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根据奥瑞姆自我护理理论的老年人糖尿病护理诊断。

Nursing diagnoses in elderly people with diabetes mellitus according to Orem's Self-Care Theory.

机构信息

Universidade Estadual de Maringá. Maringá, Paraná, Brazil.

出版信息

Rev Bras Enferm. 2022 Apr 15;75Suppl 4(Suppl 4):e20201171. doi: 10.1590/0034-7167-2020-1171. eCollection 2022.

Abstract

OBJECTIVE

To identify nursing diagnoses and conditioning factors of self-care in older adults with diabetes mellitus, in the light of Orem's Theory of Self-Care.

METHODS

Exploratory, descriptive study with a qualitative approach, conducted with the theoretical framework of Orem's Theory of Self-Care. It was developed with 12 older people with diabetes, in a country's southern municipality, between October and November 2019. For data collection, it was used individual interviews and focus groups. The data was submitted to thematic and content analysis directed to taxonomy II of NANDA International.

RESULTS

Twenty nursing diagnoses related to universal self-care requirements and health deviations were identified. All diagnoses were anchored in the supportive-education nursing system.

FINAL CONSIDERATIONS

The development of the disease and the consequences of chronic hyperglycemia were poorly recognized by the elderly, interfering with low adherence to self-care practices and disease control.

摘要

目的

根据奥瑞姆的自我护理理论,确定患有糖尿病的老年人的自我护理诊断和条件因素。

方法

这是一项探索性、描述性的定性研究,其理论框架是奥瑞姆的自我护理理论。该研究在 2019 年 10 月至 11 月期间,在该国南部的一个直辖市对 12 名老年人进行了研究。为了收集数据,采用了个体访谈和焦点小组的方式。对数据进行了主题和内容分析,其方向是 NANDA International 的分类 II。

结果

确定了 20 个与普遍自我护理需求和健康偏差有关的护理诊断。所有的诊断都基于支持性教育护理系统。

最终结论

疾病的发展和慢性高血糖的后果被老年人严重忽视,这导致他们自我护理实践和疾病控制的低依从性。

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