Introduction: Diabetes mellitus is one of the most prevalent chronic noncommunicable diseases in the world. Objective: To validate by expert consensus the Nursing Outcomes Classification (NOC) self-management: diabetes (1619) and social support (1504), as well as to validate the intervention of social support for adults in the self-management of type 2 diabetes mellitus (DM2). Materials and Methods: A consensus study. Several phases were delimited for validation: the first was to validate the results and indicators; the second was to construct and validate the conceptual and operational definitions; and the magnitude of the selected indicators; and the third was to design and validate the intervention of social support for adults in the self-management of DM2. Results: 28 indicators were selected and validated by experts out of the 44 that make up the nursing outcome of self-management: diabetes, and 9 indicators out of the 12 that make up the social support outcome, both with a Content Validity Index (CVI) of 0.98. As for the intervention, a social support intervention was designed for the self-management of DM2, individualized, and made up of 4 sessions. The components of the intervention include generalities of DM2, healthy life habits, safe care, and emotional support. Discussion: Nursing professionals must evaluate people who experience diabetes, and their capacity for self-management and social support in order to provide appropriate interventions and evaluate their effectiveness. Conclusions: The study significantly evidenced the validation of the two nursing outcomes and their respective indicators, added to the conceptual and operational definitions, and their magnitude.

Background: Social support interventions seek to improve the self-management of type 2 diabetes mellitus (T2DM). They provide an opportunity to generate greater social value in nursing care and achieve preventive health behaviors. Methods: A randomized controlled trial will be employed, covering 94 adults diagnosed with T2DM who attend outpatient diabetes consultations. Using 1:1 random allocation, 47 patients will be assigned to the social support intervention group and 47 will be assigned to the usual care group. The participants will be assessed using the following Nursing Outcomes Classification (NOC) labels: self-management: diabetes (1619); and social support (1504). The study participants will receive four individualized fortnightly sessions of social support, lasting 40 minutes each, and will be followed up on for three months afterwards. Results: The participants in the social support intervention group are expected to achieve greater self-management of T2DM than the participants in the usual care group. Discussion: Testing a social support intervention provided to adults by nurses for self-management of T2DM is a novel approach based on disciplinary theoretical support. It is consistent with the new paradigms, providing opportunities for comprehensive care and enabling those who live with diabetes to be more autonomous and empowered and to enjoy better health outcomes and a better quality of life.

La diabetes mellitus (DM) se considera una de las emergencias sanitarias mundiales del siglo XXI, por lo que constituye un tema de gran preocupación para la comunidad académica. Según estudios, la prevalencia de DM está aumentando notablemente en todo el mundo, debido al aumento de factores de riesgo como el sobrepeso, la obesidad y la falta de actividad física. Se estima que de continuar el aumento en los factores de riesgo, para el 2045 aproximadamente 693 millones de personas padecerán DM.La DM impacta de forma directa a quien lo padece en las diferentes esferas de su vida y se asocia con múltiples alteraciones físicas, psicológicas y sociales; causando una gran carga económica para las personas, las familias y para el sistema de salud, debido al uso incrementado de los servicios, la pérdida de productividad y a las múltiples complicaciones a largo plazo. En esa lógica, están presentes situaciones adversas como el estado funcional deficiente, hospitalizaciones innecesarias, eventos adversos de medicamentos, síntomas persistentes, asesorías contradictorias por parte de profesionales de la salud e incluso la muerte.Como citar este artículo: Garizábalo-Dávila CM, Rodríguez-Acelas AL, Cañon-Montañez W. Soporte social enfocado a personas con diabetes: una necesidad desde enfermería. Rev Cuid. 2019; 10(1): e697. http://dx.doi.org/10.15649/cuidarte.v10i1.697

Health behavior encompasses the attitudes, decisions, and actions that individuals adopt in their daily lives and that directly influence their well-being. The objective of this study was to evaluate the effectiveness of a nursing intervention based on Nola Pender’s Health Promotion Model in promoting healthy behaviors among adults over 20 years of age. A quasi-experimental design was used with a sample of adults from a Colombian community. In 2022, sociodemographic data were collected, and the Health-Promoting Lifestyle Profile II (HPLP-II), developed by Nola Pender to measure healthy lifestyles, was administered. In 2023, the intervention was carried out in 24 group sessions of 40 min each, supported by printed educational material and focused on the dimensions of Pender’s theory. Statistical analysis using nonparametric tests such as the Mann–Whitney U and Kruskal–Wallis tests showed significant improvements: the overall score increased from 22.92 in the pre-test to 27.30 in the post-test. The physical activity dimension received the lowest score, while the spiritual growth dimension showed the highest improvement. The results indicate that nursing interventions based on Pender’s model led to statistically significant improvements in multiple dimensions of healthy behavior, with the greatest impact on spiritual growth and health responsibility.

Objetivo: Reflexionar sobre los problemas metodológicos para el abordaje del cuidado contemporáneo, con el fin de fortalecer y engrandecer el conocimiento de la enfermería con la mirada puesta hacia el cuidado. Método: Artículo reflexivo que propone una descripción conceptual de tópico de interés en el objeto de estudio de Enfermería como sus paradigmas, fenómenos de cuidado, desarticulación de la teoría y la práctica. Resultados principales: El análisis engloba ejes temáticos que se relacionan con los principales problemas metodológicos para el cuidado de Enfermería, entre los que se destacan la dicotomía entre los paradigmas de Enfermería y el poco abordaje de los fenómenos de cuidado. Conclusión principal: la identificación de los problemas metodológicos del cuidado permitió plantear estrategias para superarlos, lo cual contribuye al mejoramiento de la calidad de vida de los individuos, las familias y las comunidades.