Home visit: an educational health strategy for self-care in diabetes

Abstract

Objective: To understand the home visit as an educational health care strategy to orient the self-care practices of patients with type 2 diabetes mellitus. Methods: A qualitative study using 25 home visits to patients with diabetes mellitus, who did not attend the diabetes education program offered by the basic health care unit. Data were organized and categorized by content analysis. Results: Four thematic categories emerged: feelings; knowledge about the disease; adherence to meal plan and physical activity; and barriers to self-care. Conclusion: Home visit is an important strategy for health care education to orient patients with type 2 diabetes on self-care practices. ResumoObjetivo: Compreender a visita domiciliária como estratégia educativa em saúde a para orientar as práticas do autocuidado aos portadores de diabetes mellitus tipo 2. Métodos: Pesquisa qualitativa utilizando 25 visitas domiciliárias a portadores de diabetes mellitus que não compareceram ao programa educativo em diabetes da unidade básica de saúde. Os dados foram organizados, categorizados mediante a análise de conteúdo. Resultados: Emergiram quatro categorias temáticas: Sentimentos; Conhecimento sobre a doença; Seguimento do plano alimentar e atividade física; e Barreiras para o autocuidado Conclusão: A visita domiciliária é uma importante estratégia para a educação em saúde para orientar as práticas do autocuidado aos portadores de diabetes mellitus tipo 2.

Are home visits an effective method for diabetes management? A quantitative systematic review and meta‐analysis

“…There are also large differences in the length and frequency of home visit interventions, and the role of these variations in the intervention should be explored. Therefore, home visits should be designed to consider the patients’ needs, encourage treatment adherence self‐care practices and increase autonomy.…”

Health education on compliance of diabetic patients / Educação em saúde na adesão ao tratamento por pacientes diabéticos

“…Todo o processo tem como objetivo controlar a glicemia e melhorar as condições físicas e mentais dos indivíduos (13) . Para que haja avaliação efetiva dos resultados de um programa de educação em diabetes os dados devem ser obtidos tanto na pré-intervenção como na pós-intervenção, ideal com uso de escalas (18,19) .…”

Avaliação da visita domiciliar para o empoderamento do autocuidado em diabetes

“…(7,24) Corroborating evidence from the literature, home visits facilitate users' understanding on self-care with diet, physical exercise and weight control by improving their diabetes management continuously. (6,7,24) It is noteworthy that home visits as an educational strategy for adherence to diabetes selfcare practices allows monitoring the performance of the care executed by users and predicting the factors interfering in the development of care for diabetes control. (17) Regarding empowerment for self-care practices, the results revealed an increase in the median score The users who participated in home visits increased confidence hence, improved their ability of making informed decisions and developing skills to improve self-care behaviors.…”

“…(2)(3)(4)(5) Home visits provide space for dialogue and qualified listening, since this educational strategy, as a way to empower users for diabetes self-care, allows an approximation to their life reality, and helps them making informed decisions. (5)(6)(7) In this study, was used the empowerment approach in home visits. It is based on behavioral and psychosocial aspects inherent to users' autonomy and abilities to effectively take responsibility for their own care.…”