Nursing care to patients with diabetes based on King’s Theory

Araújo, Eline Saraiva Silveira; Silva, Lúcia de Fátima da; Moreira, Thereza Maria Magalhães; Almeida, Paulo César de; Freitas, Maria Célia de; Guedes, Maria Vilaní Cavalcante

doi:10.1590/0034-7167-2016-0268

Cited by 27 publications

(18 citation statements)

References 5 publications

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“…Various care strategies were suggested to improve the care and quality of life for patients with diabetes. In nursing, traditional nursing theoretical frameworks with patient education strategies were utilized for improving the care and self-care behaviors of people with diabetes [ 16 , 17 , 18 , 19 ]. To improve care for diabetes patients, an order of the Health Ministry on the requirements for the provision of nursing services for patients with diabetes mellitus was issued in Lithuania.…”

Section: Introductionmentioning

confidence: 99%

Individualized Health Care for Older Diabetes Patients from the Perspective of Health Professionals and Service Consumers

Bartkevičiūtė

Lesauskaitė

Riklikienė

2021

JPM

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Background: Individualized nursing care as a form of person-centered care delivery is a well-known approach in the health care context and is accepted as best practice by organizations and professionals, yet its implementation in everyday practice creates serious challenges. The aim was to assess and compare the perceptions of health professionals and older diabetes patients on their individual care in regard to the patient’s clinical situation, personal life situation, and decisional control. Methods: The quantitative study with a cross-sectional survey design was conducted from March 2019 until January 2021. The Individualized Care Scale was applied for the data collection. Health professionals (nurses and physicians, n = 70) and older diabetes patients (n = 145) participated in the study. The average duration of diabetes was 15.8 years (SD = 10.0) and type 2 diabetes was the most common (89.0%). The current glucose-lowering therapy for 51.0% of the patients was oral medications, 37.9% used injected insulin, and 11.1% were treated by combined therapy. Results: The highest-rated aspects of individualized care on both dimensions of the scale from the health professionals’ perspective related to the clinical situation, and the scores for provision were significantly higher than those for support. The highest means of patients’ ratings on the support dimension related to the clinical situation and the decisions over care sub-scale; for the care provision dimension, the highest individuality in care was assigned to the decisions over care sub-scale. The lowest ratings of individualized care, both in the health professionals’ and patients’ samples, related to the personal life situation sub-scale. Conclusions: Health professionals are more positive in regard to individualized care support and provisions for older diabetes patients than the patients themselves. Patient characteristics, such as the type of glucose-lowering therapy, education, and nutritional status, make a difference in patients’ understanding and experience of individuality in care.

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Section: Introductionmentioning

confidence: 99%

Individualized Health Care for Older Diabetes Patients from the Perspective of Health Professionals and Service Consumers

Bartkevičiūtė

Lesauskaitė

Riklikienė

2021

JPM

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“…Para tanto, o cuidado de enfermagem deve ser direcionado de forma individualizada e sistematizada. Este cuidado deve seguir protocolos instituídos para uniformizar as ações no cuidado às pessoas com DM 6 e desta forma, compete ao enfermeiro ajudar a pessoa com DM na compreensão da necessidade de assumir alterações no estilo de vida e aderir ao tratamento, o que vai contribuir para o controle glicêmico 7 . Para alcance deste objetivo, as Teorias de Enfermagem fundamentam o cuidado, com conhecimentos próprios, a fim de melhorar a qualidade da atenção direcionada às pessoas em diferentes campos de conhecimento 7 .…”

Section: Introductionunclassified

“…Este cuidado deve seguir protocolos instituídos para uniformizar as ações no cuidado às pessoas com DM 6 e desta forma, compete ao enfermeiro ajudar a pessoa com DM na compreensão da necessidade de assumir alterações no estilo de vida e aderir ao tratamento, o que vai contribuir para o controle glicêmico 7 . Para alcance deste objetivo, as Teorias de Enfermagem fundamentam o cuidado, com conhecimentos próprios, a fim de melhorar a qualidade da atenção direcionada às pessoas em diferentes campos de conhecimento 7 . Corroborando com tais assertivas, a Teoria do Cuidado Humano, elaborada entre por Jean Watson (1975Watson ( -1979 descreve 10 fatores básicos para a realização do cuidado, denominados de fatores cuidativos que são: 1formação de sistema de valores humanistaaltruísta; 2 -a instilação da fé-esperança; 3 -o cultivo da sensibilidade do próprio self e das demais pessoas; 4 -o desenvolvimento de uma relação de ajuda e confiança; 5-a promoção e aceitação da expressão de sentimentos positivos e negativos; 6 -o uso sistemático de um processo criativo de solução de problemas; 7 -a promoção do ensino-aprendizagem transpessoal; 8 -a provisão de um ambiente de apoio, proteção e/ou neutralização mental, física e espiritual; 9assistência com gratificação das necessidades humanas e 10 -a permissão de forças existenciais-fenomenológicas-espirituais 8,9 .…”

Section: Introductionunclassified

Atuação do profissional enfermeiro no cuidado a pacientes com Diabetes Mellitus: reflexões à luz da teoria do cuidado humano

Alencar¹,

Neto²,

Leite³

et al. 2021

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O artigo tem como objetivo identificar na literatura científica, ações a serem desenvolvidas pelo profissional enfermeiro no cuidado a pacientes com diabetes mellitus à luz da Teoria do Cuidado Humano. Trata-se de uma revisão narrativa, descritiva, realizada por meio do acesso à literatura sobre o cuidado de enfermagem ao paciente com diabetes mellitus. Os cuidados identificados nos estudos foram analisados frente aos dez fatores básicos da Teoria do Cuidado Humano. Tem-se que o enfermeiro deve ser capaz de compreender o outro por meio da simulação de perspectivas e da experiência interpessoal e estabelecer uma relação empática e de confiança. Além disso, é importante que o profissional de enfermagem reconheça e estimule a espiritualidade como forma de reduzir possíveis desconfortos, potencializar a adesão ao tratamento e melhorar a qualidade de vida, promovendo também a educação em saúde. Com isso ressalta-se que o uso desta teoria para nortear as condutas de enfermagem possibilita a realização de um cuidado pautado na empatia e no olhar atento ao aspecto biopsicossocioespiritual da pessoa com diabetes mellitus.

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“…We hope that nursing will strengthen the relationship between theory and practice in patient care. CMIOS can favor nurse-patient interaction in public health, not being limited to patients with hypertension (6) , as nurses get closer to this knowledge and experience its usefulness for clinical nursing practice.…”

Section: Introductionmentioning

confidence: 99%

Perception of nursing in Primary Health Care about patients with hypertension: does King explain?

2020

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Objectives: to understand nurses’ perceptions about Imogene King’s concepts on CMIOS and its association with caring for patients with hypertension in Primary Health Care. Methods: a qualitative interventionist research with Family Health Strategy nurses who care for patients with hypertension at Primary Health Care in Maracanaú-CE. A focus group was held with seven nurses, in two audio-recorded and transcribed meetings, to analyze the production of meanings based on discursive practices. Results: the categories personal system, interpersonal system, and social system emerged referring to the potentialities and difficulties found both for understanding concepts, but also in the interaction with oneself, with hypertensive patients and health organization, with a view to adequate care for hypertensive patients. Final Considerations: it was verified the understanding of nurses’ knowledge in relation to King’s concepts, associating its application in the context of care for patients with hypertension.

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Nursing care to patients with diabetes based on King’s Theory

Abstract: With these results, it was possible to conclude the feasibility of using Theory of Goal Attainment in the positive aspects for adherence to diabetes treatment and improvement of quality of life.

Cited by 27 publications

References 5 publications

Individualized Health Care for Older Diabetes Patients from the Perspective of Health Professionals and Service Consumers

Individualized Health Care for Older Diabetes Patients from the Perspective of Health Professionals and Service Consumers

Atuação do profissional enfermeiro no cuidado a pacientes com Diabetes Mellitus: reflexões à luz da teoria do cuidado humano

Perception of nursing in Primary Health Care about patients with hypertension: does King explain?

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