Avaliação das ações educativas na promoção do autogerenciamento dos cuidados em diabetes mellitus tipo 2

Abstract

The objective of this is study to evaluate the educational practices in promoting the self-management of diabetes mellitus. Subjects were twenty-six individuals with type 2 diabetes, who participated in the educational program at a teaching hospital in Belo Horizonte, Minas Gerais. The subjects were followed for four months in 2008. The educational group practices consisted of three monthly meetings, in which recreational and interactive dynamics were performed, and individual sessions were held using dialogic education. The evaluation was performed using a specific questionnaire: self-care and clinical exams in the beginning and four months after the intervention. The mean age of the subjects was 60.9 ±8.4 years; the mean time of disease was 8.7±6.7 years; most (55.6% or 27 individuals) had incomplete primary education and a family income between 1 and 3 minimum salaries. Satisfactory results were found in the self-care test. It was also observed that HbA1c levels dropped down and the educational practices improved self-care and self-management of the disease.

Atuação do enfermeiros da Estratégia Saúde da Família na prevenção do pé diabético Practice nurse family health strategy in the prevention of diabetic foot

“…[29][30][31] The nurses also mentioned educational lectures that can be considered of low impact in the transformation of individual and collective realities, when the professional that gives them does not take the into consideration the socioeconomical context of the individuals with DM, and also does not allow a dialogue between the professional and the patient, thus becoming an activity limited only to the transmission of knowledge. 32 Another educational activity performed is the waiting room, which can be described as a productive way to occupy an idle time in the FHUs, by transforming the waiting period for the consultations into moments that can provide educational and experience exchange processes among the users, allowing the exchange of popular knowledge and the nursing professional knowledge. 33 The study nurses also mentioned peer groups; these groups allow the integration among people, through discussions about each person's daily living, as well as strategies they use to overcome the difficulties that they face while living with DM.…”

Individualized guidance and telephone monitoring in a self-supervised home-based physiotherapeutic program in Parkinson

“…The individualized orientation may have enabled the patient and companion to feel more at ease, favoring the dialogical exchange with the health professional (29). As for the telephone, it is understood to have been a viable monitoring resource capable of strengthening the relationship between the health professional, the patient and the caregiver, allowing the promotion of self-care (30)(31)(32).…”

<b>Nurse training in primary care: educational actions with people living with <i>Diabetes mellitus

“…These educational actions are based on pedagogical actions, through the performance of a multidisciplinary team, and in individual nursing appointments that aim to know the signs and symptoms of the disease, the acute and chronic complications, the benefits of good nutrition and physical activity (Torres, Pereira, & Alexandre, 2011). There are also educational games that, besides being instruments of communication, expression and learning par excellence, facilitate and intensify the exchange of knowledge between people living with Diabetes Mellitus (Torres, Franco, Stradioto, Hortale, & Schall, 2009;Rodrigues, Vieira & Torres, 2010).…”