Nursing diagnoses of diabetic patient medical charts: a descriptive study

Online braz. j. nurs. (Online); 12 (1), 2013
Publication year: 2013

Aim:

identifying taxonomy II nursing diagnoses from the North American Nursing Diagnoses Association International using nursing records associated with outpatient diabetic treatment.

Method:

a descriptive and retrospective study. Data obtained from 35 patients' medical charts, using a tool devised by the authors and analyzed using relative and absolute frequencies.

Result:

from eight diagnoses, three of the following showed up in more than 50% of the samples: Ineffective health maintenance; Imbalanced nutrition - more than body requirements; Sedentary lifestyle.

Discussion:

The findings show that these three diagnoses relate to a very important and unique issue in treating diabetic patients: the difficulty on the part of patients to adhere to treatment and self-care.

Conclusion:

The findings show that nursing diagnoses are useful with regard to identifying phenomena that require attention in specific treatment contexts, as well as acting as a guide in terms of the assistance offered.