Engelsk titel: Documentation and care for nursing-home residents with diabetes
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Författare:
Heimro, Lovise S
;
Haugstvedt, Anne
Email: lovise.heimro@hsh.no.
Språk: Nor
Antal referenser: 32
Dokumenttyp:
Artikel
UI-nummer: 15103514
Sammanfattning
Background: The healthcare system in Norway has a goal of basing services on research-based
knowledge. Studies indicate that recommended and clinical practice frequently deviate. Little is
known about the quality of follow-up of people with diabetes in nursing homes in Norway, but
international studies show a great variation in the quality of diabetes care for residents of
institutions.
Objective: The purpose of this study was to determine whether the procedures for monitoring
glycaemic control among nursing-home residents with diabetes in Norway were in accordance with
the recommendations of evidence-based guidelines.
Methods: We reviewed the electronic records of all residents with diabetes at three nursing homes in
Bergen using clinical audit as the method. We analyzed the findings and considered them based on
the recommendations of research-based guidelines.
Results: Fifty residents (14 %) met the requirements for participating. Of these, two (4 %) had
individual goals for HbA1c documented in their medical records, nine residents (18 %) had individual
procedures for measuring blood glucose and 16 residents (37 %) had HbA1c measured at least once
in six months as recommended by research-based guidelines.
Conclusion: The audit showed a discrepancy between current practice and recommendations of
research-based guidelines regarding monitoring of blood glucose among the residents with diabetes
at three nursing homes. This may indicate a need to improve the quality of diabetes follow-up by
nursing homes in Norway.