Nursing Consultation to Persons With Diabetes Mellitus in Primary Care

Silva, Tiago Fernando Aragão da; Rodrigues, João Paulo C.; Silva, Ana Paula Santos Moura e; Barros, Maria Aline Rodrigues; Felipe, Gilvan Ferreira; Machado, Ana Larissa Gomes

doi:10.5935/1415-2762.20140052

Cited by 7 publications

(9 citation statements)

References 11 publications

(16 reference statements)

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“…Estudos demonstram que o acúmulo de ações burocráti-cas e a elevada demanda de pacientes na unidade de saúde, além de dificuldades pessoais, constituem os principais motivos para a não valorização da consulta como promotora de transformação da situação de saúde. 17,18 Além disso, é necessário compreender que resultados positivos oriundos do autocuidado apoiado, como os encontrados na presente investigação, demandam tempo e constituem um desafio para a equipe, principalmente por ter que aprender a trabalhar com as subjetividades dos pacientes.…”

Section: Resultsunclassified

Effect of the Consultation of Nursing on Knowledge, Quality of Life, Attitude Towards Disease and Self-Care Among Persons With Diabetes

Teston¹,

Peternella²,

Sales³

et al. 2018

Reme Revista Mineira De Enfermagem

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RESUMOVerificar o efeito da consulta de enfermagem fundamentada no autocuidado apoiado sobre o conhecimento e a atitude frente à doença, na qualidade de vida e adesão às atividades de autocuidado em pessoas com diabetes mellitus (DM) tipo 2. Ensaio clínico randomizado e controlado desenvolvido em município no Sul do Brasil no período de março de 2014 a janeiro de 2015. Participaram do estudo 134 indivíduos alocados aleatoriamente em dois grupos: intervenção (GI) e controle (GC). Para a coleta de dados foram aplicados quatro questionários nos dois grupos e em dois momentos (inicial e final). O GI recebeu atendimento constituído por três consultas de enfermagem bimensais intercaladas por duas ligações telefônicas para monitoramento das metas pactuadas e a assistência de rotina constituída por consulta médica por demanda espontânea e fornecimento gratuito de medicação prescrita. O GC só recebeu os cuidados de rotina. Os integrantes do GI apresentaram mudança significativa em relação ao conhecimento sobre o diabetes (p<0,001), impacto da doença na qualidade de vida (p=0,002), na atitude frente à doença (p=0,024) e na adesão às atividades de autocuidado (p<0,001). A consulta de enfermagem centrada no autocuidado apoiado tem efeitos positivos sobre conhecimento e a atitude frente à doença e sobre a adesão às atividades de autocuidado, porém aumenta o impacto da doença na qualidade de vida. Registro Brasileiro de Ensaios Clínicos: RBR -3xgjf3. Palavras-chave: Enfermagem no Consultório; Diabetes Mellitus Tipo 2; Autocuidado; Ensaio Clínico. ABSTR ACT To verify the effect of nursing consultation based on self-care supported on knowledge and attitude towards disease, quality of life and adherence to self-care activities in people with type 2 diabetes mellitus (DM). This is a randomized and controlled clinical trial developed in a city in southern Brazil from March 2014 to January 2015. A total of 134 individuals participated in the study and were randomly assigned to two groups: intervention group (IG) and control group (CG). For the data collection, four questionnaires were applied in both groups and in two moments (initial and final

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Section: Resultsunclassified

Effect of the Consultation of Nursing on Knowledge, Quality of Life, Attitude Towards Disease and Self-Care Among Persons With Diabetes

Teston¹,

Peternella²,

Sales³

et al. 2018

Reme Revista Mineira De Enfermagem

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“…According to what has been stated, nursing appointment is considered an opportunity for nurses to act effectively on empowerment for self-care and for the healthcare improvement of DM patients, since it is significantly associated with glycemic control (8,12,13) . However, this activity is not implemented routinely in health services, as only actions related to history and evolution of nursing predominate (14) . A study conducted with 150 individuals with DM2, linked to a private health plan in a municipality in the North of Paraná State, showed that individual intervention consisting of two halfyearly nursing appointments intercalated by a telephone contact, resulted in significant positive effects on knowledge and quality of life and no significant positive effect on self-care (13) .…”

Section: Introductionmentioning

confidence: 99%

Nursing appointment and cardiometabolic control of diabetics: a randomized clinical trial

et al. 2017

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Objective: to verify the effect of nursing appointment on cardiometabolic profi le of people with Diabetes Mellitus type 2. Method: randomized controlled trial, developed with 134 individuals chosen for two groups: intervention and control. The intervention consisted of three nursing appointments alternated bimonthly, with two phone calls, over fi ve months. The control group received usual care offered by the Health Unit. Data were collected through semi-structured interviews before and after the intervention, in addition to conducting laboratory tests. Results: after the intervention, a signifi cant difference was shown in the amount of glycated hemoglobin (p = 0.006) and in the systolic blood pressure (p = 0.031), which were higher in the control group. Conclusion: besides being low-cost and easy to develop on the monitoring routine of people with diabetes, the intervention performed infl uenced positively the biochemical profi le. Descriptors: Diabetes Mellitus; Nursing; Self-Care. Chronic Disease; Clinical Trial. RESUMO Objetivo: verifi car o efeito da consulta de enfermagem sobre o perfi l cardiometabólico de pessoas com Diabetes Mellitus tipo 2. Método: ensaio clínico controlado e randomizado, desenvolvido com 134 indivíduos sorteados para dois grupos: intervenção e controle. A intervenção consistiu em três consultas de enfermagem bimensais alternadas, com duas ligações telefônicas, ao longo de cinco meses. O grupo-controle recebeu os cuidados habituais oferecidos pela Unidade de Saúde. Os dados foram coletados mediante entrevistas semiestruturadas antes e após a intervenção, além da realização de exames laboratoriais. Resultados: após a intervenção, foi evidenciada diferença signifi cativa no valor da hemoglobina glicada (p=0,006) e da pressão arterial sistólica (p=0,031), que se mostraram mais elevadas no grupo-controle. Conclusão: a intervenção realizada, além de ser de baixo custo e de fácil desenvolvimento na rotina de acompanhamento da pessoa com diabetes, infl uenciou positivamente a melhora do perfi l bioquímico. Descritores: Diabetes Mellitus; Enfermagem; Autocuidado. Doença Crônica; Ensaio Clínico. RESUMEN Objetivo: comprobar el resultado de la consulta de enfermería sobre el perfi l cardiometabólico en personas con Diabetes mellitus tipo 2. Método: ensayo clínico controlado y aleatorizado, en el cual participaron 134 sujetos. Se los dividieron de forma aleatoria en dos grupos: intervención y control. La intervención consistió en tres consultas de enfermería cada dos meses alternados, con dos llamadas, a lo largo de cinco meses. El grupo control recibió los cuidados usuales de la Unidad de Salud. Se recolectaron los datos a través de entrevistas semiestructuradas, antes y después de la intervención, y de análisis de laboratorio. Resultados: después de la intervención, se observaron diferencias signifi cativas en el valor de la hemoglobina glicosilada (p=0,006) y de la presión arterial sistólica (p=0,031), que fueron más elevados en el grupo control. Conclusión: la intervención realizada...

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“…Emphasis is placed on guidelines that can improve people's knowledge of their health condition, those related to lifestyle changes, healthy eating, and exercise. [22][23]28,[33][34][35][36][37][38][39][40][41][42][43][44][45][46] It is emphasized that educational actions when mediated by words such as adherence and sustained by interactions between these people and professionals are fundamental and increase health care. 34 Studies show educational practices directed to a collective approach.…”

Section: Development Of Personal Abilitiesmentioning

confidence: 99%

“…They encouraged dialog and the expression of demands, emphasized approaches that assessed the clinical situation, social environment and psychological condition, from the history of life, health and disease, the doing of these professionals sought the coordination of care. 26,30,33,35,38,50,[54][55] Home visits are seen as an instrument that aims to bring health closer to families, breaking with the biomedical model. They also consider the conditions of the environment, so it was possible to identify the factors that influence the quality of life and contextualize their problems with the determinants of the health/disease process, establishing promotion measures for people, their families and community.…”

Section: Reorientation Of the Health Systemmentioning

confidence: 99%

Health Promotion in Care for People With Chronic Non-Transmitable Disease: Integrative Review

Becker

Heidemann

2020

Texto contexto - enferm.

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Objective: to analyze the health promotion practices developed by nurses in the care of people with non-transmittable chronic disease in primary health care, in scientific publications, between 2007 and 2017. Method: an integrative literature review of a qualitative approach, conducted in five databases, in which was read and critical analysis of the studies in order to know the practices of health promotion. Results: 40 articles were selected and organized according to the fields of the Ottawa Charter: public policies, reorientation of health services, creation of personal skills, reinforcement of community action and favorable environments. Thus, most of the experiments were mainly related to two fields of action: development of personal skills and reorientation of the health system. There is a movement towards the development of a health promotion in which the collective, the social determinants of health and multidisciplinarity are advocated. Conclusion: some limits were identified that need to be overcome, among which stands out the inter-sectoral work that needs to grow beyond the health sector.

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Nursing Consultation to Persons With Diabetes Mellitus in Primary Care

Cited by 7 publications

References 11 publications

Effect of the Consultation of Nursing on Knowledge, Quality of Life, Attitude Towards Disease and Self-Care Among Persons With Diabetes

Effect of the Consultation of Nursing on Knowledge, Quality of Life, Attitude Towards Disease and Self-Care Among Persons With Diabetes

Nursing appointment and cardiometabolic control of diabetics: a randomized clinical trial

Health Promotion in Care for People With Chronic Non-Transmitable Disease: Integrative Review

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