ESEL - CIDNUR - Centro de Investigação, Inovação e Desenvolvimento em Enfermagem de Lisboa
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- Autogestão do diabetes na adolescência: experiência de jovens adultos e pais portugueses adolescênciaPublication . Malheiro, Maria Isabel Dias da Costa; Vinagre, Maria da Graça; Colaço, Sónia Isabel; Flora, Marília Costa; Paixão, Maria José Góis; Figueiredo, Inês Carnall; Dingle, MarinaObjective To identify the factors that facilitate or hinder the construction of autonomy in adolescence through the experience of young adults with type-1 diabetes and their parents. Methods This was a qualitative, descriptive, and exploratory study. Two focus group interviews were conducted: one with nine young adults who were experts in managing their illness and the other with seven parents. Thematic and categorical content analysis was used for data analysis, with particularities of a focus group interview and the use of the NVIVO 12 software. Results Two major categories and ten subcategories related to factors that facilitated (support systems, knowledge, diet, insulin pump, early responsibility for managing therapy, and characteristics of young people) and hindered (therapeutic regimen, stigma, attitude of health professionals, characteristics of young people, and knowledge) the development of autonomy in disease management emerged. Conclusion Autonomy in the management of diabetes involves several challenges for adolescents, which requires adaptation of attitudes and interventions by professionals. In addition to the traditional management of the health condition, addressing issues related to the socialization of adolescents is essential, looking for innovative strategies that promote coping and quality of life. The results of this study make it possible to reflect on the therapeutic relationship with adolescents, emphasizing the importance of individualizing care and innovative responses to their specific needs. type1 type 1 type- parents qualitative descriptive conducted software support systems knowledge diet pump therapy people regimen stigma professionals emerged condition essential life needs
- Impact of social prescribing intervention on people with type 2 diabetes mellitus in a primary healthcare context: a systematic literature review of effectivenessPublication . Oliveira, Dulce; Nogueira, Paulo; Costa, Andreia; Henriques , AdrianaAim To identify social prescribing intervention for people with type 2 diabetes mellitus (T2DM) in the context of primary healthcare and evaluate their impact on improving health, behavior, and economic outcomes. Subject and Methods Following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines, a literature search was conducted in SCOPUS database (MEDLINE) and via EBSCO Host (CINHAL, MEDLINE, and Psychology, and Behavioral Sciences Collection). Review studies were included and excluded on the basis of defined criteria. A comprehensive quality appraisal was conducted by analyzing the risk of bias according to each study design. Narrative synthesis was performed by analyzing the social prescribing intervention, with the outcomes sorted into categories. Results Eleven papers were selected with 19,202 participants describing nine social prescribing intervention domains with a positive contribution to health-related outcomes (improvement in quality of life, psychological and mental well-being, physical activity, and modestly reduced HbA1c), less evidence for health-related behavior outcomes (self-care management slow growth) and less evidence for health-related economic evaluation (small decline in care costs and primary care visits). Social prescribing intervention delivery in a face-to-face mode, performed for longer periods and involving fewer professionals in the referral and accompaniment of the person, demonstrated greater effectiveness. Quality methodology evaluation revealed concerns about the low quality of some studies and a high risk of bias. Conclusion The analyzed studies suggest that social prescribing interventions can play an important role in producing related health, behavioral, and economic outcomes for people