Research Information System
INTERNATIONAL GEVHER NESIBE HEALTH SCIENCES CONFERENCE-VI, Ankara, Turkey, 13 - 15 November 2020, pp.7-8
ABSTRACT
İntroduction: Diabetes is a chronic disease that affects the life of the individual and their family with various
dimensions, requires mandatory lifestyle changes, decreases the quality of life due to its complications and lasts for life with these effects. As a result of these mandatory lifestyle changes, diabetic patients have new
requirements regarding diet, exercise and drug use. It is partly possible to meet these needs individually, and
health personnel, especially nurses, have an important role to play in meeting these needs. For this reason,
nurses should provide full care to the individuals for their physiological, psychological and social needs.
Case: Abdellah’s 21 Nursing Problem Model is one of the important nursing models that provides an
understandable and easily applicable care to individuals, families and society in line with their needs.
According to Abdellah, the nurse; Profesyonel professional help to the individual, family, community; and in
developing individual problem-solving skills.” In this model, the patient's health needs are considered as
problems. The aim of basic nursing problems is to provide continuous relationship between wide nursing
problems and individual needs. According to Abdellah, 21 nursing problems have three main causes. The first
is the problems arising from the physical, sociological and emotional needs of the patient, the second is the
problems arising from the types of interpersonal relationship between the nurse and the patient, and the third
is the problems arising from the general elements of patient care. Nursing problems in Abdellah’s nursing
model; basic care requirements (level 1), supportive care requirements (level 2), remedial care requirements
(level 3), and reinforcing care requirements (level 4). Such a classification helps to identify the causes of the
problems while at the same time facilitating data collection. As a result of data collection, open or closed
problems of the patient are determined. Nursing diagnoses are also derived from nursing problems. Nursing
problems are expressions guiding the goals to be determined. Therefore, targets are set when the problem is
identified. Within the framework of the objectives; a plan is developed, appropriate nursing interventions are
identified, implemented and evaluated. Despite the increasing interest in models, the use of models in nursing
practice is not common. In this presentation, two cases with Type I diabetes were evaluated according to
Abdellah’s 21 Nursing Problem Model, and it was aimed to show the benefits of the use of Abdellah 21s 21
Nursing Problem Model in the care of the individual in the care of the patient with type I diabetes and to show
an example of using a model in nursing care. It was observed that the care plan applied by Abdellah's 21
nursing problem models increased the physiological, psychological and social adaptation of patients with type
I diabetes.
Conclusion: It is considered that Abdellah's 21 Nursing Problem Model, which treats the individual as a
biopsychosocial whole, may be appropriate for use in patients with type I diabetes.
Key Words: Type I Diabetes, Abdellah, 21 Nursing Problem Model, Nursing, Theory