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Enfermería universitaria
On-line version ISSN 2395-8421Print version ISSN 1665-7063
Abstract
ZENTENO-LOPEZ, M.A. et al. Fostering therapeutical adherence among persons with diabetes type 2 through care continuity. Enferm. univ [online]. 2016, vol.13, n.2, pp.130-137. ISSN 2395-8421. https://doi.org/10.1016/j.reu.2016.02.001.
In Mexico, approximately 8.7 million persons are living with diabetes type 2 (DT2). This illness caused in a single year 70,281 deaths as well as complications-costs of around 834 dollars per person. A possible factor could be the patient's lack of therapeutical adherence. Recent studies have reported that care continuity can produce a positive impact on the health of persons with DT2.
Case description
Persons M and P of 40 and 44 year old respectively were diagnosed with DT2 more than a year ago; while person M has been stable, person P was hospitalized in 2013 due to uncontrolled blood glucose levels.
Objective
To assess the therapeutical adherence capacity of these 2 adults with DT2 after care continuity nursing educational interventions based on Callista Roy Adaptation Model of Nursing were given at their homes.
Metodology
The case study, Physical examination and TA glycemic control were done. Three educational nursing interventions were designed.
Results
In the therapeutical adherence pre-test, low and medium percentiles of 33% and 66% were obtained. After the interventions, improvements in physical exercise (70% and 75%), physical condition (23% and 75%) and diet (86% and 87%), as well as in glucose indexes were found.
Conclusions
By favoring therapeutical adherence, the nursing theoretical model allowed the understanding and development of care continuity within the family-context, suggesting that it is an adequate strategy to improve the health of populations with DT2.
Keywords : Care continuity; Treatment adherence; Diabetes mellitus, type 2; Home care services; Education, Nursing; Mexico.
