Effectiveness of nursing interventions in the control of type 2 diabetes mellitus
Open accessAbstract
BACKGROUND: To analyze whether nursing interventions classified according to NIC taxonomy and applied to patients with type 2 diabetes mellitus (T2DM), showing the NANDA diagnoses "Willingness to improve your own health management", are related to better achievement of T2DM control. METHODS: Cross-sectional study conducted on 721 patients in Primary Care whose data were obtained from their electronic clinical record. The control of parameters such as hemoglobin-glycosylated (HbA1c), LDL-cholesterol and body mass index (BMI) was related to NIC interventions performed, particularly to those recommended for management of T2DM. RESULTS: One hundred and thirty-seven NIC interventions were performed on 2,401 occasions, 1,714 of which (71.4%) were interventions recommended for management of T2DM. Of these, 41.2% belonged to Behavioral domain, while Surveillance was the most frequent intervention (25.4%). Control of both HbA1c and LDL-cholesterol was achieved in more than 50% of cases, but BMI only was achieved in 13.6%. NIC interventions were more frequently performed on patients with controlled parameters, especially on nine of them; two interventions were negatively related to control of BMI. CONCLUSION: We have observed that with a higher incidence in the application of the NIC included in the recommendations of the clinical practice guidelines for T2DM, better health results are obtained.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Other similar studies have demonstrated the effectiveness of Pender's model, as its components enabled the identification and effective management of nutritional habits.
“Other similar studies have demonstrated the effectiveness of Pender’s model, as its components enabled the identification and effective management of nutritional habits [25].”
From Effectiveness of Nola Pender’s Health Promotion Model: A Comprehensive Approach for Enhancing Healthy Behaviors and Quality of Life in Adults (2025) · cites this paper as [25]
Table 4 reports an association between nutritional counselling or prescribed-diet teaching and better HbA1c control in patients with type 2 diabetes. The paper studies NIC nursing interventions, not Pender’s model, and does not show that the model’s components identified or effectively managed nutritional habits. (LLM, conf=0.82)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
IDF Diabetes Atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045
Cho, N. H., Shaw, J. E., Karuranga, S., Huang, Y., da Rocha Fernandes, J. D., Ohlrogge, A. W., & Malanda, B. (2018) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2018.02.023 · Cited by 7,283 · see citing works
Effect of a multifactorial intervention on mortality in type 2 diabetes
Gæde, P., Lund-Andersen, H., Parving, H.-H., & Pedersen, O. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa0706245 · Cited by 3,489 · see citing works
Prevalence of diabetes mellitus and impaired glucose regulation in Spain: the Di@bet.es Study
Soriguer, F., Goday, A., Bosch-Comas, A., Bordiú, E., Calle‐Pascual, A. L., Carmena, R., Casamitjana, R., Castaño, L. A., Castell, C., Catalá, M., et al. (2011) · Diabetologia · doi:10.1007/s00125-011-2336-9 · Cited by 1,148 · see citing works
Nursing Interventions Classification (NIC)
Bulechek, G. M., & McCloskey, J. C. (1992) · Nursing Clinics of North America · doi:10.1016/s0029-6465(22)02771-2 · Cited by 1,133 · see citing works
8. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes—2018
American Diabetes Association (2017) · Diabetes Care · doi:10.2337/dc18-s008 · Cited by 705 · see citing works
Nursing outcomes classification (NOC)
Moorhead, S. A., Johnson, M. R., Ml, M., & Swanson, E. A. (2000) · Iowa Research Online (University of Iowa) · Cited by 534 · see citing works
Nursing diagnoses: definitions and classification, 2015-2017
(2015) · Choice Reviews Online · doi:10.5860/choice.188207 · Cited by 426 · see citing works
Hemmingsen, B., Gimenez-Perez, G., Mauricio, D., Roqué i Figuls, M., Metzendorf, M.-I., & Richter, B. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd003054.pub4 · Cited by 316 · see citing works
Vinagre, I., Mata‐Cases, M., Hermosilla, E., Morros, R., Avilés, F. F., Rosell, M., Castell, C., Franch‐Nadal, J., Bolíbar, B., & Mauricio, D. (2012) · Diabetes Care · doi:10.2337/dc11-1679 · Cited by 217 · see citing works
Alonso-Morán, E., Orueta, J. F., Esteban, J. I. F., Axpe, J. M. A., González, M. L. M., Polanco, N. T., Loiola, P. E., Gaztambide, S., & Nuño-Solinis, R. (2014) · BMC Public Health · doi:10.1186/1471-2458-14-1059 · Cited by 110 · see citing works
The role of education in type 2 diabetes treatment
Świątoniowska-Lonc, N., Sarzyńska, K., Szymańska–Chabowska, A., & Jankowska‐Polańska, B. (2019) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2019.04.004 · Cited by 108 · see citing works
Radhakrishnan, K. (2012) · Journal of Advanced Nursing · doi:10.1111/j.1365-2648.2011.05860.x · Cited by 80 · see citing works
Cárdenas‐Valladolid, J., Salinero-Fort, M. Á., Gómez‐Campelo, P., de Burgos‐Lunar, C., Abánades-Herranz, J. C., Arnal-Selfa, R., & López‐de‐Andrés, A. (2012) · PLoS ONE · doi:10.1371/journal.pone.0043870 · Cited by 44 · see citing works
Implementation and Evaluation of the Nursing Process in Primary Health Care
Pérez‐Rivas, F. J., García, J. M. S., Arenas, C. M., Beamud-Lagos, M., & López, M. G. (2012) · International Journal of Nursing Knowledge · doi:10.1111/j.2047-3095.2011.01199.x · Cited by 34 · see citing works
Iannicelli, A. M., Matteo, P. D., Vito, D., Pellecchia, E., Dodaro, C. A., Giallauria, F., & Vigorito, C. (2019) · Monaldi Archives for Chest Disease · doi:10.4081/monaldi.2019.1060 · Cited by 31 · see citing works
Nursing interventions with people with obesity in Primary Health Care: an integrative review
Braga, V. A. S., Jesús, M., Conz, C. A., Tavares, R. E., da Silva, M. H., & Merighi, M. A. B. (2018) · Revista da Escola de Enfermagem da USP · doi:10.1590/s1980-220x2017019203293 · Cited by 30 · see citing works
Benefits of a home-based physical exercise program in elderly subjects with type 2 diabetes mellitus
Ferrer-García, J. C., López, P. S., Abella, C. P., Albalat-Galera, R., Elvira, L., Sánchez-Juan, C., & Pablos, A. (2011) · Endocrinología y Nutrición (English Edition) · doi:10.1016/j.endoen.2011.05.007 · Cited by 29 · see citing works
Rojas-Sánchez, O. A., Díaz, L. J. R., Gualdrón, L. M. V., Orozco‐Vargas, L. C., Bulla, C. M. F., & Camargo‐Figuera, F. A. (2009) · Enfermería Clínica · doi:10.1016/j.enfcli.2009.05.005 · Cited by 26 · see citing works
Minthorn, C., & Lunney, M. (2010) · Applied Nursing Research · doi:10.1016/j.apnr.2010.08.001 · Cited by 20 · see citing works
Yera-Casas, A. M., del Olmo, S. M.-H., Ferrero-Lobo, J., & Páez-Gutiérrez, T. D. (2009) · Enfermería Clínica · doi:10.1016/j.enfcli.2008.11.003 · Cited by 14 · see citing works
Insights and Trends in Diabetes Education
Martin, A. L., Lumber, T., Compton, T., Ernst, K. L., Haas, L. B., Regan-Klich, J., Letassy, N. A., McKnight, K. A., Nelson, J. B., Seley, J. J., et al. (2008) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721708327286 · Cited by 12 · see citing works
Annesi, J. J., & Johnson, P. H. (2013) · International Journal of Clinical and Health Psychology · doi:10.1016/s1697-2600(13)70020-6 · Cited by 7 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- Del Pino casaDo r, martínez riera Jr. Estrategias para mejorar la visibilidad y accesibilidad de los cuidados enfermeros en Atención Primaria de salud. Rev Adm Sanit 2007; 5: 311-337.
- HerDman tH, Kamitsuru S. Nursing diagnoses: definitions and classification 2012-2014. Oxford: Wiley- Backwell, 2012.
- American Diabetes Association. Older adults: standards of medical care in diabetes-2018. Diabetes Care 2018; 41 (Suppl 1): s73-s85. https://doi.org/10.2337/dc18.s008. · DOI
- BimBela serrano mt, BimBela serrano F, Bernués vázquez l. Modificación de la calidad de vida en pacien- tes con obesidad tras participar en un programa de pérdida de peso en Atención Primaria. Metas de Enfermería 2015; 18: 49-53.
Cited by
Sorted by citations
Rojas-Torres, I. L., Garizábalo Dávila, C. M., Ruidíaz Gómez, K. S., Fernández Aragón, S. P., Perea-Rojas, D. M., Rodelo Olmos, G. M., & Liñán Meléndez, N. I. (2025) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph22101506 · Cited by 5 · see citing works
Percepción de la Calidad de Atención en Servicios de Salud del Área de Materno Infantil
Celi, D. Y. T., Rubio, B. S. S., & Saraguro, D. J. L. (2024) · Ciencia Latina Revista Científica Multidisciplinar · doi:10.37811/cl_rcm.v8i1.9921 · Cited by 2 · see citing works
Muñiz, B. L. C., & Garza, M. L. C. (2023) · Itinerarios de Trabajo Social · doi:10.1344/its.i3.40736 · Cited by 1 · see citing works
Arráiz-de-Fernández, C., & Enríquez-Sisalema, D. A. (2024) · MQRInvestigar · doi:10.56048/mqr20225.8.1.2024.667-685 · Cited by 1 · see citing works
Garcia, S. J. M., Rosario, F. A. S., & Parra, E. L. (2026) · Research Square · doi:10.21203/rs.3.rs-8895914/v1
Fernandes, B. B., Marques, R. D. A., Cardoso, R. B., dos Santos, R. P., & Affonso, T. F. (2026) · Investigación y Educación en Enfermería · doi:10.17533/udea.iee.v44n1e07
- Authors
- Echenique, A. M., Rodríguez, L. S. M., & Fernández, B. M.
- Venue
- Anales del Sistema Sanitario de Navarra
- Publisher
- Gobierno de Navarra
- Published
- 2020-08-31
- Volume
- 43
- Issue
- 2
- Pages
- 159-167
- ISSN
- 1137-6627 (ISSN-L)
- OpenAlex
- W3038676481
- Cited by
- 6
- References
- 22
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 1
- FWCI
- 0.19
- Type
- journal article
- Language
- es
- Open access
- diamond
- doi.org
- Licence
- cc-by-sa
- Locations
- Anales del Sistema Sanitario de Navarra (publishedVersion, cc-by-sa)
- PubMed (publishedVersion)
- Academica-e (Universidad Pública de Navarra) (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Nursing › Issues, ethics and legal aspects › Nursing Diagnosis and Documentation
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Keywords
- type 2 diabetes, nursing interventions, NANDA nursing diagnoses, Nursing Interventions Classification, glycemic control, HbA1c, LDL cholesterol, body mass index, primary care, health management
- MeSH terms
- Cross-Sectional Studies, Diabetes Mellitus, Type 2, Glycated Hemoglobin, Humans, Cholesterol, LDL
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
