Abstract:
BACKGROUND:Atherosclerotic cardiovascular disease is the leading cause of morbidity and mortality for people with type 2 diabetes mellitus (T2DM). Previous pharmacological management recommendations focused primarily on glucose lowering. However, new data demonstrate that select glucagon-like peptide 1 receptor agonists (GLP1 RA) and sodium-glucose cotransporter 2 inhibitors (SGLT2is) not only provide glucose lowering but also can reduce the risk of cardiovascular (CV) disease. OBJECTIVES:The purpose of this study was to evaluate the current data regarding CV benefits of GLP1 RA and SGLT2i in select patients with T2DM and the impact on clinical guidelines so that nurse practitioners may optimize pharmacologic management of patients with T2DM. DATA SOURCES:A literature review was conducted using the PubMed and CINAHL complete databases to identify studies with CV benefits of GLP1 RA and SGLT2i. Pivotal clinical trials were selected for review. CONCLUSIONS:Select GLP1 RA and SGLT2i can reduce the risk of major adverse CV events, death from CV cases, or hospitalization due to heart failure (HF) in patients with a history of, or at high risk for, CV disease. IMPLICATIONS FOR PRACTICE:Based on data from major CV outcomes trials, clinical guidelines recommend GLP1a or SGLT2i in select patients for glucose lowering and CV risk reduction. In addition, even in patients who have achieved glycemic goals, these agents can provide additional benefit by reducing the incidence of major CV adverse events or hospitalization for HF. Understanding the data will help nurse practitioners select the most appropriate agent for a given individual based on comorbidities.
journal_name
J Am Assoc Nurse Practauthors
Battise DM,Olin JLdoi
10.1097/JXX.0000000000000516subject
Has Abstractpub_date
2020-10-23 00:00:00eissn
2327-6886issn
2327-6924pub_type
杂志文章abstract:PURPOSE:The aim of the study was to assess hypertensive patients' self-care agency and any correlation with the patient's lifestyle changes and the nurse's degree of patient centeredness after counseling training. DATA SOURCES:Nurses in the intervention group (IG; n = 19) working at nurse-led clinics at health centers...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章,随机对照试验
doi:10.1002/2327-6924.12222
更新日期:2015-11-01 00:00:00
abstract::The increased use of prescription opioids has resulted in widespread misuse. As a result, more than 40,000 Americans lost their lives to opiate overdose in 2016 alone. These data have led to a national movement focused on appropriate opioid prescribing practices. The Centers for Disease Control and Prevention (CDC) de...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000238
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND:Medication reconciliation is a critical step in the health care process to prevent hospital readmission, adverse drug events, and fall prevention. The purpose of the study was to pilot test a medication reconciliation process, MedManage, informed by the Medications at Transitions and Clinical Handoffs (MATCH...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000197
更新日期:2019-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:This retrospective study compared nurse practitioners and physician assistants (NPs/PAs) with physicians on their assignment of Emergency Severity Index level 3 (ESI level 3) acute abdominal pain (AAP) in the emergency department (ED). METHODS:Data obtained from a large ED group staffing four ho...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000083
更新日期:2018-11-01 00:00:00
abstract:BACKGROUND:There are few opportunities for nurse practitioner (NP) students to develop relationships and exchange ideas with international counterparts. In addition, discovering differences in instructional pedagogy between programs is beneficial for every student. PURPOSE:To facilitate an international understanding ...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000525
更新日期:2021-01-08 00:00:00
abstract::Primary care practitioners (PCPs) are playing an increasingly important role in the management and care of psoriasis. Thus, it is important for PCPs to be knowledgeable about the disease and to be able to differentiate between common myths and facts related to diagnosis and treatment. By building relationships with th...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章,评审
doi:10.1002/2327-6924.12443
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:A large degree of variation in clinical practice exists among clinicians evaluating and treating individuals with minor head injuries. Noncontrast head computerized tomography (CT) scans are commonly used to assess for intracranial damage in patients presenting with head injury. This practice is ...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12402
更新日期:2016-12-01 00:00:00
abstract::Although generic oral contraceptives (OCPs) can improve adherence and reduce health care expenditures, use of generic OCPs remains low, and the factors that affect generic prescribing are not well understood. We aimed to understand the barriers and facilitators of generic OCP prescribing and potential solutions to inc...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000349
更新日期:2020-01-01 00:00:00
abstract:PURPOSE:Nurse practitioners (NPs) are in a prime position to educate women about initial signs and symptoms of ovarian cancer (OC) and perform appropriate screening tests. However, little is known about NPs knowledge regarding OC. This article's purpose is to present the outcomes of a focused OC awareness program for N...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12151
更新日期:2015-03-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12313
更新日期:2016-06-01 00:00:00
abstract:PURPOSE:Assess the context of psychological distress, violence, and substance use among African- and Mexican-American adolescent women with a history of STI, violence, or high sexual risk behavior. These adolescents experience multiple health disparities, limited access to care, and are at particularly high risk of adv...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12346
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Accessibility to health care services remains a global challenge, and this has affected the quality of services delivered. This has affected the quality of health care services. Poor accessibility to health care services in Tanzania has hindered the achievements of health care system goals. The d...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000168
更新日期:2019-09-01 00:00:00
abstract::Mast cell activation syndrome (MCAS) is a systemic autoinflammatory disease in which mast cells behave erratically. It is unknown whether MCAS recently evolved or if it has been an unrecognized entity for years. Clinically, the patient may present in a constant to near-constant state of allergic reaction. However, the...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000396
更新日期:2020-04-08 00:00:00
abstract:BACKGROUND AND PURPOSE:Communication about risk factors for diabetes between nurse practitioners and college students may not be occurring as the prevalence of Type 2 diabetes increases. The purpose of this secondary analysis was to evaluate if college students are being told of their risk for diabetes based on known r...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000051
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:More than one third of American adults are obese. Extreme obesity is rapidly rising. Nine medications are approved for weight loss yet they remain underutilized with the focus primarily on lifestyle modifications. The objective was to determine current prescribing patterns and attitudes of weight...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12481
更新日期:2017-09-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000448
更新日期:2020-06-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000182
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Demand for primary care services is rising. Nurse practitioners (NPs) serve vital roles in meeting primary care demands. Workforce planning requires understanding NP retirement intentions. This study examines factors that relate to NPs, aged 55 years and older, and their intent to retire within 5...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12406
更新日期:2017-03-01 00:00:00
abstract:OBJECTIVE:To explore negative self-evaluation following weight loss surgery (WLS). METHODS:In-depth interviews were conducted with 11 women who had WLS. Thematic analysis was conducted through an iterative process, allowing categories and themes to emerge. To ensure rigor, two coders analyzed the data. Data were colle...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12158
更新日期:2015-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1002/2327-6924.12293
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
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更新日期:2020-05-21 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
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更新日期:2020-11-16 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章,评审
doi:10.1002/2327-6924.12223
更新日期:2015-09-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000482
更新日期:2020-07-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12468
更新日期:2017-07-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000515
更新日期:2020-09-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12108
更新日期:2014-04-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
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更新日期:2013-08-01 00:00:00
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journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1097/JXX.0000000000000003
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Weight loss is recommended as first-line therapy for many chronic illnesses, including obesity. Most patients who do successfully lose weight are unable to maintain their reduced weight. Recent research findings are reviewed and synthesized to explain the biology of obesity, adaptation to weight ...
journal_title:Journal of the American Association of Nurse Practitioners
pub_type: 杂志文章
doi:10.1002/2327-6924.12504
更新日期:2017-10-01 00:00:00