að sykursýki getur verið
lífshættuleg, því var hæfni sykursjúkra til að sjá um sig
sjálfir ávallt metin. Samfella í hjúkrun, til hagsbóta fyrir
skjólstæðinginn, var álitin best tryggð með góðri samvinnu
milli deilda.
Abstract
The purpose of this study was to describe how nurses
working in diabetes care perceived their role in relation to
starting adult patients with insulin dependent diabetes on
insulin. Using phenomenology as a research method, nine
nurses working in the same hospital in Reykjavik were
interviewed and the interviews were analysed according to
Colaizzi’s method of phenomenological inquiry. The results
showed that the nurses perceived their role to be
composed of six themes: a) to introduce the patient for
the diabetic world; b) to be able to follow the treatment; c)
to assuage the shock; d) to be able to balance the
diabetes; e) to assess and assure the safety of the dia-
betic patient; and f) to promote continuity in nursing care.
The role of the nurse when a diabetic is starting insulin
treatment seems to be complicated. Holistic individualized
nursing is important such that nurses are able to support
the client throughout the developmental process which
diabetic disease management is. The results showed that
it could be helpful to organize diabetes care differently,
where specific nurses have the main responsibility for the
nursing care of diabetes patients.
Key words: Diabetes self-management, education,
nursing management on a specific ward, to be able to
manage the blood glucose.
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