Nursing educational intervention on adherence to self-care and treatment in individuals with diabetes
DOI:
https://doi.org/10.29352/mill0220e.37995Keywords:
diabetes mellitus; self-management; nursing care; health educationAbstract
Introduction: Type 2 diabetes mellitus is a highly prevalent disease. Its management requires a multifaceted approach that includes proper self-care behaviors and patient empowerment.
Objective: To assess the effect of educational intervention performed by nurses on adherence to self-care and treatments in patients with diabetes.
Methods: This is an analytical and interventional prospective quantitative study. A convenience sample was studied, composed of 102 participants with diabetes. Data collection was carried out by applying the Summary of Diabetes Self-Care Activities Measure (SDSCAM) and the Psychometric Measure of Adherence to Treatments scale (PMAT) before and three months after the educational nursing intervention.
Results: Statistically significant differences were found between the first assessment and the assessment after the nursing educational intervention, in dimensions D1: General Food, D2: Specific Food, D4: Foot Care, and D5: Medications of the SDSCAM, and in the total value of the PMAT, revealing that, in general, the participants improved in their adherence to self-care and to treatments after the educational intervention.
Conclusion: Educational nursing intervention focused on adherence to self-care and treatments, which involved the patient with diabetes and family in disease management, will be effective in reaching the best potential in health, producing positive effects in changing diabetic patients’ behaviors and habits.
Downloads
References
Alam, A. S., Samiasih, A., Mubin, M. F., Pranata, S., & Dhamanik, R. (2024). Types of nursing intervention on improving quality of life among patients with diabetes mellitus: A systematic review. Current Diabetes Reviews, 20(3). https://doi.org/10.2174/1573399820666230829103016
Alam, R., Sturt, J., Lall, R., & Winkley, K. (2009). An updated meta-analysis to assess the effectiveness of psychological interventions delivered by psychological specialists and generalist clinicians on glycaemic control and on psychological status. Patient Education and Counseling, 75(1), 25–36. https://doi.org/10.1016/J.PEC.2008.08.026
Al-Lawati, J. A. (2017). Diabetes mellitus: A local and global public health emergency! Oman Medical Journal, 32(3), 177. https://doi.org/10.5001/OMJ.2017.34
Asante, E. (2013). Interventions to promote treatment adherence in type 2 diabetes mellitus. British Journal of Community Nursing, 18(6), 267–274. https://doi.org/10.12968/BJCN.2013.18.6.267
Baptista, L. (2013). Representações cognitivas da diabetes, conhecimentos acerca da doença e autocuidados: Um estudo com diabéticos tipo 2 controlados e não controlados [Dissertação de mestrado, Universidade Católica Portuguesa - Centro Regional de Braga]. Repositório Institucional da UCP. https://repositorio.ucp.pt/bitstream/10400.14/16030/1/Dissertação Luís.pdf
Bastos, F., Severo, M., & Lopes, C. (2007). Propriedades psicométricas da escala de autocuidado com a diabetes traduzida e adaptada. Acta Médica Portuguesa, 20, 11–20. https://abrir.link/UEZgL
Chen, M. F., Wang, R. H., & Hung, S. L. (2015). Predicting health-promoting self-care behaviors in people with pre-diabetes by applying Bandura social learning theory. Applied Nursing Research, 28(4), 299–304. https://doi.org/10.1016/J.APNR.2015.01.001
Chen, M. F., Wang, R. H., Lin, K. C., Hsu, H. Y., & Chen, S. W. (2015). Efficacy of an empowerment program for Taiwanese patients with type 2 diabetes: A randomized controlled trial. Applied Nursing Research, 28(4), 366–373. https://doi.org/10.1016/J.APNR.2014.12.006
Chester, B., Stanely, W. G., & Geetha, T. (2018). Quick guide to type 2 diabetes self-management education: Creating an interdisciplinary diabetes management team. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 11, 641–645. https://doi.org/10.2147/DMSO.S178556
Dailah, H. G. (2024). The Influence of nurse-led interventions on diseases management in patients with diabetes mellitus: A narrative review. Healthcare, 12(3). https://doi.org/10.3390/HEALTHCARE12030352
Debussche, X., Collin, F., Fianu, A., Balcou-Debussche, M., Fouet-Rosiers, I., Koleck, M., & Favier, F. (2012). Structured self-management education maintained over two years in insufficiently controlled type 2 diabetes patients: The ERMIES randomised trial in Reunion Island. Cardiovascular Diabetology, 11(1), 1–11. https://doi.org/10.1186/1475-2840-11-91/FIGURES/1
Delgado, A. B., & Lima, M. L. (2001). Contributo para a validação concorrente de uma medida de adesão aos tratamentos. Psicologia, Saúde & Doenças, 2(2), 81–100. https://abrir.link/EtKDk
Duarte, R., Melo, M., Silva Nunes, J., Melo, P. C., Raposo, J. F., Carvalho, D., Jordão, A., Ruas, A., Duarte, A., Godinho, C., Simões Pereira, C., Neves, C., Valadas, C., Nascimento, E., Rodrigues, E., Pape, E., Araújo, F., Ferreira, H., Ramôa, I., … Abreu, S. (2018). Recomendações nacionais da SPD para o tratamento da hiperglicemia na diabetes tipo 2-atualização 2018/19 com base na posição conjunta ADA/EASD*. Revista Portuguesa de Diabetes, 13(4), 154–180.
Ernawati, U., Wihastuti, T. A., & Utami, Y. W. (2021). Effectiveness of diabetes self-management education (DSME) in type 2 diabetes mellitus (T2DM) patients: Systematic literature review. Journal of Public Health Research, 10(2), 2240. https://doi.org/10.4081/JPHR.2021.2240
European Society of Cardiology, & European Society of Hypertension. (2018). 2018 ESC/ESH guidelines for the management of arterial hypertension. European Heart Journal, 39(33), 3021–3104. https://www.bostonscientific.com/en-EU/medical-specialties/interventional-cardiology/medical-education/europcr-vod-
Fajriyah, N., Firmanti, T. A., Mufidah, A., & Septiana, N. T. (2019). A diabetes self-management education/support (DSME/S) program in reference to the biological, psychological and social aspects of a patient with type 2 diabetes mellitus: A systematic review. Jurnal Ners, 14(3), 55–64. https://doi.org/10.20473/JN.V14I3.16979
Guerrero-Berroa, E., Luo, X., Schmeidler, J., Rapp, M. A., Dahlman, K., Grossman, H. T., Haroutunian, V., & Beeri, M. S. (2009). The MMSE orientation for time domain is a strong predictor of subsequent cognitive decline in the elderly. International Journal of Geriatric Psychiatry, 24(12), 1429. https://doi.org/10.1002/GPS.2282
Jones, A., Vallis, M., Cooke, D., & Pouwer, F. (2016). Working together to promote diabetes control: A practical guide for diabetes health care providers in establishing a working alliance to achieve self-management support. Journal of Diabetes Research, 2016. https://doi.org/10.1155/2016/2830910
Kutz, T. L., Roszhart, J. M., Hale, M., Dolan, V., Suchomski, G., & Jaeger, C. (2018). Improving comprehensive care for patients with diabetes. BMJ Open Quality, 7(4), e000101. https://doi.org/10.1136/BMJOQ-2017-000101
Lin, X., Xu, Y., Pan, X., Xu, J., Ding, Y., Sun, X., Song, X., Ren, Y., & Shan, P. F. (2020). Global, regional, and national burden and trend of diabetes in 195 countries and territories: An analysis from 1990 to 2025. Scientific Reports 2020 10:1, 10(1), 1–11. https://doi.org/10.1038/s41598-020-71908-9
Lopes, I. C. C. (2014). Literacia e educação terapêutica: Capacitar a pessoa com diabetes tipo 2 a lidar com a sua condição de saúde [Dissertação de mestrado, Escola Superior de Tecnologia da Saúde de Coimbra]. Repositório Comum. https://comum.rcaap.pt/handle/10400.26/15516
Martos-Cabrera, M. B., Gómez-Urquiza, J. L., Cañadas-González, G., Romero-Bejar, J. L., Suleiman-Martos, N., Cañadas-De la Fuente, G. A., & Albendín-García, L. (2021). Nursing-intense health education intervention for persons with type 2 diabetes: A quasi-experimental study. Healthcare, 9(7), 832. https://doi.org/10.3390/HEALTHCARE9070832
Meleis, A. I. (2010). Transitions theory: Middle range and situation specific theories in nursing research and practice. Springer.
Morisky, D. E., Green, L. W., & Levine, D. M. (1986). Concurrent and predictive validity of a self-reported measure of medication adherence. Medical Care, 24(1), 67–74. https://doi.org/10.1097/00005650-198601000-00007
Oluma, A., Mosisa, G., Abadiga, M., Tsegaye, R., Habte, A., & Abdissa, E. (2020). Predictors of adherence to self-care behavior among patients with diabetes at public hospitals in west Ethiopia. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 13, 3277–3288. https://doi.org/10.2147/DMSO.S266589
Papatheodorou, K., Banach, M., Edmonds, M., Papanas, N., & Papazoglou, D. (2015). Complications of diabetes. Journal of Diabetes Research, 2015. https://doi.org/10.1155/2015/189525
Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., Maryniuk, M. D., Siminerio, L., & Vivian, E. (2015). Diabetes self-management education and support in type 2 diabetes: A joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care, 38(7), 1372–1382. https://doi.org/10.2337/DC15-0730
Prado, M. D., & Soares, D. A. (2015). Limits and strategies of health professionals on adherence to treatment of diabetes: Integrative review. Revista de Pesquisa Cuidado é Fundamental Online, 7(4), 3110–3124. https://doi.org/10.9789/2175-5361.2015.V7I4.3110-3124
Riegel, B., Jaarsma, T., & Strömberg, A. (2012). A middle-range theory of self-care of chronic illness. Advances in Nursing Science, 35(3), 194–204. https://doi.org/10.1097/ANS.0b013e318261b1ba
Siddique, M. K. Bin, Islam, S. M. S., Banik, P. C., & Rawal, L. B. (2017). Diabetes knowledge and utilization of healthcare services among patients with type 2 diabetes mellitus in Dhaka, Bangladesh. BMC Health Services Research, 17(1). https://doi.org/10.1186/S12913-017-2542-3
Steinsbekk, A., Rygg, L., Lisulo, M., Rise, M. B., & Fretheim, A. (2012). Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Services Research, 12(1). https://doi.org/10.1186/1472-6963-12-213
Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000). The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care, 23(7), 943–950. https://doi.org/10.2337/DIACARE.23.7.943
Trikkalinou, A., Papazafiropoulou, A. K., & Melidonis, A. (2017). Type 2 diabetes and quality of life. World Journal of Diabetes, 8(4), 120. https://doi.org/10.4239/WJD.V8.I4.120
Wang, J., Zhao, Y., & Xie, F. (2022). Study on the nursing effect of diabetes health education nursing methods applied to diabetes patients in the endocrinology department. Journal of Healthcare Engineering, 2022. https://doi.org/10.1155/2022/3363096
Wareham, N. J., & Herman, W. H. (2016). The clinical and public health challenges of diabetes prevention: A search for sustainable solutions. PLOS Medicine, 13(7), e1002097. https://doi.org/10.1371/JOURNAL.PMED.1002097
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Millenium - Journal of Education, Technologies, and Health
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who submit proposals for this journal agree to the following terms:
a) Articles are published under the Licença Creative Commons (CC BY 4.0), in full open-access, without any cost or fees of any kind to the author or the reader;
b) The authors retain copyright and grant the journal right of first publication, allowing the free sharing of work, provided it is correctly attributed the authorship and initial publication in this journal;
c) The authors are permitted to take on additional contracts separately for non-exclusive distribution of the version of the work published in this journal (eg, post it to an institutional repository or as a book), with an acknowledgment of its initial publication in this journal;
d) Authors are permitted and encouraged to publish and distribute their work online (eg, in institutional repositories or on their website) as it can lead to productive exchanges, as well as increase the impact and citation of published work
Documents required for submission
Article template (Editable format)
