Diagnósticos de enfermagem em pacientes com Diabetes Mellitus tipo 1

Abstract

Introduction: Type 1 Diabetes Mellitus is an autoimmune disease resulting from the destruction of pancreatic βcells, leading to a complete deficiency in insulin production. Objective: to identify the main Nursing Diagnoses according to the NANDA-I taxonomy in adults with DM1. Materials and Methods: Descriptive multiple case study based on objective and subjectivedata of people with DM 1 undergoing insulin therapy. Data collection occurred through the application of a questionnaire and nursing consultation including anamnesis and physical examination. The main Nursing Diagnoses were identified according to the NANDA-I taxonomy. Results and discussion: 30 patients with a medical diagnosis of DM1 were evaluated. Regarding the main Nursing Diagnoses, the mostprevalent were identified as: acute pain (66.7%), impaired tissue integrity (60.0%), impaired skin integrity (53.3%) and impaired comfort (50%). Regarding the amount of insulin application, most reported taking more than 5 daily applications. Conclusion: The importance of systematic nursing care for patients with DM1 is highlighted, with emphasis on guidelines on insulin therapy and skin care, identifying possible changes and preventing complications.