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Fatores emocionais e adesão terapêutica: um programa de intervenção em pacientes com Diabetes Mellitus tipo II
| Name: | Description: | Size: | Format: | |
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| 1.98 MB | Adobe PDF |
Advisor(s)
Abstract(s)
Introdução: A diabetes mellitus tipo 2 (DM2) é uma doença crónica não transmissível e quando não controlada pode originar sérias complicações. A prevalência da DM no mundo é alta e a perspectiva é que aumente
significativamente. A adesão dos pacientes precisa ser estimulada, estando o tratamento e as práticas de promoção da qualidade de vida firmemente associadas à educação em saúde. Objetivo: Elaborar, implementar e avaliar a eficácia de uma intervenção educativa, baseada nas "rodas de conversa", no conhecimento sobre a doença, nos fatores emocionais, na qualidade de vida e no controlo da doença. Metodologia: Estudo do tipo pré-teste, pós-teste, com avaliação quantitativa através da Escala Problem Areas in Diabetes, do Questionário dos Conhecimentos da Diabetes, bem como da avaliação da glicémia em jejum e determinação da Hemoglobina Glicada antes e após a intervenção. Participaram neste estudo dez pacientes com DM2 (60% do sexo feminino), com uma média de idades de 59,70 anos (dp±9,787). As seis sessões que constituiram a intervenção educativa decorreram em grupo, com uma frequência semanal. Resultados: Os principais resultados obtidos sugerem um ligeiro aumento do nível de conhecimento da doença, um aumento da qualidade de vida em 80% dos participantes, uma diminuição dos problemas e emoções negativas em 80% dos pacientes e uma diminuição das dificuldades relacionadas com o tratamento em 60% dos casos. Após a intervenção verificou-se, também, um maior controlo da doença, dado que ocorreu uma melhoria dos valores da glicémia e 60% dos participantes atingiu a meta terapêutica estabelecida pela SBD (2017) para a hemoglobina glicada. Conclusão: a intervenção educativa implementada, baseada nas "rodas da conversa" contribuiu positivamente para o bem-estar emocional, qualidade de vida e controlo glicémico dos participantes no estudo.
Introduction: Type 2 diabetes mellitus (DM2) is a chronic noncommunicable disease and, when not controlled, can lead to serious complications. The prevalence of DM in the world is high and the perspective is that it will increase significantly. Patient compliance needs to be encouraged, with treatment and quality of life promotion practices firmly associated with health education. Objective: To elaborate, implement and evaluate the effectiveness of an educational intervention, based on "conversation circles", knowledge about the disease, emotional factors, quality of life and disease control. Methodology: Pre-test, post-test study, with quantitative assessment using the Problem Areas in Diabetes Scale, the Diabetes Knowledge Questionnaire, as well as the assessment of fasting blood glucose and determination of Glycated Hemoglobin before and after the intervention. Ten patients with DM2 (60% female) participated in this study, with an average age of 59.70 years (SD ± 9.787). The six sessions that constituted the educational intervention took place in groups, with a weekly frequency. Results: The main results obtained suggest a slight increase in the level of knowledge of the disease, an increase in the quality of life in 80% of the participants, a decrease in the problems and negative emotions in 80% of the patients and a decrease in the difficulties related to the treatment in 60% of cases. After the intervention, there was also greater control of the disease, given that there was an improvement in blood glucose values and 60% of the participants reached the therapeutic goal established by SBD (2017) for glycated hemoglobin. Conclusion: The educational intervention implemented based on "conversation circles", contributed positively to the improvement of the emotional well-being, quality of life and glycemic control of the study participants.
Introduction: Type 2 diabetes mellitus (DM2) is a chronic noncommunicable disease and, when not controlled, can lead to serious complications. The prevalence of DM in the world is high and the perspective is that it will increase significantly. Patient compliance needs to be encouraged, with treatment and quality of life promotion practices firmly associated with health education. Objective: To elaborate, implement and evaluate the effectiveness of an educational intervention, based on "conversation circles", knowledge about the disease, emotional factors, quality of life and disease control. Methodology: Pre-test, post-test study, with quantitative assessment using the Problem Areas in Diabetes Scale, the Diabetes Knowledge Questionnaire, as well as the assessment of fasting blood glucose and determination of Glycated Hemoglobin before and after the intervention. Ten patients with DM2 (60% female) participated in this study, with an average age of 59.70 years (SD ± 9.787). The six sessions that constituted the educational intervention took place in groups, with a weekly frequency. Results: The main results obtained suggest a slight increase in the level of knowledge of the disease, an increase in the quality of life in 80% of the participants, a decrease in the problems and negative emotions in 80% of the patients and a decrease in the difficulties related to the treatment in 60% of cases. After the intervention, there was also greater control of the disease, given that there was an improvement in blood glucose values and 60% of the participants reached the therapeutic goal established by SBD (2017) for glycated hemoglobin. Conclusion: The educational intervention implemented based on "conversation circles", contributed positively to the improvement of the emotional well-being, quality of life and glycemic control of the study participants.
Description
Keywords
Diabetes mellitus tipo 2 Fatores emocionais Qualidade de vida Educação para saúde Controlo terapêutico Type 2 diabetes mellitus Emotional factors Quality of life Health education Therapeutic control