Self-care and perception of the diabetes treatment by people using insulin
DOI:
https://doi.org/10.5902/2179769239880Keywords:
Diabetes Mellitus, Insulina, Autocuidado, Enfermagem de Atenção Primária.Abstract
Objective: to understand the perception of people with Diabetes Mellitus using insulin about their self-care and the repercussion of treatment in their daily lives. Method: exploratory and descriptive research, with a qualitative nature, performed in a medium-sized municipality in the Southern Region of Brazil, with 16 people using insulin who were being monitored in Primary Care. Data were collected from May to July 2017, through semi-structured interviews and submitted to thematic analysis. Results: it gave rise to three categories that address the difficulties in changing life habits, the repercussions of insulin use in daily life and the obstacles experienced in the purchase of pharmaceutical inputs for treatment. Conclusion: the practice of self-care by people with Diabetes Mellitus using insulin is permeated by several difficulties, where the main one is the need for changes in lifestyle.Downloads
References
World Health Organization (WHO). Global report on diabetes [Internet]. 2016 [cited 2018 Sept 02]. Available from: http://apps.who.int/iris/bitstream/10665/204871/1/9789241565257_eng.pdf
Albuquerque GSC, Nascimento B, Gracia DFK, Preisler L, Perna PO, Silva MJS. Adesão de hipertensos e diabéticos analfabetos ao uso de medicamentos a partir da prescrição pictográfica. Trab Educ Saúde. 2016;14(2):611-24. doi: http://dx.doi.org/10.1590/1981-7746-sip00112
Orem DE. Nursing: concepts of practice. St. Louis: Mosby; 2005.
Rong X, Peng Y, Yu HP, Li D. Cultural factors influencing dietary and fluid restriction behaviour: perceptions of older Chinese patients with heart failure. J Clin Nurs. 2017;26(5-6):717-26. doi: https://doi.org/10.1111/jocn.13515
Lima AF, Moreira ACA, Silva MJ, Monteiro PAA, Teixeira PG. A percepção do idoso com diabetes acerca de sua doença e o cuidado de enfermagem. Cienc Cuid Saude. 2016;15(3):522-9. doi: https://doi.org/10.4025/cienccuidsaude.v15i3.30884
Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, et al. Diabetes self-management education and support in Type 2 Diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics. Diabetes Care. 2015;38(7):1372-82. doi: https://doi.org/10.2337/dc15-0730
Reis P, Marcon SS, Nass EMA, Arruda GO, Back IR, Lino IGT, Francisqueti V. Desempenho de pessoas com diabetes mellitus na insulinoterapia. Cogitare Enferm. 2020;25:e66006. doi: http://dx.doi.org/10.5380/ce.v25i0.66006
Fontanella BJB, Ricas J, Turato ER. Amostragem por saturação em pesquisas qualitativas em saúde: contribuições teóricas. Cad. Saúde Pública [Internet]. 2008 [acesso em 2020 maio 12];24(1):17-27. Disponível em: https://www.scielo.br/pdf/csp/v24n1/02.pdf
Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 14ª ed. São Paulo (SP): Hucitec; 2014.
Vluggen S, Hoving C, Schaper NC, De Vries H. Exploring beliefs on diabetes treatment adherence among dutch type 2 diabetes patients and healthcare providers. Patient Educ Couns. 2018; 101(1):92-8. doi: https://doi.org/10.1016/j.pec.2017.07.009
Silva FO, Suto CSS, Costa LEL. Profile of patients registered in hiperdia: knowing the lifestyle. Rev Saúde Col UEFS (Online). 2015;5(1):33-9. doi: http://dx.doi.org/10.13102/rscdauefs.v5i1.1007
Macedo MML, Cortez DN, Santos JC, Reis IA, Torres HC. Adesão e empoderamento de usuários com diabetes mellitus para práticas de autocuidado: ensaio clínico randomizado. Rev Esc Enferm USP. 2017;51:e03278. doi: https://doi.org/10.1590/s1980-220x2016050303278
Teston EF, Sales CA, Marcon SS. Perspectivas de indivíduos com diabetes sobre autocuidado: contribuições para assistência. Esc Anna Nery Rev Enferm [Internet]. 2017 [cited 2019 Jan 08]; 21(2):1-8. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452017000200214&lng=es&nrm=iso&tlng=en
Rodrigues JA, Lima FJS, Santos AG. Atuação do enfermeiro com pacientes com Diabetes Mellitus na melhoria da qualidade de vida. Rev Atenção Saúde. 2015;13(46):84-90. doi: https://doi.org/10.13037/ras.vol13n46.3102
Shao Y, Liang L, Shi L, Wan C, Yu S. The effect of social support on glycemic control in patients with type 2 diabetes mellitus: the mediating roles of self-efficacy and adherence. J Diabetes Res. 2017;1-8. doi: https://doi.org/10.1155/2017/2804178
Kreuzberg JTN, Aguilar AM, Lima MM. Riscos para complicações cardiovasculares em portadores de diabetes mellitus. Rev Enferm UFSM. 2016;6(1):93-101. doi: http://dx.doi.org/10.5902/2179769217724
Miranda SS, Carvalho S, Andrade TM, Coelho JMF, Gomes-Filho IS. Atividade física e o controle glicêmico de pacientes com diabetes mellitus tipo II. Rev Bras Pesqui Saúde. 2015;17(3):33-40. doi: https://doi.org/10.21722/rbps.v17i3.14134
Moreschi C, Rempel C, Backes DS, Pombo CNF, Siqueira DF, Pissaia LF. Ações das equipes da ESF para a qualidade de vida das pessoas com diabetes. Cienc Cuid Saude. 2018;17(2). doi: https://doi.org/10.4025/cienccuidsaude.v17i2.41000
Fu SN, Wong CKH, Chin WY, Luk W. Association of more negative attitude towards commencing insulin with lower glycosylated hemoglobin level: a survey on insulin-naïve type 2 diabetes mellitus Chinese patients. J Diabetes Metab Disord. 2016;15(3):1-9. doi: https://doi.org/10.1186/s40200-016-0223-0
Goes JA, Rodrigues KF, Avila AC, Geisler A, Maieski A, Nunes CRO, et al. Frequência de sofrimento emocional é elevada em pessoas com diabetes assistidas na atenção primária. Rev Bras Med Fam Comunidade. 2020;15(42):2078. doi: https://doi.org/10.5712/rbmfc15(42)2078
Venâncio JMP, La Banca RO, Ribeiro CA. Benefits of participation in a summer camp to self-care for children and adolescents with diabetes: the perception of mothers. Esc Anna Nery Rev Enferm [Internet]. 2017 [cited 2019 Mar 10];21(1):e20170004. Available from: http://www.scielo.br/scielo.php?pid=S1414-81452017000100204&script=sci_abstract&tlng=pt
Visentin A, Mantovani MF, Caveião C, Hey AP, Scheneider EP, Paulino V. Self-care of users with type 1 diabetes in a basic health unit. Rev Enferm UFPE On Line [Internet]. 2016 [cited 2019 Feb 15];10(3):991-8. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/bde-29615
Simões MS, Silva JMS, Costa GB, Silva MF. Impact of health concepts on healthcare-seeking practices of low-income population in South Coast of Bahia, Brazil. Braz J Develop. 2020;6(1):3667-87. doi: https://doi.org/10.34117/bjdv6n1-261
Carvalho GCN, Freitas RWJF, Araújo MFM, Zanetti ML, Damasceno MMC. Visual acuity in the management of diabetes mellitus: preparation of the insulin dose. Acta Paul Enferm. 2017;30(1):25-30. doi: https://doi.org/10.1590/1982-0194201700005
Costa KS, Tavares NUL, Mengue SS, Pereira MA, Malta DC, Silva Júnior JB. Obtenção de medicamentos para hipertensão e diabetes no Programa Farmácia Popular do Brasil: resultados da Pesquisa Nacional de Saúde, 2013. Epidemiol Serv Saúde [Internet]. 2016 [acesso em 2019 mar 25];25(1):33-44. Disponível em: https://www.scielo.br/scielo.php?pid=S2237-96222016000100033&script=sci_abstract&tlng=pt
Cavassana S. Estudo sobre agulhas hipodérmicas: variação do esforço de penetração em um tecido artificial [dissertação]. Ilha Solteira (SP): Universidade Estadual Paulista “Júlio de Mesquita Filho”; 2017 [acesso em 2019 mar 29]. Disponível em: https://repositorio.unesp.br/bitstream/handle/11449/151641/cavassana_s_me_ilha.pdf?sequence=3&isAllowed=y
Frid AH, Kreugel G, Grassi G, Salimi S, Hicks D, Hirsch LJ, et al. New insulin delivery recommendations. Mayo Clin Proc. 2016;91(9):1231-55. doi: https://doi.org/10.1016/j.mayocp.2016.06.010
Silva MF, Fernandes BS, Carvalho SFR, Carvalho CM, Vale RFD, Nobre PFS, et al. Certificação compulsória e qualidade de agulhas e seringas em um Hospital Sentinela. Vigil Sanit Debate. 2016; 4(2):21-6. doi: http://dx.doi.org/10.3395/2317-269x.00711
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
