{"id":5335,"date":"2023-03-28T12:12:54","date_gmt":"2023-03-28T10:12:54","guid":{"rendered":"https:\/\/www.jphres.org\/?p=5335"},"modified":"2023-04-02T14:07:44","modified_gmt":"2023-04-02T12:07:44","slug":"developing-the-hypoglycemia-nursing-early-warning-score-system-hy-newss-a-pilot-study","status":"publish","type":"page","link":"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/2145\/","title":{"rendered":"Developing the hypoglycemia-nursing early warning score system (Hy-NEWSS): A pilot study"},"content":{"rendered":"<div class=\"item doi\"><span class=\"value\"><a href=\"https:\/\/doi.org\/10.4081\/jphr.2021.2145\">https:\/\/doi.org\/10.4081\/jphr.2021.2145<\/a><\/span><\/div>\n<ul class=\"item authors\">\n<li><strong><span class=\"name\">Ahmad Hasyim Wibisono<\/span><\/strong><span class=\"affiliation\"><br \/>\nSchool of Nursing, Faculty of Medicine, Universitas Brawijaya, Indonesia.<\/span><\/li>\n<li><span class=\"name\"><strong>Dennti Kurniasih<\/strong><br \/>\n<\/span><span class=\"affiliation\">Nursing Department, RSUD Abdul Moeloek, Lampung, Indonesia.<\/span><\/li>\n<li><span class=\"name\"><strong>Eti Sumartiyah<\/strong><br \/>\n<\/span><span class=\"affiliation\">Nursing Department, RSUPN Dr Cipto Mangunkusumo, Jakarta, Indonesia.<\/span><\/li>\n<li><span class=\"name\"><strong>Rima Novia Putri<\/strong><br \/>\n<\/span><span class=\"affiliation\">Nursing Department, State Health Polytechnic, Tanjung Pinang, Indonesia.<\/span><\/li>\n<li><span class=\"name\"><strong>Dikha Ayu Kurnia<\/strong><br \/>\n<\/span><span class=\"affiliation\">Faculty of Nursing, University of Indonesia, Depok, Indonesia.<\/span><\/li>\n<li><span class=\"name\"><strong>Yunisar Gultom<\/strong><br \/>\n<\/span><span class=\"affiliation\">Nursing Department, RSUPN Dr Cipto Mangunkusumo, Jakarta, Indonesia.<\/span><\/li>\n<li><span class=\"name\"><strong>Debie Dahlia<\/strong><br \/>\n<\/span><span class=\"affiliation\">Faculty of Nursing, University of Indonesia, Depok, Indonesia.<\/span><\/li>\n<\/ul>\n<div class=\"item abstract\">\n<h3 class=\"label\">ABSTRACT<\/h3>\n<p><em>Background:<\/em>\u00a0Severe hypoglycemia occurs in 6% of type 2 DM patients with a 6 to 7% mortality rate. Amidst the COVID-19 pandemic, there has been a higher rate of fatality among diabetes patients, at least 22% of COVID-19 deaths in Wuhan, China. Furthermore, the condition impairs physiological defense against recurrent hypoglycemia in the future. Accordingly, the innovation in this study aims to prevent severe hypoglycemia among type 2 patients through early risk screening, the use of preventative protocols, and patient and family empowerment. This intervention bundle is called Hypoglycemia-Nursing Early Warning Score System (Hy-NEWSS).<br \/>\n<em><br \/>\nDesign and Methods:<\/em>\u00a0The innovation was implemented in inpatient and outpatient settings, within two weeks with the following sequence:<br \/>\ni) internal training,<br \/>\nii) Hy-NEWSS implementation,<br \/>\niii) outcomes evaluation.<br \/>\n<em><br \/>\nResults:<\/em>\u00a0Of the twenty-eight patients involved in the study, 3 patients (19%) had a high risk of hypoglycemia, while the remaining had a low risk for the condition. However, at the end of the study there was no event of severe hypoglycemia (0%), and only 1 event (6.33%) of mild hypoglycemia. The results also showed that the accuracy of nurses in implementing the protocols was 93% and that during the evaluation, 95.62% of the responses of the nurses from the inpatient and outpatient settings were positive. Finally, the scores of the sensitivity and specificity evaluation were 99% and 88%, respectively.<br \/>\n<em><br \/>\nConclusion:<\/em>\u00a0It may be concluded from this initial study that Hy-NEWSS is effective in preventing severe hypoglycemia, accurate in identifying patient risk level for the condition, and has high applicability to be implemented in hospital settings.<\/p>\n<h3 class=\"label\">REFERENCES<\/h3>\n<div class=\"value\">\n<p>Edridge CL, Dunkley AJ, Bodicoat DH, et al. Prevalence and incidence of hypoglycaemia in 532, 542 people with type 2 diabetes on oral therapies and insulin: A systematic review and meta-analysis of population based studies. PLoS One 2015;10:e0126427. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1371\/journal.pone.0126427\">https:\/\/doi.org\/10.1371\/journal.pone.0126427<\/a><\/p>\n<p>Fauci S, Kasper D, Hauser S, et al. Harrison\u2019s principles of internal medicine. 19th ed. Michigan: McGraw-Hill Education; 2014.<\/p>\n<p>Clayton D, Woo V, Yale JF. Hypoglycemia. Can J Diabetes 2013;37:S69\u201371. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.jcjd.2013.01.022\">https:\/\/doi.org\/10.1016\/j.jcjd.2013.01.022<\/a><\/p>\n<p>Hussain A, Bhowmik B, do Vale Moreira NC. COVID-19 and diabetes: Knowledge in progress. Diabetes Res Clin Pract 2020;162:.108142.<br \/>\nDOI:\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.diabres.2020.108142\">https:\/\/doi.org\/10.1016\/j.diabres.2020.108142<\/a><\/p>\n<p>Cho NH, Shaw JE, Karuranga S, et al. IDF diabetes atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract 2018;138:271\u201381. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1016\/j.diabres.2018.02.023\">https:\/\/doi.org\/10.1016\/j.diabres.2018.02.023<\/a><\/p>\n<p>Olveira G, Abu\u00edn J, L\u00f3pez R, et al. 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Diabetes Educ 2019;45:349\u201369.<br \/>\nDOI:\u00a0<a href=\"https:\/\/doi.org\/10.1177\/0145721719855931\">https:\/\/doi.org\/10.1177\/0145721719855931<\/a><\/p>\n<p>Kavuran E, Yurttas A. Effects of education based on Roy adaptation model on diabetes care profile of patients with type 2 diabetes. Iran Red Crescent Med J 2018;20:e64635. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.5812\/ircmj.64635\">https:\/\/doi.org\/10.5812\/ircmj.64635<\/a><\/p>\n<p>Herdman T, Kamitsuru S. Nursing diagnoses definitions and classification 2018\u20132020. 11th ed. New York: Thieme Publishers; 2018.<br \/>\nDOI:\u00a0<a href=\"https:\/\/doi.org\/10.1055\/b-006-161179\">https:\/\/doi.org\/10.1055\/b-006-161179<\/a><\/p>\n<p>Bulechek G, Butcher H, Dochterman J, et al. Nursing interventions classification. 6th ed. St. Louis: Elsevier Mosby; 2013.<\/p>\n<p>Aligood M. Nursing theorists and their work. Maryland Heights: Elsevier Mosby; 2014.<\/p>\n<p>Roy S, Andrews H. The Roy adaptation model. Norwalk: Appleton &amp; Lange; 2009. DOI:\u00a0<a href=\"https:\/\/doi.org\/10.1177\/0894318409338692\">https:\/\/doi.org\/10.1177\/0894318409338692<\/a><\/p>\n<p>International Diabetes Federation. Global diabetes plan 2011-2021. Brussels: International Diabetes Federation; 2011.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>https:\/\/doi.org\/10.4081\/jphr.2021.2145 Ahmad Hasyim Wibisono School of Nursing, Faculty of Medicine, Universitas Brawijaya, Indonesia. Dennti Kurniasih Nursing Department, RSUD Abdul Moeloek, Lampung, Indonesia. Eti Sumartiyah Nursing Department, RSUPN Dr Cipto Mangunkusumo, Jakarta, Indonesia. Rima Novia Putri Nursing Department, State Health Polytechnic, Tanjung Pinang, Indonesia. Dikha Ayu Kurnia Faculty of Nursing, University of Indonesia, Depok, Indonesia. Yunisar &#8230; <a title=\"Developing the hypoglycemia-nursing early warning score system (Hy-NEWSS): A pilot study\" class=\"read-more\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/2145\/\" aria-label=\"More on Developing the hypoglycemia-nursing early warning score system (Hy-NEWSS): A pilot study\">Read more<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-5335","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Developing the hypoglycemia-nursing early warning score system (Hy-NEWSS): A pilot study - Journal of Public Health Research<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.jphres.us.com\/index.php\/jphres\/article\/view\/2145\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Developing the hypoglycemia-nursing early warning score system (Hy-NEWSS): A pilot study - Journal of Public Health Research\" \/>\n<meta property=\"og:description\" content=\"https:\/\/doi.org\/10.4081\/jphr.2021.2145 Ahmad Hasyim Wibisono School of Nursing, Faculty of Medicine, Universitas Brawijaya, Indonesia. Dennti Kurniasih Nursing Department, RSUD Abdul Moeloek, Lampung, Indonesia. Eti Sumartiyah Nursing Department, RSUPN Dr Cipto Mangunkusumo, Jakarta, Indonesia. Rima Novia Putri Nursing Department, State Health Polytechnic, Tanjung Pinang, Indonesia. Dikha Ayu Kurnia Faculty of Nursing, University of Indonesia, Depok, Indonesia. Yunisar ... 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Dennti Kurniasih Nursing Department, RSUD Abdul Moeloek, Lampung, Indonesia. Eti Sumartiyah Nursing Department, RSUPN Dr Cipto Mangunkusumo, Jakarta, Indonesia. Rima Novia Putri Nursing Department, State Health Polytechnic, Tanjung Pinang, Indonesia. Dikha Ayu Kurnia Faculty of Nursing, University of Indonesia, Depok, Indonesia. Yunisar ... 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