Papéis de autocuidado: subsídios para enfermagem diante das reações emocionais dos portadores de diabetes Mellitus

Filho, Carlos Victor dos Santos; Rodrigues, Wilma Helena Carvalho; Santos, Rita Batista

doi:10.1590/s1414-81452008000100019

Cited by 16 publications

(7 citation statements)

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“…It goes through reflexivity, looking and re-signifying the perception of themselves and their social network, identifying their beliefs, values and establishing a relationship of mutual support in the search for autonomy. It is known that recognizing oneself in the condition of living with a chronic illness is fundamental for the good performance of self-care actions and, consequently, for their participation on treatments [7]. It is also fundamental to guarantee the control of their own lives, so that the person may be able to deal with the limitations that are imposed by the diabetes mellitus, with co-responsibility as a fundamental aspect for the success of the treatment and for the quality of life [30].…”

Section: Discussionmentioning

confidence: 99%

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Diagnosis of diabetes mellitus and living with a chronic condition: participatory study

et al. 2018

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BackgroundDiabetes mellitus is one of the most serious chronic illnesses in the world due to its prevalence, economic and social effects, and negative impact on the quality of life of the affected people. The diagnosis implies changes in life habits especially related to feeding, physical activity, and constant self-care, requiring greater personal autonomy.MethodsThis study aims to understand how individuals living with diabetes deal with the recognition of the chronic condition in their health care practices. This is a participatory research with a qualitative approach focusing on reflexivity. Sixteen people with diabetes mellitus were intentionally chosen, and qualified to participate in the study. The selected methodology allowed the constitution of life stories and focused on the multiple ways human beings deal with their illnesses.ResultsThe participants attended eight closed group meetings, with an specific methodology which benefited them to retrieve their own history as well as the multiple experiences to deal with the disease, here called Strategic Health Promotion Group (SHPG). The data produced and the dialogue between researcher and researched subjects were related to three major thematic perspectives: I) recognizing diabetes II) living with diabetes III) exercising personal autonomy. This work contains the meanings attributed to the Perspective I from which the following three categories emerged: The impact of the diagnosis, the denial of the illness, and the acceptance of the illness. It was observed that the diagnosis of a chronic illness generates a multiplicity of feelings, moving through narratives of complications and death events shared between generations. The participants expressed feelings related to denial or acceptance of the chronic condition which required an active adaptation exercising. From the current diagnosis, it was observed that new signs were added to the person’s existence, influencing their habits, health care practices and quality of life.ConclusionsThe emotional aspects of subjects diagnosed with diabetes mellitus strongly influence the acceptance or denial of the illness, interfering in their personal adherence to treatment. As a chronic condition, involving life-longing care practices, which intervenes in therapeutic participation, it is indispensable to respect and to encourage the personal autonomy of the subjects.

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Section: Discussionmentioning

confidence: 99%

“…The subject’s emotional background can set difficulties to the adoption of self-care actions and participation in the treatment [7]. …”

Section: Introductionmentioning

confidence: 99%

Diagnosis of diabetes mellitus and living with a chronic condition: participatory study

et al. 2018

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“…Tais estudos sugerem que esses indivíduos, ao serem expostos a situações aversivas, apresentariam dificuldades no manejo da doença comprometendo a adesão ao tratamento e consequentemente a sua qualidade de vida. No caso específico do diabetes, estudos sugerem haver correlação positiva entre esses fatores e o curso da doença [8][9][10][11] .…”

Section: Fatores Emocionais No Manejo Do Diabetesunclassified

“…9 realizaram três estudos. O Estudo 1, com oito escolares, portadores de diabetes tipo 1; Estudo 2, com 11 portadores de diabetes tipo 2, na faixa etária de 50 a 76 anos, e Estudo 3, com sete participantes de 44 a 66 anos.…”

Section: Fatores Emocionais No Manejo Do Diabetesunclassified

Fatores emocionais, qualidade de vida e adesão ao tratamento em adultos com diabetes tipo 2

Ramos

Ferreira

2011

J. Hum. Growth Dev.

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Adesão ao tratamento em adultos com diabetes tipo 2Rev Bras Crescimento Desenvolvimento Hum. 2011; 21( ABSTRACTThis study has the purpose of verifying the relationship between emotional factors (stress, anxiety and depression) life quality and adherence to the treatment in adults suffering from type 2 diabetes. Thirty people (18 women and 12 men aging from 33 to 59) participated in the study. All enrolled in the Hiperdia program of a municipal health unit. Instruments used were the inventories of anxiety and Beck's depression, Lipp's inventory of Stress Symptoms The adherence to the treatment was measured by means of the latest result of glycated hemoglobin exam. The results showed that there was no relation between emotional factors and adherence to the treatment. However it was verified a significant correlation between diabetes diagnosis time and adherence, thus suggesting that the longer the time the participant presented the illness, the bigger the difficulty in maintaining the glucose levels stabilized and adhering to the prescribed orientations. It was also observed the positive correlation between low adherence and family structure, predominantly nuclear. The results suggest that other factors besides the emotional ones must be considered in the analysis of adherence to treatment.

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“…(Dos Santos e Enumo, 2003). Segundo Dos Santos Filho et al, (2008), as reações emocionais mais identificadas em pacientes diabéticos foram medo, tristeza, depressão, raiva/revolta e ansiedade/ estresse. As reações emocionais causam um impacto na manutenção da saúde, consideradas a base dos papéis de autocuidado, uma vez que expressam as crenças, valores, temores, anseios e receios em relação à doença que todo portador de DM1 e de outras condições crônicas pode enfrentar.…”

Section: Sintomas Depressivos E Qualidade De Vidaunclassified

Qualidade de vida e sintomas depressivos em adolescentes com Diabetes Mellitus tipo 1 (DM1)

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Papéis de autocuidado: subsídios para enfermagem diante das reações emocionais dos portadores de diabetes Mellitus

Cited by 16 publications

References 1 publication

Diagnosis of diabetes mellitus and living with a chronic condition: participatory study

Diagnosis of diabetes mellitus and living with a chronic condition: participatory study

Fatores emocionais, qualidade de vida e adesão ao tratamento em adultos com diabetes tipo 2

Qualidade de vida e sintomas depressivos em adolescentes com Diabetes Mellitus tipo 1 (DM1)

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