Nursing care for patients with type 2 diabetes who participate in the diabetes school project and DM Remission Clinic before entering diabetes remission: 2 case studies

Abstract

          Objective : To study and compare the use of community nursing processes in caring for 2 patients with type 2 diabetes who had intensive behavior modification in a diabetes school and DM Remission Clinic before entering diabetes remission.

          Methods: This is a comparative study of case studies of nursing care for type 2 diabetes patients participating in the Diabetes School Project and the DM Remission Clinic. To change behavior intensively before entering diabetic remission, 2 patients, using a patient health assessment form based on the concept of Marjory Gordon's 11 health assessment models (Marjory Gordon) as a data collection tool. and home visits  Analyze and compare illness data  Laboratory results, treatment, condition assessment  nursing diagnosis  nursing activities  and evaluate nursing outcomes

          Results of the study: Comparative case study of 2 patients with type 2 diabetes. Both patients had different motivations for applying to participate in the diabetes school project. Case 1 wanted to be cured by controlling food intake, without the need for medication. The second case did not want to be treated with high doses of medication. Afraid of side effects from medicine and don't want complications from diabetes. that will affect future careers. The two case study patients had similar problems. 1. Patients lack the skills and confidence to apply knowledge to change their own health behaviors. 2. Patients are at risk of developing hypoglycemia because they eat low carbohydrates.  3. Lack of knowledge and understanding to change health behavior regarding exercise. 4. Not getting enough rest causes insulin resistance. 5. Risk of returning to old behavior due to lack of balance between behavior change and treatment plan adjustment. After 6 months of behavioral adjustment, it was found that the patients were younger and had a shorter duration of diabetes.  had more than one dose reduced by a doctor

          Conclusion: Follow-up visits to patients with type 2 diabetes who participated in the diabetes school project and DM Remission Clinic before entering diabetes remission. including home visits, telephone visits or visiting online It is the application of the nursing process in nursing patients. This allows nurses to closely monitor and care for patients.  Nurses can assess behavior and watch out for risks or dangers that may occur while patients change their behavior. It also helps empower patients to have encouragement to adjust their behavior.  In addition, home visits help create understanding for relatives and caregivers to participate in decision-making and help push patients to adjust their behavior to meet their goals.