Effect of the consultation of nursing on knowledge, quality of life, attitude towards disease and self-care among persons with diabetes

Authors

  • Elen Ferraz Teston Universidade Estadual do Paraná, Curso de Enfermagem, Paranavaí PR , Brazil, Universidade Estadual do Paraná-Unespar, Campus de Paranavaí, Curso de Enfermagem. Paranavaí, PR - Brasil
  • Fabiana Magalhães Navarro Peternella Universidade Estadual do Paraná, Curso de Enfermagem, Paranavaí PR , Brazil, Universidade Estadual do Paraná-Unespar, Campus de Paranavaí, Curso de Enfermagem. Paranavaí, PR - Brasil
  • Catarina Aparecida Sale Universidade Estadual do Paraná, Curso de Enfermagem, Paranavaí PR , Brazil, Universidade Estadual do Paraná-Unespar, Campus de Paranavaí, Curso de Enfermagem. Paranavaí, PR - Brasil
  • Maria do Carmo Lourenço Haddad Universidade Estadual do Paraná, Curso de Enfermagem, Paranavaí PR , Brazil, Universidade Estadual do Paraná-Unespar, Campus de Paranavaí, Curso de Enfermagem. Paranavaí, PR - Brasil
  • Marcia Regina Cubas Universidade Estadual do Paraná, Curso de Enfermagem, Paranavaí PR , Brazil, Universidade Estadual do Paraná-Unespar, Campus de Paranavaí, Curso de Enfermagem. Paranavaí, PR - Brasil
  • Sonia Silva Marcon Universidade Estadual do Paraná, Curso de Enfermagem, Paranavaí PR , Brazil, Universidade Estadual do Paraná-Unespar, Campus de Paranavaí, Curso de Enfermagem. Paranavaí, PR - Brasil

DOI:

https://doi.org/10.5935/1415-2762.20180034

Keywords:

Office Nursing, Diabetes Mellitus, Type 2, Self Care, Clinical Trial

Abstract

To verify the effect of nursing consultation based on self-care supported on knowledge and attitude towards disease, quality of life and adherence to
self-care activities in people with type 2 diabetes mellitus (DM). This is a randomized and controlled clinical trial developed in a city in southern Brazil
from March 2014 to January 2015. A total of 134 individuals participated in the study and were randomly assigned to two groups: intervention group
(IG) and control group (CG). For the data collection, four questionnaires were applied in both groups and in two moments (initial and final). The IG
received care consisting of three bi-monthly nursing consultations interspersed by two telephone calls to monitor the agreed goals and the routine
care, consisting of medical consultation by spontaneous demand and free supply of prescribed medication. The CG only received the routine care. The
IG presented a significant change in knowledge about diabetes (p <0.001), impact of the disease on quality of life (p = 0.002), attitude towards disease
(p = 0.024) and adherence to self-care activities (p <0.001). The nursing consultation focused on supported self-care has positive effects on knowledge
and attitude towards the disease and on adherence to self-care activities, but increases the impact of the disease on quality of life. Brazilian Registry
of Clinical Trials: RBR – 3xgjf3.

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References

Coulter A, Entwistle VA, Eccles A, Ryan S, Shepperd S, Perera R. Personalised care planning for adults with chronic or long-term health conditions. Cochrane Database Syst Rev 2015[citado em 2017 mar. 02];3:CD010523. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/25733495.

Iser BPM, Stopa SR, Chueiri PS, Szwarcwald CL, Malta DC, Monteiro HOC. et al. Prevalência de diabetes autorreferido no Brasil: resultados da Pesquisa Nacional de Saúde 2013. Epidemiol Serv Saúde. 2015[citado em 2016 ago 12];24(2):305-14. Disponível em: http://dx.doi.org/10.5123/S1679-49742015000200013.

Ministério da Saúde (BR). Sistema de Informações de Mortalidade. Óbitos por residência por capítulo CID-10 segundo ano do óbito, causa CID-BR-10: 055 Diabetes mellitus. [citado em 2017 mar. 02]. Disponível em: http://tabnet.datasus.gov.br/cgi/tabcgi.exe?sim/cnv/obt10uf.def.

Saleh F, Mumu SJ, Ara F, Hafez MA, Ali L. Non-adherence to self-care practices & medication and health related quality of life among patients with type 2 diabetes: a cross-sectional study. BMC Public Health. 2014[citado em 2017 mar 02];14:431. Disponível em: doi: 10.1186/1471-2458-14-431.

Ku GMV, Kegels G. Effects of the First Line Diabetes Care (FiLDCare) selfmanagement education and support project on knowledge, attitudes, perceptions, self-management practices and glycaemic control: a quasi-experimental study conducted in the Northern Philippines. BMJ Open. 2014[citado em 2017 mar 02];4(8):e005317. Disponível em: doi: 10.1136/bmjopen-2014-005317.

Mendes EV. O cuidado das condições crônicas de saúde na atenção primária à saúde: o imperativo da consolidação da estratégia da saúde da família. Brasília, DF: Organização Pan-Americana de Saúde; 2012. 512 p.

American Diabetes Association. Standards of medical care in - 2011. Diab Care. 2011[citado em 2017 mar 02];34:S11-S61. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3006050/

Moreira R, Mantovani MF, Soriano JV. Effectiveness of nursing case management among people with type 2 Diabetes mellitus. Nurs Res. 2015[citado em 2017 mar 02];64(4):272-81. doi: 10.1097/NNR.0000000000000104. Disponível em: https://journals.lww.com/nursingresearchonline/Abstract/2015/07000/Nursing_Case_Management_and_Glycemic_Control_Among.6.aspx.

Ministério da Saúde (BR). Estratégias para o cuidado das pessoas com doença crônica. Cad Atenção Básica. 2013[citado em 2017 jan 12];35. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/estrategias_cuidado_pessoa_doenca_cronica_cab35.pdf.

Torres HC, Hortale VA, Schall VT. Validation of Diabetes Mellitus knowledge (DKN-A) and attitude (ATT-19) questionnaires. Rev Saúde Pública. 2005[citado em 2017 mar 02];39(6):906-11. Disponível em: http://dx.doi.org/10.1590/S0034-89102005000600006.

Gross CC, Scain SF, Scheffel R, Luiz Gross J, Hutz CS. Brazilian version of the Problem Areas in Diabetes Scale (B-PAID): validation and identification of individuals at high risk for emotional distress. Diabetes Res Clin Pract. 2007[citado em 2017 mar 02];76(3):455-9. Disponível em: https://doi.org/10.1016/j.diabres.2006.09.022.

Michels MJ, Coral MHC, Sakae TM, Damas TB, Furlanetto LM. Questionnaire of diabetes self-care activities: translation, cross-cultural adaptation and evaluation of psychometric properties. Arq Bras Endocrinol Metab. 2010[citado em 2017 mar 02];54(7):644-51. Disponível em: http://dx.doi.org/10.1590/S0004-27302010000700009.

Hendriks M, Rademakers J. Relationships between patient activation, disease-specific knowledge and health outcomes among people with diabetes; a survey study. BMC Heatlh Serv. 2014[citado em 2017 mar 02];14:393. Disponível em: doi: 10.1186/1472-6963-14-393.

Sweileh WM, Zyoud SH, Abu Nab'a RJ, Deleq MI, Enaia MI, Nassar SM. et al. Influence of patients' disease knowledge and beliefs about medicines on medication adherence: findings from a cross-sectional survey among patients with type 2 diabetes mellitus in Palestine. BMC Public Health. 2014[citado em 2017 mar 02];14:94. Disponível em: doi: 10.1186/1471-2458-14-94.

Pereira DA, Costa NMSC, Sousa ALL, Jardim PCBV, Zanini CRO. The effect of educational intervention on the disease knowledge of diabetes mellitus patients. Rev Latino-Am Enferm. 2012[citado em 2017 mar. 02];20(3):1-8. Disponível em: http://www.scielo.br/scielo.php?pid=S010411692012000300008&script=sci_arttext&tlng=pt.

Oliveira KCS, Zanetti ML. Knowledge and attitudes of patients with diabetes mellitus in a primary health care system. Rev Esc Enferm USP. 2011[citado em 2017 mar 02];45(4):862-8. Disponível em: http://www.scielo.br/pdf/reeusp/v45n4/v45n4a10.pdf.

Imazu MFM, Faria BN, Arruda GO, Sales CA, Marcon SS. Effectiveness of individual and group interventions for people with type 2 diabetes. Rev Latino-Am Enferm. 2015[citado em 2017 mar. 02];23(2):200-7. Disponível em: http://dx.doi.org/10.1590/0104-1169.0247.2543

Silva TFA, Rodrigues JEG, Silva PSM, Barros MAR, Felipe GF, Machado ALG. Nursing consultation to persons with diabetes mellitus in primary care. REME - Rev Min Enferm. 2014[citado em 2017 mar. 02];18(3):710-6. Disponível em: http://pesquisa.bvs.br/aps/resource/pt/bde-27012.

Van Der Does AM, Mash R. Evaluation of the "Take Five School": an education programme for people with Type 2 Diabetes in the Western Cape, South Africa. Prim Care Diabetes. 2013[citado em 2017 mar 02];7:289-95. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/23932381.

Shah BR, Bhattacharyya O, Yu CHY, Mamdami MM, Parsons JA, Straus SE. et al. Effect of an educational toolkit on quality of care: a pragmatic cluster randomized trial. PLoS Med. 2014[citado em 2017 mar 02];11(2):e1001588. Disponível em: https://doi.org/10.1371/journal.pmed.1001588.

Fisher L, Hessler D, Masharani U, Strycker L. Impact of baseline patient characteristics on interventions to reduce diabetes distress: the role of personal conscientiousness and diabetes self-efficacy. Diabet Med. 2014[citado em 2017 mar 02];31(6):739-46. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/24494593.

Leite ES, Lubenow JAM, Moreira MRC, Martins MM, Costa IP, Silva AO. Avaliação do impacto da diabetes mellitus na qualidade de vida de idosos. Cienc Cuid Saúde. 2015[citado em 2017 jan 17];14(1): 822-9. Disponível em: http://periodicos.uem.br/ojs/index.php/CiencCuidSaude/article/view/21353.

Pontieri FM, Bachion MM. Beliefs of diabetic patients about nutritional therapy and its influence on their compliance with treatment. Ciênc Saúde Coletiva. 2010[citado em 2017 mar 02];15(1):151-60. Disponível em: http://dx.doi.org/10.1590/S1413-81232010000100021.

Alcubierre N, Rubinat E, Traveset A, Martinez-Alonso M, Hernandez M, Jurjo C. et al. A prospective cross-sectional study on quality of life and treatment satisfaction in type 2 diabetic patients with retinopathy without other major late diabetic complications. Health Qual Life Outcomes. 2014[citado em 2017 mar 02];12:131. Disponível em: https://www.ncbi.nlm.nih.gov/pubmed/25138117.

Badariah A, Ramadas A, Fatt QK, Zain AZM. A pilot study: the development of a culturally tailored Malaysian Diabetes Education Module (MY-DEMO) based on the Health Belief Model. BMC Endocrine Disorders. 2014[citado em 2017 mar 02];14:31. Disponível em: https://doi.org/10.1186/1472-6823-14-31.

Published

2018-10-04

Issue

Section

Research

How to Cite

1.
Effect of the consultation of nursing on knowledge, quality of life, attitude towards disease and self-care among persons with diabetes. REME Rev Min Enferm. [Internet]. 2018 Oct. 4 [cited 2025 Dec. 25];22. Available from: https://periodicos.ufmg.br/index.php/reme/article/view/49661

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