Volume 21, Issue 2 (Pajouhan Scientific Journal, Spring 2023)
Pajouhan Sci J 2023, 21(2): 64-72 |
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Ethics code: IR.UMSHA.REC.1401.395
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Khalili A, Borzou S R, Khatiban M, Cheraghi F. Nursing Process of an Adolescence Patient with Hyperglycemia According to King's Goal Attainment Model: A Case Study. Pajouhan Sci J 2023; 21 (2) :64-72
URL: http://psj.umsha.ac.ir/article-1-967-en.html
URL: http://psj.umsha.ac.ir/article-1-967-en.html
1- Mother and Child Care Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Medical-Surgical Nursing, Chronic Disease (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Science, Hamadan, Iran
3- Department of Medical-Surgical Nursing, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Science,Hamadan, Iran
4- Department of Pediatric Nursing, Chronic Disease (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Science, Hamadan, Iran ,f_cheraghi@gmail.com
2- Department of Medical-Surgical Nursing, Chronic Disease (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Science, Hamadan, Iran
3- Department of Medical-Surgical Nursing, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Science,Hamadan, Iran
4- Department of Pediatric Nursing, Chronic Disease (Home Care) Research Center, School of Nursing and Midwifery, Hamadan University of Medical Science, Hamadan, Iran ,
Abstract: (1326 Views)
Background and Objectives: Hyperglycemia can increase anxiety, depression, and stress in patients with type 1 diabetes, and as a result, poor control of the disease and a decrease in the patient's quality of life. The present study aimed to present the nursing process of an adolescent with hyperglycemia based on King's goal achievement model.
Materials and Methods: In the present case study, the research sample was a teenage client with frequent hyperglycemia who had visited the hospital several times and was hospitalized. For this purpose, sample selection was performed by available sampling from the research community (i.e., teenagers hospitalized in Hamedan Children's Department with hyperglycemia diagnosis). Data collection was performed through the client's file, interview, and observation of the client, family, doctor, and nurse. The nursing process, according to King's goal achievement model, started after the patient accepted the researcher's request on the last day of hospitalization. The stages of the nursing process(i.e., examination, diagnosis of nursing, determination of common goals and prioritization, transaction based on client's preferences, and evaluation of the degree of achievement of goals by the client by comparing before and after in the range of -2 to +2) were performed in the form of qualitative analysis.
Results: The result pointed out that diabetic adolescents did not have a proper understanding of the factors affecting the stability of blood sugar levels in the normal range. Nonetheless, they found the necessary preparation to interact with the nurse by implementing the nursing process and understanding the conditions affecting hyperglycemia. The findings led to 4 nursing diagnoses and 12 care goals. In the evaluation, it was found that after the implementation of the nursing process, the adolescent client was able to experience the stability of the blood sugar level within the normal range.
Conclusion: The nursing process, according to King's model, was able to stabilize the blood sugar level in the normal range in the patient under study. Therefore, it is possible to suggest the nursing process according to King's model in adolescents with type 1 diabetes in order to maintain the blood sugar level in the normal range.
Materials and Methods: In the present case study, the research sample was a teenage client with frequent hyperglycemia who had visited the hospital several times and was hospitalized. For this purpose, sample selection was performed by available sampling from the research community (i.e., teenagers hospitalized in Hamedan Children's Department with hyperglycemia diagnosis). Data collection was performed through the client's file, interview, and observation of the client, family, doctor, and nurse. The nursing process, according to King's goal achievement model, started after the patient accepted the researcher's request on the last day of hospitalization. The stages of the nursing process(i.e., examination, diagnosis of nursing, determination of common goals and prioritization, transaction based on client's preferences, and evaluation of the degree of achievement of goals by the client by comparing before and after in the range of -2 to +2) were performed in the form of qualitative analysis.
Results: The result pointed out that diabetic adolescents did not have a proper understanding of the factors affecting the stability of blood sugar levels in the normal range. Nonetheless, they found the necessary preparation to interact with the nurse by implementing the nursing process and understanding the conditions affecting hyperglycemia. The findings led to 4 nursing diagnoses and 12 care goals. In the evaluation, it was found that after the implementation of the nursing process, the adolescent client was able to experience the stability of the blood sugar level within the normal range.
Conclusion: The nursing process, according to King's model, was able to stabilize the blood sugar level in the normal range in the patient under study. Therefore, it is possible to suggest the nursing process according to King's model in adolescents with type 1 diabetes in order to maintain the blood sugar level in the normal range.
Type of Study: Case Report |
Subject:
Basic Sciences
Received: 2022/11/1 | Accepted: 2022/11/27 | Published: 2023/06/21
Received: 2022/11/1 | Accepted: 2022/11/27 | Published: 2023/06/21
References
1. WHO. Classification of diabetes mellitus; 2019.
2. Olsen S, Åsvold B, Frier B, Aune S, Hansen L, Bjørgaas M. Hypoglycaemia symptoms and impaired awareness of hypoglycaemia in adults with type 1 diabetes: the association with diabetes duration. Diabet Med. 2014;31(10):1210-7. [DOI:10.1111/dme.12496] [PMID]
3. Reno CM, Litvin M, Clark AL, Fisher SJ. Defective counterregulation and hypoglycemia unawareness in diabetes: mechanisms and emerging treatments. Endocrinol Metab Clin North Am. 2013;42(1):15-38. [DOI:10.1016/j.ecl.2012.11.005] [PMID] []
4. Demir G, Özen S, Çetin H, Darcan Ş, Gökşen D. Effect of Education on Impaired Hypoglycemia Awareness and Glycemic Variability in Children and Adolescents with Type 1 Diabetes Mellitus. J Clin Res Pediatr Endocrinol. 2019;11(2):189-95. [DOI:10.4274/jcrpe.galenos.2019.2019.0009] [PMID] []
5. DiMeglio LA, Acerini CL, Codner E, Craig ME, Hofer SE, Pillay K, et al. ISPAD Clinical Practice Consensus Guidelines 2018: Glycemic control targets and glucose monitoring for children, adolescents, and young adults with diabetes. Pediatr Diabetes. 2018;19:105-14. [DOI:10.1111/pedi.12737] [PMID]
6. Chinoy A, Banerjee I, Flanagan SE, Ellard S, Han B, Mohamed Z, et al. Focal congenital hyperinsulinism as a cause for sudden infant death. Pediatr Dev Pathol. 2019;22(1):65-9. [DOI:10.1177/1093526618765376] [PMID]
7. Gϋemes M, Rahman SA, Kapoor RR, Flanagan S, Houghton JAL, Misra S, et al. Hyperinsulinemic hypoglycemia in children and adolescents: Recent advances in understanding of pathophysiology and management. Rev Endocr Metab Disord. 2020;21(4):577-97. [DOI:10.1007/s11154-020-09548-7] [PMID] []
8. Hosieni F, Ravari A, Akbari A. The effect of communicating with patients using peplau model on patients' satisfaction with the provided nursing cares at the cardiac intensive care unit. Iran J Nurs. 2017;29(104):36-45. [DOI:10.29252/ijn.29.104.36]
9. Lucidi P, Porcellati F, Bolli GB, Fanelli CG. Prevention and management of severe hypoglycemia and hypoglycemia unawareness: Incorporating sensor technology. Curr Diab Rep. 2018;18(10):83. [DOI:10.1007/s11892-018-1065-6] [PMID]
10. Hockenberry MJ, Wilson D. Wong's nursing care of infants and children-E-book. Elsevier Health Sciences; 2018.
11. Adib-Hajbaghery M, Tahmouresi M. Nurse-patient relationship based on the imogene King's theory of goal attainment. NMS. 2018;7(3):141. [DOI:10.4103/nms.nms_10_17]
12. Hojjatoleslami S, Cheraghi F, Borzou SR, Payamani F, Khatiban M. Nursing process of a client with acute coronary syndrome based on king's goal attainment model: a case study. JNE. 2021;10(1):55-67.
13. Hegge MJ. A Book review of nursing theories and nursing practice , edited by marlaine C. Smith.(2020). FA Davis Company. Nurs Sci Q. 2021;34(1):98-9. [DOI:10.1177/0894318420965202]
14. Kaakinen JR, Coehlo DP, Steele R, Robinson M. Family health care nursing: Theory, practice, and research. FA Davis; 2018.
15. Smith MC. Nursing theories and nursing practice. FA Davis; 2019.
16. Araújo ES, Silva LD, Moreira TM, Almeida PC, Freitas MC, Guedes MV. Nursing care to patients with diabetes based on King's Theory. Rev Bras Enferm. 2018;71:1092-8. [DOI:10.1590/0034-7167-2016-0268] [PMID]
17. Alligood MR. Nursing theory: Utilization & application. Elsevier Health Sciences; 2013.
18. Payamani F, Cheraghi F, Borzou SR, Hojjatoleslami S, Khatiban M. Nursing process based on johnson's behavioral system model in patients with multiple sclerosis: Case report. JNE. 2020;9(2):19-26.
19. Varshoie Mr KM, Fallahiniya G, Soltanian A, Abbasi M. The effect of applying king theory on the self care self efficasy in cancer patients undergoing chemotherapy. [Msn Thesis]. Hamadan University Of Madical Sciences Faculty Of Nursing And Midwifery; 2014.
20. Crisp J, Douglas C, Rebeiro G, Waters D. Potter & perry's fundamentals of nursing ANZ edition-eBook. Elsevier Health Sciences; 2020.
21. Fawcett J, Desanto-Madeya S. Contemporary nursing knowledge: Analysis and evaluation of nursing models and theories. Fa Davis; 2012.
22. Heather HT, Kamitsuru S. Nursing diagnoses: definitions and classification 2018-2020. New York: Thieme Publishers; 2018.
23. Aliakbari F, Parvin N, Heidari M, Haghani F. Learning theories application in nursing education. J Educ Health Promot. 2015;4:2.
24. Turner-Stokes L. Goal attainment scaling (GAS) in rehabilitation: a practical guide. Clin Rehabil. 2009;23(4):362-70. [DOI:10.1177/0269215508101742] [PMID]
25. Karota E, Marlindawani Purba J, Simamora RH, Lufthiani, Siregar CT. Use of King's theory to improve diabetics self-care behavior. Enferm Clin. 2020;30:95-9. [DOI:10.1016/j.enfcli.2019.12.035]
26. Cheng MY. Using King's Goal Attainment Theory to facilitate drug compliance in a psychiatric patient. Hu Li Za Zhi. 2006;53(3):90-7.
27. Cho MK. Effect of health contract intervention on renal dialysis patients in Korea. Nurs Health Sci. 2013;15(1):86-93. [DOI:10.1111/nhs.12003] [PMID]
28. Joseph T, Naregal P. A study to assess the effectiveness of health education on knowledge with reference to prevention and home management of diarrhea among mothers of under five children in selected rural area at Karad Taluka. Int J Sci Res (IJSR). 2014;3(7):1329-33.
29. Aaron M, Nelson BW, Kaltsas E, Brown RW, Thomas LJ, Patel MR. Impact of goal setting and goal attainment methods on asthma outcomes: findings from an asthma self-management intervention for African American Women. Health Educ Behav. 2017;44(1):103-12. [DOI:10.1177/1090198116637858] [PMID] []
30. Elhawy LL, Hussein YHH, Eldeeb SM. Effect of caregiver's health education on patterns of self-management and glycemic control in pediatric Type 1 Diabetes. ECMA. 2021;39(2):83-93. [DOI:10.21608/ejcm.2021.167555]
31. Brorsson AL, Leksell J, Andersson Franko M, Lindholm Olinder A. A person‐centered education for adolescents with type 1 diabetes-A randomized controlled trial. Pediatric Diabetes. 2019;20(7):986-96. [DOI:10.1111/pedi.12888] [PMID]
32. Khalili A, Aghaei S, Doosti-Irani A, Razavi Z, Cheraghi F. Investigating the relationship between demographic characteristics and dimensions of virtual self-care of diabetic children. Pajouhan Sci J. 2020;19(1):38-43. [DOI:10.52547/psj.19.1.38]
33. Cheraghi F, Mortazavi S, Shamsaei F, Moghimbeigi A. Effect of education on management of blood glucose in children with diabetes. JNE. 2014;3(1):1-11.
34. Razavi Z, Pouya P, Seifrabiei MA, Sabzehei MK. Evaluation of blood glucose control using hba1c before and after four injections of insulin analogues in children with Diabetes Mellitus Type 1. Avicenna J Clin Med. 2018;25(2):92-8. [DOI:10.21859/ajcm.25.2.92]
35. Whittemore R, Liberti LS, Jeon S, Chao A, Minges KE, Murphy K, et al. Efficacy and implementation of an Internet psychoeducational program for teens with type 1 diabetes. Pediatric Diabetes. 2016;17(8):567-75. [DOI:10.1111/pedi.12338] [PMID] []
36. Burghardt K, Müller UA, Müller N, Kloos C, Kramer G, Jörgens V, et al. Adequate structured inpatient diabetes intervention in people with type 1 diabetes improves metabolic control and frequency of hypoglycaemia. Exp Clin Endocrinol Diabetes. 2020;128(12):796-803. [DOI:10.1055/a-0873-1465] [PMID]
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