Nursing Care for Type 2 Diabetes Mellitus Patients Based on Nola J. Pender's Health Promotion Model: A Case Report

Authors

DOI:

https://doi.org/10.37287/ijghr.v8i3.993

Keywords:

Diabetes Mellitus, Health Promotion, Nursing, Patient Care Planning

Abstract

Type 2 Diabetes Mellitus (T2DM) is a global health burden with increasing prevalence. Persistent hyperglycemia can lead to both microvascular and macrovascular complications. The patient's adherence to therapy, especially lifestyle modifications (diet and physical activity), is the main determinant of treatment success. The purpose of this case report is to analyze the basic concepts, key components, and application of the Nola J. Pender Health Promotion Model in the nursing practice of Type 2 Diabetes Mellitus. This study employed a descriptive case report design. Data were collected through comprehensive nursing assessment, including patient interviews, physical examinations, anthropometric measurements, laboratory results, and review of medical records. Data analysis was conducted using a theory-based approach by systematically mapping patient data to the components of Nola J. Pender’s Health Promotion Model. The analysis showed that the Health Promotion Model effectively guided nursing interventions to promote positive health behaviors, such as physical activity, balanced nutrition, medication adherence, and stress management. This model provides a comprehensive framework that considers personal, interpersonal, and situational factors in the formation of health behaviors. Nola J. Pender's Health Promotion Model provides systematic guidance for nurses to identify factors influencing health behaviors and design holistic, client-centered interventions.

References

Alligood, M.R. (2021) Nursing Theorists and Their Work E-Book: Nursing Theorists and Their Work E-Book. 10th ed. India: Elsevier.

American, D.A.P.P.C. (2024) “Standards of Care in Diabetes-2024,” Diabetes Care, 47.

Assunta Cefalo, C.M. et al. (2025) “Differences in target organ damage in individuals with intermediate hyperglycemia and type 2 diabetes identified by 1-hour plasma glucose during an oral glucose tolerance test,” Diabetes Research and Clinical Practice, 219, p. 111941. Available at: https://doi.org/https://doi.org/10.1016/j.diabres.2024.111941.

Awad, S.F. et al. (2021) “Forecasting the type 2 diabetes mellitus epidemic and the role of key risk factors in Oman up to 2050: Mathematical modeling analyses.,” Journal of diabetes investigation, 12(7), pp. 1162–1174. Available at: https://doi.org/10.1111/jdi.13452.

Barreto, R. et al. (2021) “Healthy aging promotion model referenced in Nola Pender’s theory,” Revista brasileira de enfermagem, 75(1), pp. 1–9. Available at: https://www.scielo.br/j/reben/a/3q4xxH7VBQhg37bRT4ZZP3y/?format=html&lang=pt.

Gleason, K. et al. (2021) “The critical need for nursing education to address the diagnostic process,” Nursing Outlook, 69(3), pp. 362–369. Available at: https://doi.org/https://doi.org/10.1016/j.outlook.2020.12.005.

Grunberg, N.E. (2024) Multidisciplinary Teamwork in Healthcare. Edited by IntechOpen. London.

He, Q., Chen, X. and Zeh, P. (2023) “Promoting Self-care and Management for Patients With Type 2 Diabetes Based on Lifestyle Changes Under the Concept of Person-centered Care: A Review,” Alternative Therapies in Health and Medicine, 29(5), pp. 302–307.

Ji, C. et al. (2024) “The Relationship between physical activity, nutritional status, and sarcopenia in community- dwelling older adults with type 2 diabetes: a cross-sectional study,” BMC Geriatrics, 24(1), p. 506. Available at: https://doi.org/10.1186/s12877-024-05038-6.

Kautzky-Willer, A., Harreiter, J. and Pacini, G. (2016) “Sex and Gender Differences in Risk, Pathophysiology and Complications of Type 2 Diabetes Mellitus.,” Endocrine reviews, 37(3), pp. 278–316. Available at: https://doi.org/10.1210/er.2015-1137.

Lu, X. et al. (2024) “Type 2 diabetes mellitus in adults: pathogenesis, prevention and therapy,” Signal Transduction and Targeted Therapy, 9(1), p. 262. Available at: https://doi.org/10.1038/s41392-024-01951-9.

Martos-Cabrera, M.B. et al. (2021) “Nursing-Intense Health Education Intervention for Persons with Type 2 Diabetes: A Quasi-Experimental Study,” Healthcare, p. 832. Available at: https://doi.org/10.3390/healthcare9070832.

Miranda, V.C. et al. (2017) “Beneficios de la consejería personalizada de enfermería en pacientes neurológicosBenefits of personalised nurse counselling in neurological patients,” Revista Científica de la Sociedad Española de Enfermería Neurológica, 46, pp. 18–25. Available at: https://doi.org/10.1016/j.sedene.2017.07.002.

Murray, C.J.L. et al. (2020) “Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019,” The Lancet, 396(10258), pp. 1223–1249. Available at: https://doi.org/10.1016/S0140-6736(20)30752-2.

Nene, S.E. (2024) “Nursing managers’ perceptions of teamwork and collaboration in mining primary healthcare clinics in Gauteng,” Curationis, 47(1), pp. 1–7. Available at: https://doi.org/10.4102/curationis.v47i1.2574.

Ong, K.L. et al. (2023) “Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the Global Burden of Disease Study 2021,” The Lancet, 402(10397), pp. 203–234. Available at: https://doi.org/10.1016/S0140-6736(23)01301-6.

Petroni, M.L. et al. (2021) “Nutrition in Patients with Type 2 Diabetes: Present Knowledge and Remaining Challenges,” Nutrients, p. 2748. Available at: https://doi.org/10.3390/nu13082748.

Potter, P.A. et al. (2025) Fundamentals of Nursing. 12th ed. India: Elsevier Health Sciences.

Salamanca-Ramos, E. (2015) “Estilos de vida promotores de salud en mujeres de los programas sociales de Villavicencio-Colombia,” Orinoquia, 19(2), pp. 213–219. Available at: https://doi.org/10.22579/20112629.335.

Santi, D.B. and Baldissera, V.D.A. (2023) “Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice,” Saúde em Debate, 47(139), pp. 993–996. Available at: https://doi.org/10.1590/0103-1104202313919.

Shahabi, N. et al. (2022) “Application of Pender’s health promotion model for type 2 diabetes treatment adherence: protocol for a mixed methods study in southern Iran,” Trials, 23(1), p. 1056. Available at: https://doi.org/10.1186/s13063-022-07027-9.

Shahabi, N. et al. (2024) “A health promotion model-based intervention to enhance treatment adherence in patients with type 2 diabetes,” BMC Public Health, 24(1), p. 1943. Available at: https://doi.org/10.1186/s12889-024-19452-3.

Sperry, J.L. et al. (2007) “Early Hyperglycemia Predicts Multiple Organ Failure and Mortality but Not Infection,” Journal of Trauma and Acute Care Surgery, 63(3). Available at: https://journals.lww.com/jtrauma/fulltext/2007/09000/early_hyperglycemia_predicts_multiple_organ.1.aspx.

Syeda, U.S.A. et al. (2023) “The importance of exercise for glycemic control in type 2 diabetes,” American Journal of Medicine Open, 9, p. 100031. Available at: https://doi.org/https://doi.org/10.1016/j.ajmo.2023.100031.

Vos, T. et al. (2020) “GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019,” The Lancet, 396(10258), pp. 1204–1222. Available at: https://doi.org/10.1016/S0140-6736(20)30925-9.

Zheng, Y., Ley, S.H. and Hu, F.B. (2018) “Global aetiology and epidemiology of type 2 diabetes mellitus and its complications.,” Nature reviews. Endocrinology, 14(2), pp. 88–98. Available at: https://doi.org/10.1038/nrendo.2017.151.

Downloads

Published

2026-06-05

How to Cite

Sofais, D. A. R., & Nursanti, I. (2026). Nursing Care for Type 2 Diabetes Mellitus Patients Based on Nola J. Pender’s Health Promotion Model: A Case Report. Indonesian Journal of Global Health Research, 8(3), 1323–1334. https://doi.org/10.37287/ijghr.v8i3.993

Similar Articles

<< < 5 6 7 8 9 10 11 12 13 14 > >> 

You may also start an advanced similarity search for this article.