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ABSTRACT: The objective of this cross-sectional study was to analyze therapeutic communication techniques used by health workers with patients under care for diabetes mellitus. Data were collected in 2010 in a public facility in the interior of Ceará, Brazil using video camera equipment and direct observation. Results showed that the most frequently used techniques within the "expression" group were: asking questions, voicing interest, and using descriptive phrases. The most frequently used technique within the "clarification" group was: asking the patient to specify the agent of action. Finally, in regard to the "validation" group, only the technique "summarizing content of the interaction" was employed. The conclusion is that despite the use of communication techniques on the part of professionals, there is still an alarming gap concerning communication skills. Such skills should be allied with technical expertise to enable the delivery of qualified care to individuals with diabetes mellitus.
Revista Latino-Americana de Enfermagem 08/2012; 20(4):685-92. · 0.63 Impact Factor
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ABSTRACT: de araújo mfm, de freitas rwjf, marinho nbp, alencar ampg, damasceno mmc & zanetti ml (2011) Journal of Nursing and Healthcare of Chronic Illness3, 275–282 Validation of two methods to evaluate adherence to oral anti-diabetic medicationAim. To validate two indirect methods to evaluate adherence to oral anti-diabetic therapy.Design. Convenience sample composed of 437 individuals with type 2 diabetes mellitus. The Batalla test and the Measurement of Treatment Adherence were used to collect data in the participants’ households. Pill count was considered the gold standard for assessing adherence to oral anti-diabetics. Data were collected in 2009.Findings. In relation to the gold standard, the Measurement of Treatment Adherence was more associated with non-adherence to oral anti-diabetics cases than the Batalla test (p = 0·000). The Measurement of Treatment Adherence displayed stronger correlation with pill count (p < 0·001) and was more exact than the Batalla test (0·646 > 0·561).Conclusion. The Measurement of Treatment Adherence was the best method to identify non-adherence to oral anti-diabetics of patients with type 2 diabetes mellitus.Relevance to clinical practice. Identifying the best method to evaluate patients’ adherence to oral anti-diabetic medication can facilitate the nurses’ decision-making process in clinical practice.
Journal of Nursing and Healthcare of Chronic Illness 08/2011; 3(3):275 - 282.
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ABSTRACT: The objective of this study was to identify risk factors for type 2 diabetes (DM2) in a population of private schools adolescents of Fortaleza-Brazil. A total 794 students aged 12 to 17 years, from 12 schools, were evaluated in the months of May, June, August and September 2007. A form was applied approaching sociodemographics aspects, BMI, blood pressure, capillary glycemia and sedentary lifestyle. Approximately 24% of the participants had high BMI, 65% were sedentary and 51% had family history of DM2. In those with larger income, 73.5% had family history of DM2 (p = 0.04). About 39% of the adolescents had at least two risk factors for DM2. Most of the risk factors for DM2 identified in this study are changeable, therefore, susceptible to preventive interventions in the school setting.
Revista da Escola de Enfermagem da U S P 12/2010; 44(4):881-7. · 0.38 Impact Factor
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ABSTRACT: The increase of the predominance of weight excess among children has been considered a world epidemic which contributes for the development of chronic diseases. This study aimed at detecting the predominance of overweight and obesity in public schools children of Fortaleza. It is about a transversal study performed in 12 schools in the period of March to June, 2008. The sample involved 727 children between 6 and 11 years of age. A form was applied in which socio-demographic, weight, height and Body Mass Index data were recorded. 159 (21.9%) of the participants showed weight excess. 15.3% out of these were overweight, 6.6% obese, 7.7% belonged to the female gender and 9.8% were concentrated in the age group between 9 and 10 years of age. There was no statistical significant difference between gender (p = 0.666) and age group (p = 0.171). Considerable weight excess cases were noticed among the child population studied. The present study observed important information that may not only help for the knowledge of those conditions, but also for the performance of intervention strategies intended to fight the incidence of new cases.
Online Brazilian Journal of Nursing. 01/2009;
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ABSTRACT: Nowadays overweight is a condition that prepares adolescents to several chronical diseases in the future. Thus, the objective was to find out overweight and obesity cases in public schools' adolescents from Fortaleza. 720 students between 14 and 19 years of age were investigated in the months of February and March, 2006, by means of a form application in which socio-demographic features, weight, height, Body Mass Rate (BMR) were recorded. Results highlighted that 65.8% were between 14-17 years old, 81% attended highschool, 59.3% belonged to the female gender and 12.9% had an above normal BMR. Out of these, 10.3% were overweight, 2.6% were obese, 7.6% belonged to the female gender and 8.4% were between 14-17 years old. Overweight/obesity predominance was higher in those with lower income, although a statistically significant association was not found (p=0.342). However, there was a significant association between BMR and age (p= 0.003). It was inferred that the raise of overweight cases among the investigated may be related to the adoption of a predisposing lifestyle. In this context, the nurse should implement intervention and prevention actions such as education in health and early detection of overweight cases.
Online Brazilian Journal of Nursing. 01/2007;
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ABSTRACT: This study investigates risk factors for type 2 diabetes mellitus in a population of children in public schools, Fortaleza, CE, Brazil. A total of 727 children aged 6 to 11 years old from 12 schools were evaluated between March and June 2008. A form addressing socio-demographic data, body mass index, blood pressure, capillary blood glucose and waist circumference was applied. A total of 54.1% of the children were female, 21.7% were overweight, 6.6% were obese, 27% had central obesity, 6.2% showed altered capillary glucose, and 17% high blood pressure. In relation to risk factors, 53.4% presented no risk factors; 24.3% had at least one factor and 18.8% two risk factors. Nurses can intervene in schools through educational health programs encouraging the adoption of healthy habits and identifying children at risk of type 2 diabetes mellitus.
Revista Latino-Americana de Enfermagem 18(5):936-42. · 0.63 Impact Factor
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ABSTRACT: It aimed to learn the daily habits related to the physical activity practice among private state schools adolescents in Fortaleza-Brazil. We investigated 307 students between 12 and 17 years old from six private schools, in the months March to June 2007. We applied a form which recorded sedentarism, BMI, blood pressure and blood glucose. The chi-squared test was used for to analysis the proportions. About 68% of young people were sedentary. The sedentarism was higher in females surveyed (p=0, 000) and those with over-weight (p=0,001). Among adolescents active exercise was the most practiced football (42%) and weights (19%). The health education in schools can assist in combating the sedentarism of the adolescents.
Revista brasileira de enfermagem 63(3):410-5.
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ABSTRACT: The research aimed at learning food habits of adolescents from public schools in Fortaleza, CE, Brazil. Seven hundred students age ranging from 4 to 19 years-old were interviewed from twelve education institutions by means of a structured form. From the usual food consumed the energetic rice and bread were highlighted, consumed by 95.8% and 85.2% of the adolescents, respectively (p=0.0001). Within constructor food, meat and beans are ingested by 60.6% and 75.0%, respectively (p=0.0001). Regulative food like fruit and vegetables do not have a usual consumption among adolescents, since just (34.3%) and (47.6%) respectively consume them (p=0.0001 and p=0.226). An unbalance in proper nutrient ingestion for the adolescence was stated, favoring overweight and, consequently, chronic diseases like mellitus diabetes.
Revista brasileira de enfermagem 62(1):18-24.
