SELF-CARE SUPPORT IN DIABETES CARE --A Literature Review of Intervention Effects

摘要

Background: Diabetes Mellitus Type 2 as a disease is growing at an alarming rate globally. Thegrowth is seen in all countries and in all socioeconomic areas. The National Board of Health andWelfare of Sweden (2015), in its national guidelines for diabetic care, indicated that nursinginterventions are the central part of diabetes care. However, as a survey done by HealthcareAnalysis presented, these interventions were not applied as indicated. Orems’ Self-Care DeficitNursing theory aims to empower and guide patients in the self-care process through differentnursing interventions. Previous research on what effect nursing interventions has on DiabetesType 2 patients has had mixed results and are outdated. Purpose: The aim of this study was todescribe the effects nursing interventions had in supporting self-care in Type 2 Diabetes patients,in research conducted over the last 5 years. Method: A literature review was conducted based on13 articles found on the databases CINAHL and PubMed. The articles were chosen throughdifferent inclusion and exclusion criteria. Result: Analysis of the results generated four differentthemes: clinical outcomes, self-care capacity, quality of life and other effects. The effect of thedifferent interventions varied to some extent. Conclusions: Interventions that included in centralrecommendations from National Guidelines for Diabetic Care showed positive outcomes, eitherapplied alone, or combined with other interventions; however, we found no evidence that supportpersistence of these effects. Further research is required to examine more exactly whichinterventions had the most clinical effect on patients.