Nursing consultation based on self-care supported by people with Diabetes Mellitus: an experience report.
Gabrielly Segatto Brito, Rosilene Rocha Palasson, Sonia Silva Marcon and 1 others
PMID 41370582WHAT IT FOUND
Nurses used structured diabetes consultations and phone calls to set signed self-care goals.
Participants initially resisted lifestyle change, then recognized benefits; nurses noted improved self-perception and clinical parameters.
Key findings
01A structured nursing consultation schedule combined three monthly in-person consultations with two monthly telephone calls to monitor goals agreed with people with type 2 diabetes.
02The consultation instrument asked participants to set specific, realistic goals, rate confidence from zero to ten, and sign a contract to reinforce accountability.
03Participants initially resisted non-medication treatment, but after observing clinical results they recognized positive impact; nurses reported improved self-perception and clinical parameters at the end.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The paper does not state how many people took part, so the observations cannot be weighted by sample size. It is an experience report, not a controlled trial, so no comparison group or random assignment was used. The reported changes are described in words; the paper does not provide numeric baseline or follow-up outcomes. The authors describe their own implementation and instrument development, so their observations may be influenced by their investment in the method. The consultation instrument was shortened because it was long, and no standardized nursing language system was used.
Declared interests
The work was supported by Brazilian public research and health funding agencies, including CAPES, the Federal University of Mato Grosso do Sul Foundation, and PPSUS, with financial support from Decit/SCTIE/MS through CNPq, FUNDECT, and SES-MS. No conflicts of interest are stated.
The easy way to misread this
Do not read this as evidence that the consultation improved diabetes control. The report gives no participant count and no numeric outcome data; it describes nurses' observations of changed self-perception and clinical parameters.