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
