Professor, Health Sciences Institute, College of Nursing, University for International Integration of the Afro-Brazilian Lusophony, Redenção, Brazil.
Institute of Health Sciences, University of International Integration of the Afro-Brazilian Lusophony, Redenção, CE, Brazil.
Int J Nurs Knowl. 2022 Jan;33(1):64-71. doi: 10.1111/2047-3095.12331. Epub 2021 May 28.
To analyze the Nursing Diagnosis Ineffective Health Management in people with type 2 diabetes.
Cross-sectional correlational study conducted with 112 patients from August 2018 to April 2019 in a primary healthcare facility, Ceará, Brazil. Used a structured interview and a form created by the authors specifically for the study. Descriptive and inferential statistics were used in the data analysis.
The Nursing Diagnosis Ineffective Health Management was present in 63.4% of the patients. The defining characteristics with the highest prevalence were difficulty with prescribed regimen (61.6%) and failure to include a treatment regimen in daily living (60.7%). The following significant associations were found: gender and failure to take action to reduce risk factors (P = 0.003), medication and difficulty with prescribed regimen (P = 0.003), and high blood pressure and ineffective choices in daily living for meeting health goals (P = 0.005). The following defining characteristics were associated with the presence of Ineffective Health Management: difficulty with prescribed regimen (P = 0.001), failure to take action to reduce risk factors (P = 0.008), ineffective choices in daily living for meeting health goals (P = 0.001), and failure to include the treatment regimen in daily living (P = 0.001).
The Nursing Diagnosis Ineffective Health Management had a high prevalence in the sample. Its defining characteristics are associated with the nursing diagnosis itself and with sociodemographic and clinical variables.
Ineffective Health Management should be considered a priority for developing and implementing nursing care for people with type 2 diabetes, especially in primary health care settings.
分析 2 型糖尿病患者无效健康管理的护理诊断。
这是一项 2018 年 8 月至 2019 年 4 月在巴西塞阿拉州的一家基层医疗机构进行的横断面相关性研究。使用了结构化访谈和作者专门为该研究创建的表格。数据分析采用描述性和推断性统计方法。
在 112 名患者中，有 63.4%存在无效健康管理护理诊断。发生率最高的定义特征是遵医嘱困难（61.6%）和未能将治疗方案纳入日常生活（60.7%）。还发现了以下显著关联：性别与未能采取行动降低风险因素（P=0.003）、药物与遵医嘱困难（P=0.003）、高血压与日常生活中无效选择以实现健康目标（P=0.005）。以下定义特征与无效健康管理的存在相关：遵医嘱困难（P=0.001）、未能采取行动降低风险因素（P=0.008）、日常生活中无效选择以实现健康目标（P=0.001）、未能将治疗方案纳入日常生活（P=0.001）。
在样本中，无效健康管理的护理诊断具有较高的发生率。其定义特征与护理诊断本身以及社会人口学和临床变量相关。
无效健康管理应被视为为 2 型糖尿病患者制定和实施护理的重点，尤其是在基层医疗保健环境中。
