NANDA, Palliative Care and Biopsychosocial Dimensions Affected in Hypertensive and Diabetic Individuals

Abstract

Introduction: The relationship between palliative care and nursing taxonomies is a problem concerning the care of the individual with arterial hypertension and diabetes mellitus in any of their clinical forms.

Objective: To relate the biological, psychological and social dimensions affected in hypertensive and diabetic adults with the nursing taxonomy and palliative care stated in the clinical practice guidelines of Ecuador.

Methods: A descriptive, cross-sectional and quantitative study was carried out between May and August 2020. The population included 289 individuals who received attention at the first level of the Chambo-Riobamba health district, to whom the Quality of Life and Patient Satisfaction Scale was applied in order to identify affected biopsychosocial dimensions.

Results: The limitation in physical activity is the element of the biological dimension affected in 51.20% of the participants. In the psychological sphere, changes referred to in their persons were identified (49.81%). The social sphere is reported to have limitations when the participants perform activities (46.71%). The consulted clinical practice guidelines lack palliative care interventions with a psychological-social approach.

Conclusions: A predominance of limitations was identified in the biological sphere, characterized by difficulties for performing physical activity. The correspondence between the nursing diagnostic categories and palliative care was established with such approach in the clinical practice guidelines for arterial hypertension and diabetes mellitus in Ecuador, in which actions aimed at satisfying needs in the biological sphere were found, at the same time that absence of interventions with a psychological-social approach.