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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2022; 12(02): 145-149
DOI: 10.1055/s-0041-1736278
Original Article

Compliance of Diabetic Clients: Effect of Nurse-Led Home Care Interventions and Monitoring

K. C. Leena 
1   Yenepoya Nursing College, Yenepoya (deemed to be) University, Mangalore, Karnataka, India
,
Irene Alvares
2   Father Muller College of Nursing, Mangalore, Karnataka, India
,
Sonia Karen Liz Sequeira
2   Father Muller College of Nursing, Mangalore, Karnataka, India
,
Priya Sweety Pereira
2   Father Muller College of Nursing, Mangalore, Karnataka, India
,
N. C. Deepika
2   Father Muller College of Nursing, Mangalore, Karnataka, India
,
Hazel Asha Sequeira
2   Father Muller College of Nursing, Mangalore, Karnataka, India
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Abstract

Objectives Type 2 diabetes impacts greatly on quality of life. Health-care providers must focus on efforts to detect, treat, and manage clients through supportive educative approach. This study aims to measure effectiveness of nurse-led home care interventions.

Materials and Methods This study among 103 diabetic subjects measured baseline blood pressure (BP), weight, and blood glucose levels. Information on compliance was obtained using a rating scale consisting of domains: dietary habits, exercise, rest, sleep, symptom management, prevention of complications, medication, and follow-up. Individualized comprehensive nursing interventions (education, testing, counselling) were provided, that were reinforced two times a week for 4 weeks, with minimum 7 home visits carried out by the researchers who are registered nurses and teaching faculty along with six interns of BSc nursing program. Post-tests were obtained at second and fourth weeks after start of intervention.

Results Significant improvement in blood sugar (p < 0.05), systolic BP (p < 0.001), and diastolic BP (p < 0.001) was observed. There was no change in body mass index (BMI) (p > 0.05). Post-hoc analysis found significant difference between pre-, post1- and post2-measures. Significant association was found between dietary habits and BMI (p < 0.05) and diastolic BP (p < 0.05). Compliance improved from 29 (28.2%) to 47(45.6%), partially compliant from 55 (53.4%) to 45 (43.7%) and noncompliant 19 (18.4%) to 11 (10.7%), with a clear improvement in each of the domains of compliance.

Conclusion Individualized comprehensive interventions delivered at the natural environment of families by registered nurses effectively improve compliance to diabetes management.

Keywords

nurse-led interventions - home care nursing - diabetes - visiting nurses - compliance


Publication History

Article published online:
24 October 2021

© 2021. Nitte (Deemed to be University). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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