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Tratamento com Perfusão Subcutânea Contínua de Insulina na adolescência – a perceção materna
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Abstract(s)
Enquadramento: a Diabetes Mellitus tipo 1 é uma doença crónica que afeta maioritariamente crianças e jovens. No seu tratamento a insulinoterapia é essencial. A insulina pode ser administrada por Múltiplas Injeções Diárias (MID) ou por sistema de Perfusão Subcutânea Contínua de Insulina (PSCI). Este último tem vantagens, mas o processo de adaptação é exigente. Objetivo: conhecer a perceção das mães relativa ao sistema de PSCI no tratamento da DM1 dos adolescentes. Metodologia: estudo qualitativo descritivo e exploratório. A recolha de dados foi realizada por entrevista semiestruturada a 10 mães de adolescentes com DM1 com tratamento por PSCI. A análise foi realizada pelo método de análise de conteúdo de Bardin. Resultados: da análise das entrevistas emergiram quatro categorias: A transição para PSCI, Bem-estar do adolescente e família, Autonomia do adolescente e Limitações do dispositivo e respetivas subcategorias que expõem a perceção das mães de adolescentes com DM1 sobre tratamento com PSCI. Conclusão: o tratamento com PSCI proporciona melhor qualidade de vida ao adolescente e à sua família e favorece a autonomia dos adolescentes. O processo de adaptação coloca-lhes desafios sendo fulcral o suporte dos profissionais de saúde. Identificaram-se limitações no dispositivo que se desejam ultrapassadas atendendo à inovação tecnológica atual
Background: type 1 Diabetes Mellitus is a chronic disease that affects mostly children and young people. In its treatment, insulin therapy is essential. Insulin can be administered by Multiple Daily Injections (MDI) or by continuous subcutaneous insulin infusion (CSII) system. The latter has advantages, but the adaptation process is demanding. Objective: to identify mother’s views regarding the PSCI system in the treatment of DM1 of adolescents. Methodology: qualitative descriptive and exploratory study. Data collection was performed by semi-structured interview with 10 mothers of adolescents with DM1 who underwent treatment for DM1 with CSII. Its analysis was performed by Bardin's content analysis method. Results: from the analysis of the interviews, four categories emerged: The transition to CSII, Adolescent and family well-being, Adolescent autonomy and Limitations of the device and respective subcategories that expose the perception of mothers of adolescents with DM1 about treatment with CSII. Conclusion: treatment with CSII provides a better quality of life for adolescents and their families and favors the autonomy of adolescents. The adaptation process poses challenges and the support of health professionals is essential. Some limitations were identified in the device that hopefully will be overcome by the current technological innovations
Background: type 1 Diabetes Mellitus is a chronic disease that affects mostly children and young people. In its treatment, insulin therapy is essential. Insulin can be administered by Multiple Daily Injections (MDI) or by continuous subcutaneous insulin infusion (CSII) system. The latter has advantages, but the adaptation process is demanding. Objective: to identify mother’s views regarding the PSCI system in the treatment of DM1 of adolescents. Methodology: qualitative descriptive and exploratory study. Data collection was performed by semi-structured interview with 10 mothers of adolescents with DM1 who underwent treatment for DM1 with CSII. Its analysis was performed by Bardin's content analysis method. Results: from the analysis of the interviews, four categories emerged: The transition to CSII, Adolescent and family well-being, Adolescent autonomy and Limitations of the device and respective subcategories that expose the perception of mothers of adolescents with DM1 about treatment with CSII. Conclusion: treatment with CSII provides a better quality of life for adolescents and their families and favors the autonomy of adolescents. The adaptation process poses challenges and the support of health professionals is essential. Some limitations were identified in the device that hopefully will be overcome by the current technological innovations
Description
Keywords
Diabetes Mellitus Tipo 1 Adolescentes Sistemas de infusão de insulina Mães
Citation
Lima, L., Silva, R., & Andrade, L. (2023). Tratamento com Perfusão Subcutânea Contínua de Insulina na adolescência – a perceção materna. Revista De Investigação & Inovação Em Saúde, 5(2), 59–69. https://doi.org/10.37914/riis.v5i2.237
Publisher
Escola Superior de Saúde Norte da Cruz Vermelha Portuguesa: Unidade de Investigação e Desenvolvimento