Study on the effect of outpatient nursing intervention on medical compliance of diabetes mellitus during pregnancy

Author(s):  
Yan LI ◽  
Lan WU ◽  
Ying LIN
2020 ◽  
Vol 6 (2) ◽  
pp. 43-51
Author(s):  
Ademuyiwa I. Y

Inadequate knowledge of Diabetes mellitus (DM) in Pregnancy among diabetic pregnant women could lead to poor skill about self-care, failure to seek timely medical attention and failure to follow medical prescriptions, which could lead to complications and sometimes death of mother and/or fetus/baby. This study seeks to assess the effect of nursing intervention on Knowledge of DM among diabetic pregnant women attending two general hospitals in Lagos Island, Lagos State, Nigeria. This study utilizes one group pretest- posttest experimental research design. The purposive sampling technique and total enumeration sampling size method that included seventy-five participants were used for the study. Instrument for data collection consisted of seven demographic data and forty- two (42) test questions. The study was carried out in three sessions: pre-intervention, intervention and the evaluation sessions over a period of six weeks. Paired t test was used to determine significance level between pre and post-intervention knowledge. Ethical approval and consent were obtained from Babcock University Health Research Ethical committee and Lagos State Heath Service Commission respectively. The results revealed that most of the participants were between the ages of 21 and 45 (88%); most of them had tertiary education (70.7%); most of them (57.3%) had family history of DM. Results also revealed that pre-intervention knowledge among diabetic women was poor (0.28) and the post intervention knowledge was good (0.83). Paired t test results (t= 36.20, p = 0.000) revealed a significant difference between pre-intervention and post-intervention knowledge. This shows that nursing intervention was effective.


Author(s):  
Fitria Endah Janitra ◽  
Dinda Sandika

Introduction: Diabetes mellitus (DM) is a metabolic disorder characterized by elevated blood glucose levels. Chronic complications of DM affect coronary circulation, peripheral vascularization, and blood vessels of the brain. Decrease in peripheral vascularization increases the risk of tissue ischemia and weakens functional status, therefore it is necessary to control blood glucose levels. Islam teaches to its believers to control their diet, where diet is one of the four pillars of diabetes management. Methodology: this is analytic descriptive research with cross sectional methods in 67 respondents taken by consecutive sampling technique. Results: There was a significant correlation within blood glucose control and decreased peripheral vascularization in DM patients (p-value 0.010). Discussion: need further research regarding nursing intervention to control blood glucose.


2008 ◽  
Vol 2 (4) ◽  
pp. 392
Author(s):  
Cleise Querino Carneiro de Santana ◽  
Cleonice Soares dos Santos ◽  
Janaína Maria dos Santos Francisco de Paula

ABSTRACTObjectives: to establish nursing assistance to a patient in contact isolation with Klebsiella spp. and diabetic ketoacidosis complications into Intensive Care Unit; to identify nursing diagnoses according to Lynda Juall Carpenito and to establish and to implement the nursing care plan. Methodology: study of case, carried through from May 19th to June 4 th 2008. Data had been collected into clinical handbook and daily physical examination. After that, according nursing’s description, we identified health problems to elaborate nursing daily plan associated with nursing diagnoses by Lynda Juall Carpenito to guide nursing assistance. Results: data were presented by nursing’s description and in a figure, nursing diagnoses, results and nursing prescription - constituting nursing assistance plan. The following nursing diagnoses were identified: anxiety, integrity of harmed skin, social isolation, risk for infection, risk of infection transmission, risk for aspiration and risk for alteration of body temperature. Data were analyzed and discussed according to literature. Conclusion: nursing diagnoses offered the direction to nursing intervention: control diabetes another case of diabetic ketoacidosis and control Klebsiella spp. infection to the patient and transmission to other people. Descriptors: diabetes mellitus; diabetic ketoacidosis; klebsiella spp.; nursing diagnoses.RESUMOObjetivos: estabelecer a assistência de enfermagem para uma paciente em isolamento de contato por Klebsiella spp. e com complicações do diabetes internada em uma Unidade de Terapia Intensiva; classificar os diagnósticos de enfermagem de acordo com  Lynda Juall Carpenito; elaborar e implementar o plano de cuidados de enfermagem. Metodologia: estudo de caso, realizado no período de 19 de maio a 04 de junho de 2008. Os dados foram coletados a partir de consultas ao prontuário clínico e realização do exame físico da paciente. A partir do histórico de Enfermagem, foram identificados os problemas de saúde da paciente, possibilitando a elaboração do plano de cuidados com os diagnósticos de enfermagem de acordo com Lynda Juall Carpenito, que nos conduziu na assistência de enfermagem. Resultados: os dados foram apresentados na forma de histórico de Enfermagem e, em uma figura, os diagnósticos, resultados e prescrições de enfermagem ¾ que se constituiu no plano de assistência de enfermagem. Os diagnósticos identificados foram: ansiedade, integridade da pele prejudicada, isolamento social, risco para infecção, risco para transmissão de infecção, risco para aspiração e risco para alteração da temperatura corporal. Os dados foram analisados e discutidos com base na literatura disponível. Considerações finais: os diagnósticos de Enfermagem identificados nos forneceram a direção para as intervenções de Enfermagem, com a finalidade de atingir os resultados esperados: o controle do Diabetes mellitus da paciente, evitando outro episódio de cetoacidose diabética e o controle da infecção da paciente por Klebsiella spp. bem como sua propagação para outras pessoas. Descritores: diabetes mellitus; cetoacidose diabética; klebsiella spp.; diagnóstico de enfermagem.RESUMENObjetivos: establecer los cuidados de enfermería a un paciente en el aislamiento del contacto para la Klebsiella spp. y las complicaciones del cetoacidose diabética en una Unidad de Cuidados Intensivos; identifican diagnóstico de enfermería según Lynda Juall Carpenito y establecer y ejecutar el plan de los cuidados. Metodología: estudio de caso, ejecutado en el período de 19 de mayo los 04 de junio de 2008. Los datos habían sido recogidos en el manual clínico y la examinación física diaria del paciente. Después de ese, acordando la descripción de enfermería, identificamos problemas de salud para elaborar plan diario de cuidado asociado a diagnostico de enfermería por Lynda Juall Carpenito para dirigir el plan de cuidados de enfermería. Resultados: los datos fueron presentados por la descripción del plan de enfermería y en una figura, los diagnósticos de enfermería, resultados y la prescripción del cuidados de enfermería - constituyendo el cuidado de de enfermería. Fueran identificados los seguientes diagnósticos de enfermería: ansiedad, integridad de la piel dañada, aislamiento social, riesgo para la infección, riesgo para la transmisión de la infección, riesgo para la aspiración y riesgo para la alteración de la temperatura del cuerpo. Los datos fueran analizados y discutidos según la literatura. Conclusión: los diagnósticos de enfermería ofreció la dirección a la intervención de enfermería: controlar la diabetes y otro caso de ketoacidosis diabético aiún controlar la Klebsiella spp. infección al paciente y transmisión a la otra gente. Descriptores: diabetes mellitus; cetoacidosis diabética; klebsiella; diagnóstico de enfermería. 


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