Correo Electrónico
DNINFOA - SIA
Bibliotecas
Convocatorias
Identidad U.N.
Published
Educational program to promote the self-care of people with diabetes mellitus
Programa educativo para promoción del autocuidado de personas con diabetes mellitus
Programa educativo para a promoção do autocuidado de pessoas com diabetes mellitus
DOI:
https://doi.org/10.15446/av.enferm.v37n2.72316Keywords:
Nursing, Diabetes Mellitus Type 2, Self-care, Health Education (en)Enfermería, Diabetes Melllitus Tipo 2, Autocuidado, Educación en Salud (es)
Enfermagem, Diabetes Melllitus Tipo 2, Autocuidado, Educação em Saúde (pt)
Objective: to evaluate the effect of an intervention program on the capacity and action for the self-care of people with diabetes mellitus.
Method: this is an intervention study with the implementation of a problem-solving educational program in diabetes in a private health service. Capacity and action scales were applied for the self-care, in the initial moment and after the intervention with analysis of the outcome by the metabolic control. Differences were identified by the Student t test and the comparison of the scales variability calculated by Cronbach's alpha, with a 95 % confidence interval.
Results: participated in the study 23 people, with significant improvement in the values of glycated hemoglobin, glycemic and diastolic blood pressure variability after the educational
program. The educational strategy in diabetes provided improvement in both capacity and action for self-care,
respectively (p ≤ 0.0 %), Cronbach’s alpha initial 0.895 and final 0.938
Conclusion: education programs using participatory methodologies are essential to enable the person with diabetes to manage and monitor the disease.
Objetivo: evaluar el efecto de un programa de intervención sobre la capacidad y la acción para el autocuidado de las personas con diabetes mellitus.
Método: estudio de intervención con la implementación de un programa educativo problematizador en diabetes, en un servicio de salud privado. Se aplicaron escalas de capacidad y acción para el autocuidado enel momento inicial y después de laintervención con análisis del desenlace por el control metabólico. Las diferencias fueron identificadas por la prueba t de Student y la comparación de la variabilidad de las escalas calculadas por el alfa de Cronbach, con un intervalo de confianza del 95%.
Resultados: participaron del estudio 23 personas, con una mejora significativa en los valores de hemoglobina glucosa, variabilidad glucémica y diastólica de la presión arterial después del programa educativo. La estrategia educativa en diabetes proporcionó una mejora tanto en lacapacidad y en la acción para el autocuidado (p≤ 0,0%), alfa de Cronbach inicial 0,895 y final 0,938.
Conclusión: programas de educación conutilización de metodologías participativas son esenciales para capacitar a la persona con diabetes para el manejo y monitorización de la enfermedad.
Objetivo: avaliar o efeito de um programa de intervenção sobre a capacidade e ação para o autocuidado de pessoas com diabetes mellitus.
Método: trata-se de um estudo de intervenção com a implementação de um programa educativo problematizador em diabetes, em um serviço de saúde privado. Escalas de capacidade e ação para o autocuidado no momento inicial e após a intervenção com análise do desfecho por meio do controle metabólico. As diferenças foram identificadas pelo teste t de Student e a comparação da variabilidade das escalas calculada pelo alfa de Cronbach, com intervalo de confiança de 95%.
Resultados: 23 pessoas participaram do estudo com melhora significativa nos valores de hemoglobina glicada, variabilidade glicêmica e diastólica da pressão arterial após o programa educativo. A estratégia educativa em diabetes proporcionou melhora tanto na capacidade quanto na ação para o autocuidado respectivamente (p≤ 0,0%), alfa de Cronbach inicial 0,895 e final 0,938.
Conclusão: programas de educação, com utilização de metodologias participativas, são essenciais para capacitar a pessoa com diabetes para o manejo e monitorização da doença.
References
(1) Brasil. Sociedade Brasileira de Diabetes. Diretrizes da Sociedade Brasileira de Diabetes (2017-2018). São Paulo: Sociedade Brasileira de Diabetes; 2017.
(2) Cardoso AF, Queirós P, Ribeiro CF. Intervenções para a aquisição do autocuidado terapêutico da pessoa com diabetes mellitus: revisão sistemática da literatura. RevPort Saúde Pública [Internet]. 2015 [cited 2019 feb. 16];33(2):246-55. Available from: DOI: http://doi.org/10.1016/j.rpsp.2015.04.001
(3) Figueira ALG, Gomes-Villas-Boas LC, Coelho ACM, Freitas MCF, Pace AE. Intervenções educativas para conhecimento sobre a doença, adesão ao tratamento e controle do diabetes mellitus. Rev Latino-Am Enfermagem [Internet]. 2017 [cited 2018 may 19];25:e2863. Available from: DOI: http://doi.org/10.1590/1518-8345.1648.2863
(4) Sevalho G. O conceito de vulnerabilidade e educação em saúde fundamentada em Paulo Freire. Interface (Botucatu) [Internet]. 2018 [cited 2019 feb. 17];22(64):177-88. Available from: DOI: http://doi.org/10.1590/1807-57622016.0822
(5) Orem DE. Nursing: concepts of practice.2.ªed. New York:McGraw-Hill; 1980.232 p.
(6) Almeida ER, Moutinho CB, Leite MTS. A prática da educação em saúde na percepção dos usuários hipertensos e diabéticos. SaúdeDebate [Internet]. 2014 [cited 2019 feb. 16];38(101):328-37. Available from: DOI: http://doi.org/10.5935/0103-1104.20140030
(7) Pandis N, Chung B, Scherer RW, Elbourne D. CONSORT 2010 statement: updated guidelines for reporting randomized trials in parallel groups. BMJ [Internet].2010 [cited 2019 feb. 15];340:c332. Available from: DOI: https://doi.org/10.1136/bmj.c332
(8) Da Silva JV, Domingues EAR. Adaptação cultural e validação da escala para avaliar as capacidades de autocuidado. ArqCiêncSaúde [Internet]. 2017 [cited 2018 jan. 20];24(4):30-6. Available from: DOI: https://doi.org/10.17696/2318-3691.24.4.2017.686
(9) Ribeiro AC, Coelho MCS. Avaliação das capacidades de autocuidado das pessoas portadoras de diabetes mellitus tipo II. Itajubá. Trabalho de conclusão de curso [graduação em Enfermagem]. Escola de Enfermagem Wenceslau Braz; 2013.
(10) Teston EF, Sales CA, Marcon SS. Perspectivas de indivíduos com diabetes sobre autocuidado: contribuições para assistência. Esc Anna Nery [Internet]. 2017 [cited 2019 feb. 16];21(2):e20170043. Available from: DOI: https://doi.org/10.3399/bjgp17X692993
(11) American Diabetes Association. Standards of medical care in diabetes. Diabetes Care [Internet]. 2019 [cited 2019 feb. 15];42(Suplemento 1):S1-S2. Available from: DOI: https://doi.org/10.2337/dc19-Sint01
(12) Kozlowska O, Solomons L, Cuzner D, Ahmed S, McManners J, Tan GD et al. Diabetes care: closing the gap between mental and physical health in primary care. Br J Gen Pract [Internet]. 2017 [cited 2019 mar. 23];67(663):471-2. Available from: DOI: https://doi.org/10.3399/bjgp17X692993
(13) Hormstern A, Stenlund H, Lund B, Sandstom H. Improvements in HbA1C remain after 5 years follow up of an educational intervention focusing on patients personal understandings of type 2 diabetes. Diabet Res ClinPract [Internet]. 2008 [cited 2009 mar. 19];81(1):50-5. Available from: DOI: https://doi.org/10.1016/j.diabres.2008.02.005
(14) Khunti K, Gary LJ, Skinner T, Carey M, Realf K, Dalosso H et al. Effectiveness of a diabetes education and self managementprogramme (DESMOND) for people with newly diagnosed type 2 diabetes mellitus: three year follow-up of a cluster randomised controlled trial in primary care. BMJ [Internet]. 2012 [cited 2012 nov. 20];344:e2333. Available from: DOI: https://doi.org/10.1136/bmj.e2333
(15) Cordeiro-Assunção S, Pereira-Fonseca A, Fagundes-Silveira M, Prates-Caldeira A, De Pinho L. Conhecimento e atitude de pacientes com diabetes mellitus da atenção primária à saúde. Esc Anna Nery [Internet]. 2017 [cited 2019 feb. 17];21(4):1-7. Available from: https://doi.org/10.1590/2177-9465-EAN-2017-0208
(16) Carvalho-Torres H, Nogueira-Cortez D, Reis IA. Avaliação da educação em grupo de diabetes na atenção primária à saúde. CiencEnferm [Internet]. 2016 [cited 2019 feb. 16];22(3):35-45. Available from: DOI: http://doi.org/10.4067/S0717-95532016000300035
(17) Duran-Souza J, Barbosa-Baptista MH, Dos Santos-Gomides D, Pace AE. Adherence to diabetes mellitus care at three levels of health care. Esc Anna Nery [Internet]. 2017 [cited 2018 may 19];21(4):1-9. Available from: DOI: http://doi.org/10.1590/2177-9465-ean-2017-0045
(18) Odgers-Jewell K, Ball LE, Kelly JT, Isenring EA, Reidlinger DP, Thomas R. Effectiveness of group-based self-management education for individuals with type 2 diabetes: a systematic review with meta-analyses and meta-regression. Diabetic Medicine [Internet]. 2017 [cited 2019 feb. 15];34(8):1027-39. Available from: DOI: https://doi.org/10.1111/dme.13340
(19) American Diabetes Association. Standards of medical care in diabetes. Diabetes Care. 2017;40(Suppl 1):S5-S17.
(20) Alva ML, Gray A, Mihaylova B, Leal J, Holman RR. The impact of diabetes-related complications on healthcare costs: new results from the UKPDS (UKPDS 84). Diabetic Medicine [Internet]. 2014 [cited 2019 feb. 15];34(8):1027-39. Available from: DOI: https://doi.org/10.1111/dme.12647
(21) Imazu MFM, Faria BN, Arruda GO, Sales CA, Marcon SS. Effectiveness of individual and group interventions for people with type 2 diabetes. Rev Latino-Am Enfermagem [Internet]. 2015 [cited 2018 may 20];23(2):200-7. Available from: DOI: http://doi.org/10.1590/0104-1169.0247.2543
(22) Faludi AA, Izar MCO, Saraiva JFK, Chacra APM, Bianco HT, Afiune-Neto A et al. Atualização da diretriz brasileira de dislipidemias e prevenção da aterosclerose – 2017. Arq Bras Cardiol [Internet]. 2017 [cited 2019 feb. 16];109(2 Suppl 1):1-76. Available from: DOI: http://doi.org/10.5935/abc.20170121
(23) Yau-Jiunn L, Shyi-Jang S, Ruey-Hsia W, Kun-Der L, Yu-Li L, Yi-Hsien W. Pathways of empowerment perceptions, health literacy, self-efficacy, and self-care behaviors to glycemic control in patients with type 2 diabetes mellitus. Patient Educ Couns [Internet]. 2016 [cited 2019 mar. 23];99(2):287-94. Available from: DOI: https://doi.org/10.1016/j.pec.2015.08.021
(24) Umpierre D, Ribeiro PA, Kramer CK, Leitão CB, Zucatti AT, Azevedo MJ et al. Physical activity advice only or structure exercise training and association with HbA1C levels in type 2 diabetes. JAMA [Internet]. 2011 [cited 2011 oct. 20];305(17):1790-9. Available from: DOI: https://doi.org/10.1001/jama.2011.576
(25) MacLeod J, Franz MJ, Handu D, Gradwell E, Brown C, Evert A et al. Academy of nutrition and dietetics nutrition practice guideline for type 1 and type 2 diabetes in adults: systematic review of evidence for medical nutrition therapy effectiveness and recommendations for integration into the nutrition care process. J Am Diet Assoc [Internet]. 2017 [cited 2019 feb. 15];117(10):1659-79. Available from: DOI: https://doi.org/10.1016/j.jand.2017.03.023
(26) Evert AB, Boucher JL, Cypress M, Dunbar SA, Franz SJ, Mayer-Davis EJ et al. Nutrition therapy recommendations for the management of adults with diabetes. Diabetes Care [Internet]. 2014 [cited 2019 feb. 15];37(Supl 1):S120-S143. Available from: https://doi.org/10.2337/dc14-S120
(27) Coelho ACM, Gomes-Villas-Boas LC, Gomides DS, Foss-Freitas MC, Pace AE.Self-care activities and their relationship to metabolic and clinical control of people with diabetes mellitus. Texto Contexto Enferm [Internet]. 2015 [cited 2018 may 20];24(3):697-705. Available from: DOI: http://dx.doi.org/10.1590/0104-07072015000660014
(28) Brito GMG, Gois CLF, Zanetti ML, Resende GGS, Silva JRS. Quality of life, knowledge and attitude after educational program for diabetes. ActaPaul Enferm[Internet]. 2016 [cited 2018 may 20];29(3):298-306. Available from: DOI: http://doi.org/10.1590/1982-0194201600042
(29) Sweilleh WM, Zyoud SH, Abu-Nab’a RJ, Deleq MI, Enaia MI, Nassar SM et al. Influence of patients disease knowledge and beliefs about medicines on medication adherence: findings from a cross-sectional survey among patients with type 2 diabetes mellitus in Palestine. BMC Public Health [Internet]. 2014 [cited 2014 jul.18];14(94):1-8. Available from: DOI: https://doi.org/10.1186/1471-2458-14-94
(30) Balducci S, D’Errico V, Haxhi J, Sacchetti M, Orlando G, Cardelli P et al. Effect of a behavioral intervention strategy on sustained change in physical activity and sedentary behavior in patients with type 2 diabetes: the IDES 2 randomized clinical trial. JAMA [Internet]. 2019 [cited 2019 mar. 23];321(9):880-90. Available from: DOI: https://doi.org/10.1001/jama.2019.0922
(31) Lee AA, Piette JD, Heisler M, Janevic MR, Rosland AM. Diabetes self-management and glycemic control: the role of autonomy support from informal health supporters. Health Psychol [Internet]. 2019 [cited 2019 mar. 23];38(2):122-32.Available from: DOI: http://doi.org/10.1037/hea0000710
(32) Vieira GLC, Cecílio SG, Torres HC. A percepção dos usuários com diabetes sobre a estratégia de educação em grupos na promoção do autocuidado. Esc Anna Nery [Internet]. 2017 [cited 2018 may 20];21(1):e20170017. Available from: DOI: http://doi.org/10.5935/1414-8145.20170017
(33) Chavan GM, Waghachavare VB, Gore AD, Chavan VM, Dhobale RV, Dhumale GB. Knowledge about diabetes and relationship between compliance to the management among the diabetic patients from rural area of Sangli District, Maharashtra, India. J Family Med Prim Care [Internet]. 2015 [cited 2016 feb. 10];4(3):439-43. Available from: DOI: 10.4103/2249-4863.161349
(34) Ku GMV, Kegels G. Effects of the First Line Diabetes Care (FiLDCare) self-management education and support project on knowledge, attitudes, perceptions, self-management practices and glycaemic control: a quasi-experimental study conducted in the Northern Philippines. BMJ Open [Internet]. 2014 [cited 2019 feb. 17];4:1-13. Available from: DOI: http://doi.org/10.1136/bmjopen-2014-005317
How to Cite
VANCOUVER
ACM
ACS
APA
ABNT
Chicago
Harvard
IEEE
MLA
Turabian
Download Citation
CrossRef Cited-by
1. Juan Manuel Chan Santiago, Antonio Vicente Yam Sosa, Patricia Gómez Aguilar, Didier Francisco Aké Canul. (2020). Entrenamiento de pares comunitarios para proporcionar apoyo de autocontrol en diabetes tipo 2. Revista CuidArte, https://doi.org/10.22201/fesi.23958979e.2020.9.18.76670.
2. Alex Araújo Rodrigues, Elessandra da Silva Sicsu, Raquel da Costa Gato, Tâmille Vieira Machado, Elizabet Teixeira, Darlisom Sousa Ferreira. (2025). Guia do jogo “alfabeto dos cuidados com os pés de crianças” para educadores em diabetes. Revista de Enfermagem da UFSM, 15, p.e20. https://doi.org/10.5902/2179769290528.
Dimensions
PlumX
Article abstract page views
Downloads
License
Copyright (c) 2019 Avances en Enfermería
This work is licensed under a Creative Commons Attribution 4.0 International License.
All articles published by Avances en Enfermería are licensed under the Creative Commons Attribution 4.0 International License. Starting 2020, we added the CC-BY-NC recognition to the license, which means anyone is allowed to copy, redistribute, remix, transmit and transform our contents with non-commercial purposes, and although new works must adequately cite the original work and source and also pursue non-commercial purposes, users do not have to license derivative works under the same terms.
