Educational practices in diabetic patient and perspective of health professional: a systematic review

Abstract

This systematic review has sought to identify the multidisciplinary scientific production, addressing factors for proper diabetes mellitus management focusing on health education, from the perspective of the patient and the professional. The goal was to synthesize the knowledge produced and point out its implications for the practice of patient care. A search was conducted in PubMed, Medline, SCOPUS, LILACS and BIREME. The intervention programs present methodologies and different structures, although the theoretical basis is education for self-management. The evaluation methodologies for effectiveness of educational programs focused on the number of subscriptions and stay in groups. Some studies also evaluated psychological, social and pathophysiological parameters. The results show qualitative improvements in self-care, humanization in care, and quality of life of patients. The evidence shows that there seems to be a positive response to the intervention programs whenever comparing the physiological, psychological, educational and social parameters, initial and final of the studies.

Nurses' perspective on health education in Diabetes Mellitus Care

“…However, although they emphasize the potential of the actions carried out, limitations have also been mentioned, since, as a rule, there is low population adherence, which makes them believe that this is due to the way in which they are carried out and offered. Considering the importance of these activities as a tool to encourage the active participation of individuals with diabetes in the planning, development and implementation of self-care actions (22) , it is worth highlighting the need for professionals to rethink the strategies used, and especially their approach -which is centered on the biomedical model.…”

“…Thus, in Permanent Education, an effective strategy in the training of the teams for a work that also values the promotion of health is envisaged. It is necessary to offer training capable of instigating the settlement of the multiprofessional team, interest and participation in the treatment, monitoring and evaluation of these individuals, as well as guaranteeing the Primary Care base and strengthening the Health Care Network (6,14,18,22) . In order to adapt the assistance offered to the Modelo de Atenção às Condições Crônicas, one must consider the complex and interdependent changes that are necessary in the structure of the service, in the culture of the users and in the training of professionals (6,25) .…”

Perspectiva de jovens com diabetes sobre intervenção educativa na rede social Facebook®

“…(21) A systematic review study pointed out that in the case of diabetes, all forms of intervention including health education activities are beneficial, be it individual or in group, face-to-face, by telephone or the internet; be performed by professionals or between pairs of patients; daily, weekly or monthly, with or without the involvement of the patient's family, being in all formats. (22) Nonetheless, it must be considered that for young people, face-to-face meetings in conventional environments are not always attractive. The proof of this is that although the participants of this study were aware of the existence of educational activities, with face-to-face meetings at the health units, they did not feel encouraged to participate because of barriers such as location, time and methodology used in their conduction.…”

Knowledge about Diabetes Mellitus and Self-Care Activities before and after an Educational Program: A Pilot Study

“…There is strong scientific evidence regarding the positive effects of DM education on disease control [4], even though there is not yet a "gold standard" model of education program [4] [5]. However, a literature review study on the education of people with chronic diseases points out that the first stage of an educational program is evaluative.…”