Limitations in self-care for a patient with Diabetes complications: Amputation and visual impairment
DOI:
https://doi.org/10.70577/xvfyxf85Keywords:
Type 2 Diabetes Mellitus, diabetic retinopathy, amputation, nursing diagnosis, self-care, Nursing Process, quality of life.Abstract
Type 2 diabetes mellitus is a major public health problem due to its high prevalence and chronic complications that affect the functionality and quality of life of those affected. The objective of this study was to apply the Nursing Care Process to a patient with type 2 diabetes mellitus who underwent an infracondylar amputation secondary to diabetic foot and had visual impairment associated with diabetic retinopathy, in order to address care needs and create interventions aimed at improving self-care. The methodology used was a clinical case study developed through a comprehensive assessment, with a qualitative, descriptive approach, utilizing functional health patterns and formulating nursing diagnoses according to the NANDA taxonomy. The main findings revealed limitations in self-care, limited mobility, and difficulties in health self-management stemming from the disease itself. The implementation of educational interventions, self-care support, and rehabilitation benefited the patient, improving functional independence and adherence to treatment. In conclusion, the systematic application of the Nursing Care Process contributed to identifying timely needs, promoting functional recovery, and improving the quality of life for patients with these serious complications.
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Bilgehan, T., Sönmez, M., Türkçapar, H., & Göktaş, M. (2025). Invisible struggle: Diabetes self-management through the eyes of diabetic individuals with retinopathy. Nursing & Health Sciences, 27(2), e70144. https://doi.org/10.1111/nhs.70144 DOI: https://doi.org/10.1111/nhs.70144
Byrnes, J., Ward, L., Jensen, S., Sagoo, M., Charles, D., Mann, R., Nghiem, S., Finch, J., Gavaghan, B., McBride, L., & Lazzarini, P. (2024). Health-related quality of life in people with different diabetes-related foot ulcer health states: A cross-sectional study of healed, non-infected, infected, hospitalised and amputated ulcer states. Diabetes Research and Clinical Practice, 207, 111061. https://doi.org/10.1016/j.diabres.2023.111061 DOI: https://doi.org/10.1016/j.diabres.2023.111061
Chang, S., Kim, H., Lee, K., & Yang, E. (2022). Factors associated with diabetes self-care behaviors of people with visual impairment: A cross-sectional study. Science of Diabetes Self-Management and Care, 48(5), 324–335. https://doi.org/10.1177/26350106221116023 DOI: https://doi.org/10.1177/26350106221116023
Ezzatvar, Y., & García-Hermoso, A. (2023). Global estimates of diabetes-related amputations incidence in 2010–2020: A systematic review and meta-analysis. Diabetes Research and Clinical Practice, 195, 110194. https://doi.org/10.1016/j.diabres.2022.110194 DOI: https://doi.org/10.1016/j.diabres.2022.110194
Fereidooni, G., Ghofranipour, F., & Zarei, F. (2024). Interplay of self-care, self-efficacy, and health deviation self-care requisites: A study on type 2 diabetes patients through the lens of Orem's self-care theory. BMC Primary Care, 25(1), 48. https://doi.org/10.1186/s12875-024-02276-w DOI: https://doi.org/10.1186/s12875-024-02276-w
Goyzueta, A., & Cervantes, S. (2020). Nivel de autocuidado de los pies en pacientes diabéticos de un hospital de Lima Norte. Peruvian Journal of Health Care and Global Health, 4(2), 56–64. https://doi.org/10.22258/hgh.2020.42.81 DOI: https://doi.org/10.22258/hgh.2020.42.81
Heredia, M., & Cabriales, E. (2022). Riesgo de diabetes mellitus tipo 2 y sus determinantes. Enfermería Global, 21(1), 179–202. https://doi.org/10.6018/eglobal.482971 DOI: https://doi.org/10.6018/eglobal.482971
Heydarian, N., Brown-Podgorski, B., & Ramirez, J. (2021). Visual impairment and self-efficacy in diabetes management. Science of Diabetes Self-Management and Care, 47(5), 346–354. https://doi.org/10.1177/26350106211033811 DOI: https://doi.org/10.1177/26350106211033811
Instituto Nacional de Estadística y Censos. (2024). Defunciones generales. https://app.powerbi.com/view?r=eyJrIjoiNTFmZGJhYTQtM2JjOS00MTkyLTk3MTYtYmQyM2NhNjgzZDVjIiwidCI6ImYxNThhMmU4LWNhZWMtNDQwNi1iMGFiLWY1ZTI1OWJkYTExMiJ9
Lu, Y., Wang, W., Liu, J., Xie, M., Liu, Q., & Li, S. (2023). Vascular complications of diabetes: A narrative review. Medicine, 102(40), e35285. https://doi.org/10.1097/MD.0000000000035285 DOI: https://doi.org/10.1097/MD.0000000000035285
Madero, K., & Orgulloso, C. (2022). Prácticas de autocuidado que realizan pacientes con diabetes mellitus tipo 2 de Cartagena-Colombia, 2021. Revista Cuidarte, 13(3), e2534. https://doi.org/10.15649/cuidarte.2534 DOI: https://doi.org/10.15649/cuidarte.2534
Madit, W., Harnirattisai, T., Hain, D., & Gaudio, P. (2024). Effect of a self-care promoting program on engagement in self-care behaviors and health-related outcomes among persons with type 2 diabetes and diabetic retinopathy: A single-blind randomized controlled trial. Belitung Nursing Journal, 10(3), 272–284. https://doi.org/10.33546/bnj.3360 DOI: https://doi.org/10.33546/bnj.3360
Organización Mundial de la Salud. (2024a). Diabetes. https://www.who.int/es/news-room/fact-sheets/detail/diabetes
Organización Mundial de la Salud. (2024b). Las 10 causas principales de defunción. https://www.who.int/es/news-room/fact-sheets/detail/the-top-10-causes-of-death
Perveen, W., Ahsan, H., Shahzad, R., Fayyaz, S., Zaif, A., Paracha, M., Nuhmani, S., Khan, M., & Alghadir, A. (2024). Prevalence of peripheral neuropathy, amputation, and quality of life in patients with diabetes mellitus. Scientific Reports, 14(1), 14430. https://doi.org/10.1038/s41598-024-65495-2 DOI: https://doi.org/10.1038/s41598-024-65495-2
Serret, D., Rodríguez, A., Díaz, A., Benítez, M., & Maldonado, G. (2024). Principales comorbilidades y complicaciones en pacientes diabéticos tipo 2 desde dos miradas diferentes. Finlay, 14(3), 276–287.
Talaya, E., Tárraga, L., Madrona, F., Romero, J., & Tárraga, P. (2022). Prevención de amputaciones relacionadas con el pie diabético. Journal of Negative and No Positive Results, 7(2), 235–265. https://doi.org/10.19230/jonnpr.4350
Tanaka, M. (2022). Orem's nursing self-care deficit theory: A theoretical analysis focusing on its philosophical and sociological foundation. Nursing Forum, 57(3), 480–485. https://doi.org/10.1111/nuf.12696 DOI: https://doi.org/10.1111/nuf.12696
Yanangómez, S., Mora, D., & Jaramillo, M. (2026). Complicaciones del pie diabético y su relación con el autocuidado en centros de salud, Machala, 2025. Ciencia Latina Revista Científica Multidisciplinar, 10(1), 159–172. https://doi.org/10.37811/cl_rcm.v10i1.0.22886 DOI: https://doi.org/10.37811/cl_rcm.v10i1.0.22886
Zayed, M., Karsan, W., Peto, T., Saravanan, P., Virgili, G., & Preiss, D. (2024). Diabetic retinopathy and quality of life: A systematic review and meta-analysis. JAMA Ophthalmology, 142(3), 199–207. https://doi.org/10.1001/jamaophthalmol.2023.6435 DOI: https://doi.org/10.1001/jamaophthalmol.2023.6435
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