Objetivo: analisar o conteúdo das anotações de enfermagem em prontuários de pacientes, em . Metodologia: estudo quantitativo, com 151 prontuários de pacientes internados, de uma unidade de terapia intensiva (UTI) de um hospital público terciário de Fortaleza-CE, Brasil, do período de setembro de 2014 a fevereiro de 2015, cujas anotações de 48 horas e de alta foram avaliadas. Resultados: dados evidenciaram anotações com conteúdo deficiente, que não expressavam a realidade dos pacientes e a assistência de enfermagem prestada. Observou-se adequação em relação ao preenchimento dos dados: data, horário e identificação do paciente, mas o preenchimento do número do Conselho Regional de Enfermagem do Ceará e assinatura do profissional sinalizaram preocupação pelo alto percentual de não conformidade aos aspectos éticos e legais. Conclusão: as anotações de enfermagem não refletiram as gravidades dos pacientes, nem a dinâmica da UTI. Descritores: Registros de Enfermagem, Auditoria de Enfermagem, Cuidados Críticos, Enfermagem, Qualidade da Assistência à Saúde.NURSING NOTES: QUALITY ASSESSMENT IN INTENSIVE CARE UNITObjective: Analyze the contents of nursing notes in patients’ records in an intensive care unit (ICU) of a public tertiary hospital in Fortaleza, CE. It is a descriptive study with quantitative approach that analyzed 151 medical records of patients admitted to an ICU, from September 2014 to February 2015, whose 48 hour and discharge notes were evaluated. Data revealed notes with poor content, which did not express the patients’ situation, nor the nursing care provided. Data concerning date, time, and patient identification were adequate. However, the COREN number and the professional’s signature raised concern given the high percentage of non-compliance regarding ethical and legal aspects. Nursing notes did not reflect the severity of patients, nor the dynamics in the ICUDescriptors: Nursing Records, Nursing Audit, Critical Care, Nursing, Quality of Health CareANOTACIONES DE ENFERMERÍA: EVALUACIÓN DE LA CALIDAD EN UNIDAD DE TERAPIA INTENSIVAObjetivo: analizar el contenido de las anotaciones de enfermería en registros de pacientes, en una unidad de terapia intensiva (UTI) de un hospital público terciario de Fortaleza-CE, Brasil. Metodología: estudio cuantitativo con 151 prontuarios de pacientes internados, de septiembre de 2014 a febrero de 2015, cuyas anotaciones de 48 horas y de alta fueron evaluadas. Resultados: datos evidenciaron anotaciones con contenido deficiente, que no expresaban la realidad de los pacientes y la asistencia de enfermería prestada. Se observó adecuación en relación al llenado de los datos: fecha, hora e identificación del paciente, pero el llenado del número del Consejo Regional de Enfermería de Ceará y firma del profesional señalaron preocupación por el alto porcentaje de no conformidad a los aspectos éticos y legales. Conclusión: las anotaciones de enfermería no reflejaron las gravedades de los pacientes, ni la dinámica de la UTI.Descriptores: Registros de Enfermería, Auditoría de enfermería, Cuidados Críticos, Enfermería; Calidad de la Atención de Salud.

Aim: To evaluate the effectiveness of educational digital technology in improving patients' and health professionals' knowledge about diabetes management.Background: The use of digital technologies has been expanding in recent years in several areas of healthcare and education.Design: Integrative literature review.

O presente estudo descreve práticas interdisciplinares de cuidado desenvolvidas em uma residência multiprofissional em diabetes. Trata-se de estudo descritivo realizado em um Serviço de Endocrinologia e Diabetes. A coleta de dados ocorreu no período de setembro a dezembro de 2020, por meio de formulário semi-estruturado e observação direta. A amostra foi composta por 16  profissionais da área da saúde e de apoio. Os dados foram analisados de forma descritiva. Os resultados mostram que a residência multiprofissional em diabetes é uma formação permanente em saúde, promissora e inovadora, que busca agregar a teoria e a prática durante o exercício das atividades em serviço e possibilita o compartilhamento de informações na equipe multiprofissional, gerando condutas interdisciplinares, integradas e holísiticas. Desse modo, conclui-se que as práticas interdisciplinares de cuidado possibilitam, além de uma formação específica, a ampliação da assistência especializada em diabetes nos três níveis de atenção à saúde, subsidiando melhorias na qualidade de vida dos pacientes e a formação de profissionais qualificados para o mercado de trabalho.

Adequate management of diabetes requires professional improvement programs. This study aimed to analyze the effect of a simulation activity on the acquisition of knowledge about blood glucose monitoring and hypoglycemia management. The study employed a pre-post intervention approach and was carried out in a university hospital located in Brazil. The participants were 82 graduating nursing students and nursing professionals studying/working at the university hospital. The intervention consisted of theoretical sessions, a practical simulation about glycemic monitoring and hypoglycemia management, and the pre- and post-tests. The simulation consisted of a rubber hand mannequin that allows simulating the glucose testing. There was a significant increase in knowledge after intervention with the total number of correct answers increasing from 186 in the pre-test to 326 in the post-test (+140, p < .001). The intervention was effective in increasing the participants' knowledge about glycemic monitoring and hypoglycemia management, favoring a better nursing care for people with diabetes.

Objetivo: Sintetizar evidências disponíveis sobre ações de enfermagem para melhorar a autogestão do diabetes durante a pandemia de COVID-19. Método: Revisão de escopo usando a metodologia Joanna Briggs Institute e o Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews. Identificaram-se estudos acadêmicos e literatura cinzenta de sete bases de dados primárias e seis secundárias. Dois revisores avaliaram os estudos e os dados foram analisados ​​descritivamente. Resultados: Foram identificados 1.322 títulos, dos quais 31 estudos foram incluídos. Os estudos foram publicados em 2020, principalmente em inglês. A teleconsulta foi uma estratégia relevante para ajudar os pacientes a controlar o diabetes e sua saúde. Conclusão: A revisão indica que ações de enfermagem realizadas durante a pandemia para melhorar a autogestão do diabetes não foram diferentes do que está consolidado, mas algumas adaptações foram realizadas. A necessidade de autocuidado, apoio social e uma abordagem centrada no paciente é reforçada.

Adherence is a key factor for the treatment of chronic conditions, especially if different drug administration routes are needed. This study aimed to analyze factors associated with adherence to pharmacological treatment in patients with type 2 diabetes. A cross-sectional study was carried out with 173 patients with type 2 diabetes, using a questionnaire with sociodemographic and clinical variables and the Morisky-Green Scale. Multivariate statistics were used. The results show that the female gender (69.4%), elderly (59.5%), low education (62.4%), and ten years or more years of diagnosis (67.1%) predominated in the sample. People over 60 years old were more likely to adhere to treatment than young adults (OR: 2.57). Those who performed physical activities were more likely to accept treatment than sedentary subjects (OR: 2.04). In conclusion, the study shows a significant association between adherence to pharmacological treatment and the variables age over 60 and physical activity practice.

Background: Diabetic Foot is a severe chronic complication of diabetes and an important factor in the morbidity of diabetic people, resulting in high health costs and increased risk of death. Objective: to analyze the incidence, prevalence, and risk factors associated with diabetic foot in people with type 2 Diabetes Mellitus. Method: Systematic literature review. Searches in MedLine via PubMed, LILACS, Web of Science, Scopus CINAHL, and Cochrane Library databases were performed. Inclusion of 52 studies. The R program, Metan packages, was used to calculate the meta-analysis. Given the heterogeneity of studies, the random effect was used to calculate the meta-analysis of risk factors. Results: The meta-analysis showed that the prevalence of diabetic foot was 14% in a hospital setting and 5% in a community setting. The overall prevalence and incidence were 9% and 4%, respectively. Significant risk factors included time of DM (odds ratio [OR] =1.46, confidence interval [CI], 0.36-2.57, P = 0.009), smoking (OR = 1.46, CI, 1.16 -1.85, P< .001), glycated hemoglobin (OR = 0.96, CI, 0.50; 1.42, P< .001), peripheral arterial disease (OR = 3.38, CI, 2.07; 5.53, P < .001) and peripheral neuropathy (OR = 5.88, CI, 2.39-14.45, P<.001). Conclusion: Multidisciplinary monitoring, educational strategies, periodic foot examination for alterations, and early identification of risk factors are essential to prevent ulceration and reduce the disease burden.

Self-care is a set of actions that individuals take to maintain life, good health, and well-being. Regardless of the type of diabetes, individuals must perform self-care and comply with the treatment to prevent complications, achieve better disease management, and maintain their quality of life. This study aimed to examine self-care behaviors of liver, kidney, and bone marrow transplant patients with diabetes. The study has used a descriptive correlational design and was carried out in an endocrinology and diabetes center in Brazil. A total of 101 patients participated in the study. The Diabetes Self-care Activities Questionnaire was used, and the quantitative analysis was carried out using SPSS. The results show that the highest self-care levels occurred in the medication domain, while the lowest were found in the specific diet domain. Some important correlations were found: men were more likely to assess blood glucose, use combined oral/insulin therapy, take insulin, and take medications as prescribed than women; patients on combined oral/insulin therapy followed dietary recommendations more frequently than the others; and patients with altered serum urea and history of stroke had high levels of self-care. The results made it possible to know the compliance in performing self-care activities in transplanted patients with diabetes, supporting the development of interventions to motivate and improve self-care.