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BACKGROUND: To analyze whether nursing interventions classified according to NIC taxonomy and applied to patients with type 2 diabetes mellitus (T2DM), showing the NANDA diagnoses "Willingness to improve your own health management", are related to better achievement of T2DM control. METHODS: Cross-sectional study conducted on 721 patients in Primary Care whose data were obtained from their electronic clinical record. The control of parameters such as hemoglobin-glycosylated (HbA1c), LDL-cholesterol and body mass index (BMI) was related to NIC interventions performed, particularly to those recommended for management of T2DM. RESULTS: One hundred and thirty-seven NIC interventions were performed on 2,401 occasions, 1,714 of which (71.4%) were interventions recommended for management of T2DM. Of these, 41.2% belonged to Behavioral domain, while Surveillance was the most frequent intervention (25.4%). Control of both HbA1c and LDL-cholesterol was achieved in more than 50% of cases, but BMI only was achieved in 13.6%. NIC interventions were more frequently performed on patients with controlled parameters, especially on nine of them; two interventions were negatively related to control of BMI. CONCLUSION: We have observed that with a higher incidence in the application of the NIC included in the recommendations of the clinical practice guidelines for T2DM, better health results are obtained.

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Este artículo reflexiona sobre la Gestión de Cuidados y la atención a las personas que realizan las enfermeras comunitarias; su aportación y valor, tanto para la profesión como para la sociedad. A lo largo de los casi 40 años de la Atención Primaria, las enfermeras comunitarias han logrado un gran desarrollo de la profesión y de sus competencias (nivel universitario, especialización, prescripción). Sin embargo, todavía quedan pendientes cuestiones como regular las competencias enfermeras, el reconocimiento social del trabajo que se realiza, así como ocupar una posición visible y de manera continuada en la política de los sistemas de salud. En esa dirección se debe trabajar ahora para intentar dar respuesta a las necesidades actuales de la población que nada tienen que ver con las de hace unas décadas.comienza un tiempo de cambio para la Atención Primaria y las enfermeras comunitarias debemos liderarlo

This article reflects on the Care Management and the attention to the people who carry out the community nurses, their contribution and value both for the profession and for society. Throughout the almost 40 years of Primary Care, community nurses have achieved a great development of the profession and its competences (university level, specialization, prescription). However, there are still outstanding issues such as regulating nursing competencies, social recognition of the work being done as well as occupying a visible and continuous position in the health systems policy. In that direction we must work now to try to respond to the current needs of the population, that have nothing to do with those of a few decades ago. A time of change for Primary Care begins and community nurses must be leading it

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