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Anales del Sistema Sanitario de Navarra
versão impressa ISSN 1137-6627
Resumo
ARIZTEGUI ECHENIQUE, AM; SAN MARTIN RODRIGUEZ, L e MARIN FERNANDEZ, B. Effectiveness of nursing interventions in the control of type 2 diabetes mellitus. Anales Sis San Navarra [online]. 2020, vol.43, n.2, pp.159-167. Epub 25-Jan-2021. ISSN 1137-6627. https://dx.doi.org/10.23938/assn.0860.
Background:
To analyze whether nursing interventions classified according to NIC taxonomy and applied to patients with type 2 diabetes mellitus (T2DM), showing the NANDA diagnoses “Willingness to improve your own health management”, are related to better achievement of T2DM control.
Methods:
Cross-sectional study conducted on 721 patients in Primary Care whose data were obtained from their electronic clinical record. The control of parameters such as hemoglobin-glycosylated (HbA1c), LDL-cholesterol and body mass index (BMI) was related to NIC interventions performed, particularly to those recommended for management of T2DM.
Results:
One hundred and thirty-seven NIC interventions were performed on 2,401 occasions, 1,714 of which (71.4%) were interventions recommended for management of T2DM. Of these, 41.2% belonged to Behavioral domain, while Surveillance was the most frequent intervention (25.4%). Control of both HbA1c and LDL-cholesterol was achieved in more than 50% of cases, but BMI only was achieved in 13.6%. NIC interventions were more frequently performed on patients with controlled parameters, especially on nine of them; two interventions were negatively related to control of BMI.
Conclusion:
We have observed that with a higher incidence in the application of the NIC included in the recommendations of the clinical practice guidelines for T2DM, better health results are obtained.
Palavras-chave : NIC nursing intervention; Type 2 diabetes; Outcomes in health; Control.