Nursing outcomes and social support intervention for diabetes self-management: consensus study
DOI:
https://doi.org/10.15649/cuidarte.3742Keywords:
Self-Management, Social Support, Diabetes Mellitus Type 2, Validation Study, Nursing Outcomes ClassificationAbstract
Highlights
- Self-management of type 2 diabetes allows for better health outcomes, maintains independence, and improves quality of life for longer periods of time.
- Nursing interventions help professionals accurately assess the health status and outcomes of the target population while providing scientific evidence.
- The nursing professional is a significant source of social support in the self-management of diabetes mellitus.
- The outcomes achieved by patients are the most important indicators of quality in health care, allowing clarifying nursing knowledge and determining the effectiveness of care.
Introduction: Diabetes mellitus is one of the most prevalent chronic noncommunicable diseases in the world. Objective: To validate by expert consensus the Nursing Outcomes Classification (NOC) self-management: diabetes (1619) and social support (1504), as well as to validate the intervention of social support for adults in the self-management of type 2 diabetes mellitus (DM2). Materials and Methods: A consensus study. Several phases were delimited for validation: the first was to validate the results and indicators; the second was to construct and validate the conceptual and operational definitions; and the magnitude of the selected indicators; and the third was to design and validate the intervention of social support for adults in the self-management of DM2. Results: 28 indicators were selected and validated by experts out of the 44 that make up the nursing outcome of self-management: diabetes, and 9 indicators out of the 12 that make up the social support outcome, both with a Content Validity Index (CVI) of 0.98. As for the intervention, a social support intervention was designed for the self-management of DM2, individualized, and made up of 4 sessions. The components of the intervention include generalities of DM2, healthy life habits, safe care, and emotional support. Discussion: Nursing professionals must evaluate people who experience diabetes, and their capacity for self-management and social support in order to provide appropriate interventions and evaluate their effectiveness. Conclusions: The study significantly evidenced the validation of the two nursing outcomes and their respective indicators, added to the conceptual and operational definitions, and their magnitude.
How to cite this article: Garizábalo-Dávila Claudia Milena, Cañon-Montañez Wilson, Rodríguez-Acelas Alba Luz. Nursing Outcomes and Social Support Intervention for Diabetes Self-management: Consensus Study. Revista Cuidarte. 2024;15(3):e3742. https://doi.org/10.15649/cuidarte.3742
References
International Diabetes Federation. IDF Diabetes Atlas, 10th edition, [Internet] 2021 [Cited: October, 10 2023]. Available from: www.diabetesatlas.org
Garizábalo-Dávila CM, Rodríguez-Acelas AL, Cañon-Montañez W. Soporte social enfocado a personas con diabetes: una necesidad desde enfermería. Rev Cuid. 2019; 10(1):e697. http://dx.doi.org/10.15649/cuidarte.v10i1.697
Ramkisson S, Pillay BJ, Sibanda W. Social support and coping in adults with type 2 diabetes. African Journal of Primary Health Care and Family Medicine 2017;9(1):1-8 http://dx.doi.org/10.4102/phcfm.v9i1.1405
Ali MK, Pearson-Stuttard J, Selvin E, Gregg EW. Interpreting global trends in type 2 diabetes complications and mortality. Diabetologia. 2022;65(1):3-13. https://doi.org/10.1007/s00125-021-05585-2
Garizábalo-Dávila CM, Rodríguez-Acelas AL, Mattiello R, Cañon-Montañez W. Social support intervention for self-management of type 2 diabetes mellitus: Study protocol for a randomized controlled trial. Open Access Journal of Clinical Trials. 2021;13:37–43. https://doi.org/10.2147/OAJCT.S314030
Kolb, L. An Effective Model of Diabetes Care and Education: ADCES7 Self-Care BehaviorsTM. The Science of Diabetes Self-Management and Care. 2021;47(1):30–53. https://doi.org/10.1177/0145721720978154
Ryan P, Sawin KJ. The Individual and Family Self-Management Theory: Background and perspectives on context, process, and outcomes. Nursing Outlook. 2009;57(4):217-225 http://dx.doi.org/10.1016/j.outlook.2008.10.004
Cavalcante AMRZ, Lopes CT, Swanson E, Moorhead SA, Bachion MM, Barros ALBL. Validation of definitions of the indicators for Nursing Outcomes Classification outcomes: Self-management cardiac disease. Acta Paule de Enfer 2020;33:e-AP20180265. https://doi.org/10.37689/acta-ape/2020AO0265
Oh H, Moorhead S. Validation of the Knowledge and Self-management Nursing Outcomes Classification for Adults with Diabetes. CIN - Computers Informatics Nursing. 2019;37(4):222–8. https://doi.org/10.1097/CIN.0000000000000495
Moorhead S, Johnson M, Maas ML, Swanson E. Nursing Outcomes Classification (Noc) : Measurement of Health Outcomes. 5th ed. Elsevier Health Sciences; 2014.
Moorhead S, Johnson M, Maas ML, Swanson E. Nursing Outcomes Classification (Noc) : Measurement of Health Outcomes. 6th ed. Elsevier Health Sciences; 2018.
Strom JL, Egede LE. The Impact of social support on outcomes in adult patients with type 2 diabetes: A systematic review. Curr Diab Rep. 2012;12(6):769–81https://doi.org/10.1007/s11892-012-0317-0
Ribeiro ZMT, Spadella MA. Content validation of educational material on healthy eating for children under two years of age. Revista Paul Pediatria. 2018;36(2):155–63. https://doi.org/10.1590/1984-0462/;2018;36;2;00007
Monteiro Mantovani V, Rodríguez Acelas AL, Klockner Boaz S, Cañon-Montañez W, Lucena A de F, Echer IC. Evaluation of Patients in a Smoking Cessation Support Group Using the Nursing Outcomes Classification. International Journal of Nursing Knowledge. 2019;30(3):125–30. Disponible en: https://doi.org/10.1111/2047-3095.12213
Herrera Guerra E del P, Céspedes cuevas VM. de decisiones para el manejo de los síntomas de falla cardíaca: protocolo de intervención. Av. enferm. 2020;38(1):9-17. Disponible en: https://revistas.unal.edu.co/index.php/avenferm/article/view/75993
Santos NOD, Predebon ML, Bierhals CCBK, Day CB, Machado DO, Paskulin LMG. Development and validation a nursing care protocol with educational interventions for family caregivers of elderly people after stroke. Revista brasileira de Enfermagem. 2020;73(3):e20180894. https://doi.org/doi:10.1590/0034-7167-2018-0894
American Diabetes Association; 5. Facilitating Behavior Change and Well-being to Improve Health Outcomes: Standards of Medical Care in Diabetes—2021. Diabetes Care. 2021;44(1):S53–S72.https://doi.org/10.2337/dc21-S005
Crotty MM, Henderson J, Ward PR, Fuller J, Rogers A, Kralik D, et al. Analysis of social networks supporting the self-management of type 2 diabetes for people with mental illness. BMC Health Serv Res. 2015;15(1):257. http://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0897-x
Sidani S, Braden CJ. Design, Evaluation, and Translation of Nursing Interventions. West Sussex, UK: John Wiley & Sons, Ltd;2011.
Gao J, Wang J, Zheng P, Haardörfer R, Kegler MC, Zhu Y, et al. Effects of self-care, self-efficacy, social support on glycemic control in adults with type 2 diabetes. BMC Family Practice. 2013;14(1):1090–101. http://dx.doi.org/10.1186/1471-2296-14-66
Otero-sabogal R, Arretz D, Siebold S, Hallen E, Lee R, Ketchel A. Physician – community health worker partnering to support diabetes self- management in primary care. Quality in Primary Care. 2010;18(6):363–72. https://pubmed.ncbi.nlm.nih.gov/21294977/
Yu CH, Parsons JA, Mamdani M, Lebovic G, Hall S, Newton D, et al. A web-based intervention to support self-management of patients with type 2 diabetes mellitus: effect on self-efficacy, self-care and diabetes distress. BMC Med Inform Decis Mak. 2014;14(1):117. http://www.biomedcentral.com/1472-6947/14/117
Rodríguez Acelas AL, Cañon Montañez W, de Abreu Almeida M. Scale for measurement of healthcare-associated infection risk in adult patients: devolepment and content validation. Revista Cuidarte. 2019;10(2):e771. https://doi.org/10.15649/cuidarte.v10i2.771
Garizábalo C, Cañon-Montañez W, Rodríguez-Acelas A. Datos para Estudio de Consenso de Resultados e Intervención de Enfermería en Soporte Social para el Autocontrol. Mendeley Data V1. 2024. https://doi.org/10.17632/hb2prrmh5s.1
Schulman-Green D, Jaser SS, Park C, Whittemore R. A metasynthesis of factors affecting self-management of chronic illness. Journal of Advanced Nursing. 2016;72(1):1469–89.https://doi.org/10.1111/jan.12902
Spencer MS, Kieffer EC, Sinco B, Piatt G, Palmisano G, Hawkins J et al. Outcomes at 18 Months From a Community Health Worker and Peer Leader Diabetes Self-Management Program for Latino Adults. Diabetes care. 2018;41(7):1414-1422. https://doi.org/doi:10.2337/dc17-0978
Alanazi FK, Alotaibi JS, Paliadelis P, Alqarawi N, Alsharari A, Albagawi B. Knowledge and awareness of diabetes mellitus and its risk factors in Saudi Arabia. Saudi medical journal. 2018;39(10):981-989. https://doi.org/10.15537/smj.2018.10.22938
Diabetes Canada Clinical Practice Guidelines Expert Committee et al. “Pharmacologic Glycemic Management of Type 2 Diabetes in Adults.” Canadian journal of diabetes 2018;42(1):S88-S103. https://doi.org/10.1016/j.jcjd.2017.10.034
Bonner T, Foster M, Spears-Lanoix E. Type 2 diabetes-related foot care knowledge and foot self-care practice interventions in the United States: a systematic review of the literature. Diabetic foot & ankle. 2016;7(1):29758. https://doi.org/10.3402/dfa.v7.29758
McEwen MM, Baird M, Pasvogel A, Gallegos G. Health–Illness Transition Experiences Among Mexican Immigrant Women With Diabetes. Family & Community Health. 2007;30(3):201–12. https://doi.org/10.1097/01.FCH.0000277763.70031.0d
King DK, Glasgow RE, Toobert DJ, Strycker LA, Estabrooks PA, Osuna D, et al. Self-efficacy, problem solving, and social-environmental support are associated with diabetes self-management behaviors. Diabetes Care. 2010;33(4):751–3.https://doi.org/10.2337/dc09-1746
Samuel-Hodge CD, Keyserling TC, Park S, Johnston LF, Gizlice Z, Bangdiwala SI. A randomized trial of a church-based diabetes self-management program for African Americans with type 2 diabetes. The Diabetes Educator. 2009;35(3):439–54. http://tde.sagepub.com/cgi/doi/10.1177/0145721709333270
Grey M, Whittemore R, Jeon S, Murphy K, Faulkner MS, Delamater A. Internet Psycho-Education Programs Improve Outcomes in Youth With Type 1 Diabetes. Diabetes Care. 2013;36(9):2475–82. https://doi.org/10.2337/dc12-2199
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