WHAT IS THE BEST DIGITAL TECHNOLOGY FOR NURSING INTERVENTION IN ICU INSULIN ADMINISTRATION – SYSTEMATIZED LITERATURE REVIEW

Abstract

Patients admitted to Intensive Care Units (ICU) need special and continuous attention. Technology has become an essential tool in quality care for patients with diabetes, as it demonstrates good metabolic control and prevents complications. Objective: the objective of this work was to search the professional scientific literature for digital technologies, their characteristics and their purpose of use which can optimize the nursing intervention in insulin administration, as well as have a positive impact on the therapeutic results of (a) high complexity patient. Method: with regard to the methodology, this is a systematic review of the literature carried out in the Virtual Health Library (VHL), from July to October 2021, with the descriptors insulin infusion system, technology, nursing, intensive care and their combinations, in Portuguese, using the Boolean AND operator and the following inclusion criteria: full text, language (Portuguese, English and Spanish), type of document (articles) and publication year range (2013 to 2020) and exclusion criteria: related to the theme and articles repeated in the bases. After the search, selection and analysis of the articles, 10 studies were selected to compose the sample, which were available in full and which were in accordance with the PICOT strategy. Results: CGM devices, associated with the infusion pump, reduce HbA1c more than when pump therapy alone is used, improving the safety and efficacy of diabetes therapy. Conclusion: technological advances, associated with continuing education have improved the management of the disease and also the quality of life of patients who require multiple doses of insulin.