Valuation of the adhesion in the follow-up of the diabetic patients and the use of the nurse language
Abstract
Improving the low treatment adherence in chronic patients increases patient ‘security and effectiveness of the health system. Nurses play an important role in this objective and they have their own language to describe this situation.Goals: To know the number of diabetic patients that came to the nurse consultancy throughout the year 2011; whether nurses valued their pharmacologic adherence and if they gave advise about medication, nutrition and physical exercise. Another goal was to know if all this information was expressed using nurse language.
Methods: It is a cross-sectional descriptive study. Population of study: Diabetic patients that came to the nurse consultancy throughout the year 2011. Data were acquired from OMI-AP and review of medical records. Variables were expressed as absolute frequencies and percentages.
Results: From a total of 719 diabetic patients, 465 (64, 6%) attended the nurse consultancy. 369 (80, 7%) received advice about nutrition and 307 (67%) about physical exercise. 390 (85, 3%) were under pharmacological treatment, in 336 (72, 2%) pharmacologic al adherence was registered, the advice: “adequate use of medication” was present in 209 (45%). NIC 5616 “Teaching on prescribed drugs” appeared in 27 patients and 16 had care plans in that period.
Conclusions: Evaluation of pharmacologic adherence is an activity included in the follow up made by nurses in diabetic patients. Advice about nutrition is usually given. Advice about physical exercise and adequate use of medication must be reinforced. The use of nurse language is not incorporated in our nurse practicing. This would be facilitated by improving informatics tools and incorporating this item in management strategy.
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