AcuraÌcia e confiabilidade na medida da glicemia em pacientes criÌticos adultos: revisaÌo integrativa / Accuracy and reliability in glycemia monitoring in adult critically ill patients: an integrative review
Rev. eletrônica enferm
;
20: 1-18, 2018. ilus
Article
in Portuguese
| LILACS, BDENF
| ID: biblio-964145
RESUMO
A mensuraçaÌo fidedigna da glicemia no paciente criÌtico eÌ essencial para a assisteÌncia segura. Vieses na mediçaÌo podem resultar na obtençaÌo de valores imprecisos, levando a equipe a interpretar equivocadamente os resultados, modificando erroneamente as condutas terapeÌuticas. Neste estudo, objetivou-se buscar na literatura a produçaÌo existente sobre os fatores relacionados a acuraÌcia e a confiabilidade das medidas de glicemia de pacientes assistidos em UTI, por meio de busca nas bases de dados Cinahl, Pubmed, Web of Science, Scopus e Biblioteca Virtual em SauÌde. As evideÌncias de 18 artigos que versavam sobre a acuraÌcia e a confiabilidade da verificaçaÌo da glicemia, mostraram aspectos como meÌtodo de mensuraçaÌo, tipo de amostra, caracteriÌsticas do paciente criÌtico e manuseio do aparelho. A equipe deve ponderar sobre as vantagens e limitaçoÌes de cada meÌtodo considerando a sua realidade e a segurança do paciente.
ABSTRACT
Reliable glycemia monitoring in critically ill patients is essential to safe care. Biases in measurements may result in imprecise values, causing healthcare teams to interpret results mistakenly and change therapeutic conducts toward improper directions. The aim of the present study was to search for the scientific production about factors related to accuracy and reliability of glycemia monitoring in patients admitted to intensive care units by consulting the CINAHL, PubMed, Web of Science, Scopus and Virtual Health Library databases. Evidence from 18 papers that addressed accuracy and reliability in glycemia monitoring revealed aspects such as measurement method, sample type, characteristics of critically patients and equipment handling. Healthcare teams should consider the advantages and drawbacks of each method, taking into account their care realities and patient safety.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Blood Glucose
/
Critical Care
/
Data Accuracy
/
Point-of-Care Testing
/
Intensive Care Units
Type of study:
Diagnostic study
/
Systematic reviews
Limits:
Humans
Language:
Portuguese
Journal:
Rev. eletrônica enferm
Journal subject:
Nursing
Year:
2018
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade Estadual de Campinas/BR
/
Universidade de São Paulo/BR
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