Diabestes education for children and adolescents:
Nursing practice during the COVID-19 pandemic
DOI:
https://doi.org/10.35699/2316-9389.2025.49105Keywords:
Diabetes Mellitus, Type 1, Health Education, Child, Adolescent, Family, Pediatric Nursing, COVID-19Abstract
Objective: to characterize and analyze health education interventions for children and adolescents with type 1 diabetes mellitus (T1D) and their families, as conducted by nurses during the COVID-19 pandemic. Method: this was an exploratory, qualitative study utilizing a convenience sample comprising nurses from various Brazilian regions and work sectors who provided care to children and adolescents with T1D and their families. Following approval from the Ethics Committee, data were collected virtually between October 2021 and May 2022 and subsequently subjected to thematic content analysis. Results: three distinct categories emerged from the participation of 16 nurses. The first category describes the modifications in care delivery and nurses’ workflow processes, alongside changes in care-seeking patterns among families. The second category illustrates the adaptive strategies employed by nurses, particularly the integration of virtual communication methods. The third category delineates the challenges nurses encountered in conducting recreational and play-based activities online, as well as the difficulties in accessing remote resources faced by both the professionals and the patient families. Enhanced communication agility, continuity of care provision, and improved access to information were identified as key strengths realized during this period. Final considerations: the pandemic necessitated fundamental adjustments to health education initiatives for children and adolescents with T1D and their families, thereby significantly impacting nursing practice.
Downloads
References
1. Rodacki M, Teles M, Gabbay M, Montenegro R, Bertoluci M. Classificação do diabetes. Diretriz Oficial da Sociedade Brasileira de Diabetes [Internet]. SBD;2022[cited 2024 Mar 05]. Available from: https://diretriz.diabetes.org.br/classificacao-do-diabetes/
2. Gregory GA, Robinson TIG, Linklater SE, Wang F, Colagiuri S, Beaufort C, et al. Global incidence, prevalence, and mortality of Type 1 Diabetes in 2021 with projection to 2040: a modelling study. Lancet Diabetes Endocrinol [Internet]. 2022 Out 1[cited 2024 Mar 05];10(10):741-60. Available from: https://www.thelancet.com/journals/landia/article/PIIS2213-8587(22)00218-2/fulltext
3. Type 1 Diabetes Index [Internet]. T1D Index; 2022 [cited 2024 Mar 05]. Available from: https://www.t1dindex.org/
4. Neves RG, Tomasi E, Duro SMS, Saes-Silva E, Saes MO. Complications due to diabetes mellitus in Brazil: 2019 nationwide study. Cien Saude Colet [Internet]. 2023 Nov 1 [cited 2024 Mar 05];28(11):3183-90. Available from: https://doi.org/10.1590/1413-812320232811.11882022
5. Okido ACC, Almeida A, Vieira MM, Neves ET, Mello DF, Lima RAG. As demandas de cuidado das crianças com Diabetes Mellitus tipo 1. Escola Anna Nery [Internet]. 2017[cited 2024 Mar 05];21(2):e20170034. Available from: https://doi.org/10.5935/1414-8145.20170034
6. Xavier DM, Gomes GC, Cezar-Vaz MR. Meanings assigned by families about children’s chronic disease diagnosis. Rev Bras Enferm [Internet]. 2020 [cited 2024 Mar 05];73(2):e20180742. Available from: https://doi.org/10.1590/0034-7167-2018-0742
7. Beck J, Greenwood DA, Blanton L, Bollinger ST, Butcher MK, Condon JE, et al. 2017 National standards for diabetes self-management education and support. Diabetes Spect [Internet]. 2017 Nov [cited 2024 Mar 05];30(4):301-14. Available from: https://diabetesjournals.org/spectrum/article/30/4/301/32722
8. La Banca RO, Sparapani VC, Bueno M, Costa T, Carvalho EC, Nascimento LC. Strategies to educate young people with type 1 diabetes mellitus on insulin therapy: systematic review. Texto Contexto Enferm [Internet]. 2020 [cited 2024 Mar 05];29. Available from: https://doi.org/10.1590/1980-265X-TCE-2018-0338
9. Barone MTU, Harnik SB, de Luca PV, Lima BLS, Wieselberg RJP, Ngongo B, et al. The impact of COVID-19 on people with diabetes in Brazil. Diabetes Res Clin Pract [Internet]. 2020 Aug [cited 2024 Mar 05];166:108304. Available from: https://pubmed.ncbi.nlm.nih.gov/ 32623040/
10. Garnica P. Transition of care for patients with diabetes. Curr Diabetes Rev[Internet]. 2017[cited 2024 Mar 05];13(3):263-79. Available from: https://www.eurekaselect.com/article/79894
11. Souza VRS, Marziale MHP, Silva GTR, Nascimento PL. Tradução e validação para a língua portuguesa e avaliação do guia COREQ. Acta Paul Enferm [Internet]. 2021[cited 2024 Mar 05];34:eAPE02631. Available from: http://dx.doi.org/10.37689/acta-ape/2021ao02631.
12. Minayo MCS. Amostragem e saturação em pesquisa qualitativa: consensos e controvérsias. Rev Pesq Qual [Internet]. 2017[cited 2024 Mar 05];5(7):1-12. Available from: https://editora.sepq.org.br/rpq/article/view/82
13. Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2011.
14. Tuczyńska M, Matthews-Kozanecka M, Baum E. Accessibility to non-COVID health services in the world during the COVID-19 pandemic: review. Front Public Health [Internet]. 2021 Dez 16[cited 2024 Mar 05];9:760795. Available from: https://doi.org/10.3389/fpubh.2021.760795
15. Sayed S. COVID-19 and Diabetes; possible role of polymorphism and rise of telemedicine. Prim Care Diabetes [Internet]. 2020 Ago[cited 2024 Mar 05];15(1):4-9. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC7457905/
16. Matheus ASM, Cabizuca CA, Tannus LRM, Passos AC, Schmidt AC, Gouveia AT, et al. Telemonitoring type 1 diabetes patients during the COVID-19 pandemic in Brazil: was it useful? Arch Endocrinol Metabol [Internet]. 2021 Feb [cited 2024 Mar 05];65(1). Available from:
https://doi.org/10.20945/2359-3997000000309
17. Shawar RS, Cymbaluk AL, Bell JJ, Patel T, Treybig CW, Poland TR, et al. Isolation and education during a pandemic: novel telehealth approach to family education for a child with new-onset type 1 Diabetes and concomitant COVID-19. Clin Diabetes [Internet]. 2021 Jan 1[cited 2024 Mar 05];39(1):124-7. Available from: https://doi.org/10.2337/cd20-0044
18. Ergun-Longmire B, Clemente E, Vining-Maravolo P, Roberts C, Buth K, Greydanus DE. Diabetes education in pediatrics: how to survive diabetes. Dis Mon [Internet]. 2021 Aug [cited 2024 Mar 05];67(8):101153. Available from: https://doi.org/10.1016/j.disamonth.2021.101153
19. Lindholm Olinder A, DeAbreu M, Greene S, Haugstvedt A, Lange K, Majaliwa ES, et al. ISPAD Clinical Practice Consensus Guidelines 2022: Diabetes education in children and adolescents. Pediatr Diabetes [Internet]. 2022 Dez[cited 2024 Mar 05];23(8):1229-42. Available from:
https://onlinelibrary.wiley.com/doi/10.1111/pedi.13418
20. Costa P, Cruz AC, Alves A, Rodrigues MC, Ferguson R. The impact of the COVID‐19 pandemic on young children and their caregivers. Child Care Health Dev [Internet]. 2022 Feb 10[cited 2024 Mar 05];48(6):1001-7. Available from: https://onlinelibrary.wiley.com/doi/10.1111/cch .12980
21. Pinto ACS, Scopacasa LF, Bezerra LLA, Pedrosa JV, Pinheiro PNC. Uso de tecnologias da informação e comunicação na educação em saúde de adolescentes: revisão integrativa. Rev Enferm UFPE[Internet]. 2017[cited 2024 Mar 05];11(2):634-44. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1032014
22. Garg SK, Rodbard D, Hirsch IB, Forlenza GP. Managing New-Onset Type 1 Diabetes During the COVID-19 Pandemic: Challenges and Opportunities. Diabetes Technol Ther [Internet]. 2020 abr 17[cited 2024 Mar 05];22(6): 431-9. Available from: https://pubmed.ncbi.nlm.nih.gov/ 32302499/
23. Schroder AC, Vanz AP, Geremia C, Trindade CS, Canabarro ST. Telessaúde em um centro de referência em Diabetes Mellitus: uma análise transversal. Esc Anna Nery [Internet]. 2021[cited 2024 Mar 05];25(1):e20200046. Available from: https://doi.org/10.1590/2177-9465-EAN-2020-0046
24. Alam AS, Samiasih A, Mubin F, Pranata S, Dhamanik R. Types of nursing intervention on improving quality of life among patients with diabetes mellitus: a systematic review. Curr Diabetes Rev[Internet]. 2023 Aug 29[citado em 2024 mar. 02];20(3). Available from: https://www.eurekaselect.com/article/134118
25. Rosa WE, Fitzgerald M, Davis S, Farley JE, Khanyola J, Kwong J, et al. Leveraging nurse practitioner capacities to achieve global health for all: COVID‐19 and beyond. Int Nurs Rev [cited 2024 Mar 05];67(4):554-9. Available from: https://onlinelibrary.wiley.com/doi/ 10.1111/inr.12632
Additional Files
Published
Issue
Section
License
Copyright (c) 2025 REME-Revista Mineira de Enfermagem

This work is licensed under a Creative Commons Attribution 4.0 International License.


































