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- Title
Implementación y valoración de una Guía para el manejo farmacológico de diabéticos hospitalizados en el Servicio de Medicina Interna.
- Authors
Corona Martínez, Luis Alberto; Rodríguez Amador, Laydamí; Vélez Pérez, Ramón Ricardo; Borroto Lecuna, Sandra; Hernández Abreus, Caridad
- Abstract
Foundation: Diabetes mellitus is a frequent cause of hospital admission. The authors have developed a Guide for the pharmacological therapeutic management of diabetics, which proposes a set of actions aimed at organizing medical care for diabetic patients in the Internal Medicine Service. Objective: to evaluate the process of implementing a Guide for the pharmacological therapeutic management of admitted diabetic patients with poor metabolic control or uncomplicated acute hyperglycemia status. Methods: a descriptive study, conducted at Dr. Gustavo Aldereguía Lima Hospital, in Cienfuegos, in May 2018. Compliance with the general actions proposed in the Guide was analyzed, as well as the introduction of the programmed subcutaneous insulin scheme; for this, several "process" and "results" indicators were used. Results: among the negative results indicators, the following were recorded: glycemic registration at the admission order (49%), patients' stratification (29%), and stratification quality (60%), among others. Some with positive results were at the admission order to the decompensating factor (82%), adherence to the proposed behavior for each group (86%), use of the programmed subcutaneous insulin scheme (71%), consideration of the decompensation factor in therapeutic management (100%), and overall compliance with the scheme. The metabolic control was progressively achieved. Conclusion: the feasibility of applying programmed subcutaneous insulin therapy scheme proposed in the Guide, and its usefulness for the metabolic control of patients was confirmed.
- Publication
MediSur, 2019, Vol 17, Issue 6, p833
- ISSN
1727-897X
- Publication type
Article