Promoção da saúde e diabetes: discutindo a adesão e a motivação de indivíduos diabéticos participantes de programas de saúde

Abstract

The objective of the present study was to evaluate, by means of a systematic literature review, the adherence and motivation presented by diabetic patients that participate in health intervention programs, which stimulate the adoption of a healthy life style. The ingestion of an adequate diet and the increase in physical activity, focusing in the disease perception, considering the diabetic patient knowledge, making evident the recommendations that should be followed to reach a better life quality, demonstrating that it is possible to live well even if you have a chronic disease such as diabetes. A literature research in the main public health databases (Medline, Lilacs, Scielo, among others) was conducted from 1994 to 2006. A total of 37 studies focused in the interaction among the subject health and disease versus diabetes were selected. This study mentions some daily difficulties felt by the diabetic patient and his family to control the disease. These difficulties can directly affect the patient adhesion to the prescribed treatment. Therefore, the behavioral and emotional factors presented by each patient must be considered when the health activities are being planned to reach total assistance to this population.

The symbolic dimension of prenatal nutrition care in diabetes Mellitus

“…However, some women disregard this control and allow themselves to "eat as much as they want", exercising their right to choose what, how much, and when to eat [21]. For some women in this study, nutritional care meant interdiction, something laborious that hurt the autonomy of pregnant women: Conversely, and in agreement with other studies [24,25], changes in eating habits required in gestational diabetes were also perceived as an educational element for making healthy food decisions:…”

Carga do diabetes mellitus tipo 2 no Brasil

“…This illustrates the relevance of type 2 diabetes mellitus in Brazil, especially due to the rising prevalence of risk factors like obesity and sedentary lifestyle 5,18,30 . The estimated burden was higher in young populations, reaching 2 nd place in the 30-44-year age group, when compared to the elderly, in whom the burden of cardiac diseases and dementias lead the ranking.…”

“…According to Alfradique et al 35 , type 2 diabetes mellitus is a primary care-sensitive health condition, that is, the hospitalization rates can be decreased by effective measures in primary care. Relatively simple preventive and curative measures can be developed to diagnose and follow individuals with diabetes and consequently avoid chronic complications or delay their progression 10,30,32,36,37 .…”

Diabetes Mellitus tipo 2: caracterização da assistência à saúde, parâmetros clínicos e estado nutricional de idosos em uma Unidade Básica de Saúde, em dois períodos de acompanhamento

“…A alteração destes parâmetros está relacionada a marcadores de inflamação e piora na sensibilidade à insulina. O consumo aumentado de gorduras saturadas, presentes nas carnes com maior teor de gordura, manteiga, óleo de coco, leite integral e derivados, bacon e embutidos, aumentam as Em um estudo que abordou a percepção sobre as mudanças dos hábitos alimentares em mulheres com DM, referem-se como maiores barreiras à adesão ao tratamento o fato de elas seguirem uma dieta restritiva, sentirem raiva ou culpa após consumo de algum alimento restrito e manipularem alimentos para oferecer para a família, sem poder consumi-los (COSTA et al, 2011).…”

“…Neste contexto, ressalta-se a necessidade de implementar técnicas de educação em saúde ao usuário e capacitação para a equipe, a fim de que as orientações ocorram de forma individualizada e sejam consideradas suas limitações, comportamentos, crenças, pensamentos e sentimentos (COSTA et al, 2011).…”