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

To verify the effectiveness of nursing interventions based on the Imogene King’s Theory of Goal Attainment, on improving care for people with diabetes and adherence to treatment.

Method:

Quasi-experimental, longitudinal, randomized, simple study in a Primary Health Care Unit, in the city of Fortaleza, Ceará state, Brazil. The sample consisted of 60 people with diabetes, divided into intervention and control groups, whose collection occurred from February to August 2013.

Results:

In the intervention group, a significant adherence of the patients to the goals defined in the study was found. In the control, there was improvement in some aspects of the treatment.

Conclusion:

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.

Descriptors:
Nursing Theory; Primary Health Care; Diabetes Mellitus; Nursing Care; Nursing

Goals	1^st comeback		2^nd comeback		3^rd comeback
	Ach	No	Ach	No	Ach	No
	%	%	%	%	%	%
Start use of sweetener and remove sugar from the diet	10 90.9	1 9.1	11 84.6	2 15.4	12 85.7	2 14.3
Start/restart physical activity	4 30.8	9 69.2	5 33.3	10 66.7	14 66.7	07 33.3
Make regular use of medication/insulin	2 66.7	1 33.3	4 100	0	7 100	0
Have food control	1 25.0	2 75.0	3 60.0	2 40.0	5 100	0
Reduce pasta/carbohydrate consumption	4 80.0	1 20.0	7 87.5	1 12.5	8 88.9	1 11.1
Increase fruit intake	2 66.7	1 33.3	4 100	0	5 100	0
Ingest diet/light soda or stop ingesting them	4 80.0	1 20.0	6 85.7	1 14.3	6 85.7	1 14.3
Lose weight	1 50.0	1 50.0	3 75.0	1 25.0	3 75.0	1 25.0
Meet the nutritionist	1 50.0	1 50.0	01 33.3	2 66.7	2 50.0	2 50.0
Reduce glycemic value	2 66.7	1 33.3	4 100	0	3 100	0
Control stressors	1 33.3	2 66.7	0	4 100	3 60.0	02 40.0

Problem	1^st comeback		2^nd comeback		3^rd comeback
	Imp	Mant	Imp	Mant	Imp	Mant
	%	%	%	%	%	%
No problems	0	4 100	0	4 100	0	4 100
Sedentarism	2 14.3	12 85.7	3 18.8	13 81.3	06 37.5	10 62.5
Control/loss of weight	3 75.0	1 25.0	3 75.0	01 25.0	3 60.0	2 40.0
Overweight/ obesity	0	8 100	0	09 100	0	9 100
Hyperglycemia	0	4 100	1 16.7	05 83.3	1 14.3	6 85.7
Regular use of medication	0	2 100	4 100	00	4 100	0
Excessive diet	0	1 100	2 66.7	01 33.3	2 66.7	1 33.3
Sugar and candies consumption	2 33.3	4 66.7	3 50.0	03 50.0	4 57.1	3 42.9
Usually smoking	0	3 100	1 33.3	02 66.7	0	3 100

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] CORRESPONDING AUTHOR: Eline Saraiva Silveira Araújo E-mail: elinesaraiva@superig.com.br