Nursing diagnosis in patients with type 1 Diabetes Mellitus

• Autor(a) principal: da Silva Moreira Magalhães , Vaneça
• Data de Publicação: 2022
• Outros Autores: Lorrane Carneiro Veloso , Danyelle, Cunha de Almeida , Virginia, Batista Nunes Lacerda , Ione
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Health Residencies Journal (HRJ)
• Texto Completo: https://escsresidencias.emnuvens.com.br/hrj/article/view/475
• topic: Diagnóstico de Enfermagem; Insulinoterapia; Diabetes Mellitus; Nursing Diagnosis; Insulin therapy; Diabetes Mellitus

Introduction: Type 1 Diabetes Mellitus is an autoimmune disease resulting from the destruction of pancreatic β cells, leading to a complete deficiency in insulin production. Objective: to identify the main Nursing Diagnoses according to the NANDA-I taxonomy in adults with DM1. Materials and Methods: Descriptive multiple case study based on objective and subjective data of people with DM 1 undergoing insulin therapy. Data collection occurred through the application of a questionnaire and nursing consultation including anamnesis and physical examination. The main Nursing Diagnoses were identified according to the NANDA-I taxonomy. Results and discussion: 30 patients with a medical diagnosis of DM1 were evaluated. Regarding the main Nursing Diagnoses, the most prevalent were identified as: acute pain (66.7%), impaired tissue integrity (60.0%), impaired skin integrity (53.3%) and impaired comfort (50%). Regarding the amount of insulin application, most reported taking more than 5 daily applications. Conclusion: The importance of systematic nursing care for patients with DM1 is highlighted, with emphasis on guidelines on insulin therapy and skin care, identifying possible changes and preventing complications.