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

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.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Compliance of Diabetic Clients: Effect of Nurse-Led Home Care Interventions and Monitoring ; day:24 ; month:10 ; year:2021
Journal of Health and Allied Sciences ; (24.10.2021)

Contributor
Leena, K. C.
Alvares, Irene
Sequeira, Sonia Karen Liz
Pereira, Priya Sweety
Deepika, N. C.
Sequeira, Hazel Asha

DOI
10.1055/s-0041-1736278
URN
urn:nbn:de:101:1-2021121010204746050691
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:29 AM CEST

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Associated

  • Leena, K. C.
  • Alvares, Irene
  • Sequeira, Sonia Karen Liz
  • Pereira, Priya Sweety
  • Deepika, N. C.
  • Sequeira, Hazel Asha

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