This research paper will aim to review the literature on the use of nursing interventions to improve compliance.It is argued that for the better management of diabetes effective nursing intervention can be resourceful…
This research paper will aim to review the literature on the use of nursing interventions to improve compliance It is argued that for the better management of diabetes and for the eradication of non-compliance behaviour, effective nursing intervention can be resourceful. A literature review was therefore conducted on the compliance of patients with diabetes type 2 and the role of nursing interventions in improving compliance. The databases searched were CINAHL, British Nursing Index, ASSIA and The Cochrane Library. The results showed three main themes which have been discussed in the paper. The themes have been analyzed in the context of the research topic and implications for clinical practice have been highlighted. The studies are both qualitative as well as quantitative and have used several study designs such as randomized control trials, reviews, systematic literature review and correlational studies. The nursing-led interventions have not been studied taking a large sample and the study designs are at times not very reliable. This necessitates more researches to be done to reinforce the results of the previous studies. On a general note, the studies have suggested that nursing interventions aimed at providing more education, awareness and advice to the patients have positive effects on encouraging self-care and increasing compliance to control regimes. More researches need to be done on larger samples so that the results can be generalized to the entire population. The study helps to identify that implications for health care professionals from various departments exist; interprofessional team work from nurses, general practitioners, volunteers and social workers can collectively be focused on the better implementation of interventions and empowering diabetic patients. Keywords: “compliance”, “diabetes type 2”, “nursing interventions” 1. Introduction Diabetes is taken from the Greek verb diabainein, meaning to stand with the legs open as one does in urination. Diabetes is a fast-growing disease and is characteristic of polyruria. There are two main types of diabetes i.e. diabetes mellitus and diabetes insipidus. Diabetes mellitus is related to the hyperglycemia or intolerance to glucose in contrast to diabetes insipidus which occurs because of the lack of production of anti-diuretic hormone. Type 2 diabetes is a subclass of diabetes mellitus with typical symptoms of hyperglycemia due to insulin resistance and/or insulin deficiency (King & Brucker 2009). It is noted that obesity and diabetes type 2 have a strong correlation. According to Joslin and Kahn (2005) obesity worsens the insulin resistance and patients with diabetes type 2 develop an increased risk for a range of diseases such as macrovascular and microvascular problems. This paper aims to highlight nursing management practices with respect to the care of patients with type 2 diabetes. Nursing management entails the “use of personnel, supplies, equipment, clinical knowledge, and skills to give nursing care to clients within varying environments” (Roussel & Swansburg 2006). Nursing management brings together a number of principles such as planning, effective use of time, decision-making, formulation of goals, organization, leadership and working as knowledge workers. Type 2 diabetes is the most common form of diabetes and patients typically have a large store of abdominal fat (Plotnick & Henderson 1998). Diabetes is growing rapidly in the UK with more than 2.6 million people diagnosed with the condition in 2009. It was also documented that in 2009, there were a further 0.5 million people who had type 2 diabetes but were not aware of it (Diabetes UK 2009). There are several treatment options available to patients, of which weight reduction and administration of oral agents are proven to be effective. Aschenbrenner and Venable (2008) assert ...
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