[Show abstract][Hide abstract] ABSTRACT: This research aimed to relate medication use with blood glucose and body mass index in subjects with type 2 diabetes mellitus. It was performed a cross-sectional study, between January and July 2009, at the homes of 437 users of 12 health centers in Fortaleza-CE. We administered a survey about blood glucose, body mass index and medication use. Approximately 99% of study subjects with altered glucose classified as not using daily calcium (p = 0.04). Among those with normal blood glucose levels classified as around 93% did not use daily antidepressants / anxiolytics (p = 0.02). Among those with DM 2 normal body mass index, 45.5% were using daily anti-hypertensive ACE-inhibitor class (p = 0.03). Daily use of ACE inhibitor drugs, antidepressants / anxiolytics and calcium was associated with body mass index and glucose, respectively. It is important for nurses to assess body weight and blood glucose in patients with diabetes, particularly those that are under continuous medication.
Revista brasileira de enfermagem 10/2013; 66(5):709-14. · 0.25 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: We present a cross-sectional study that aims to describe the sociodemographic and clinical conditions of individuals with diabetes mellitus and to analyze their knowledge of treatment five years after the end of an educational program in which they took part. In 2010, 40 individuals who had participated in a diabetes educational program for 12 months in 2005 at a primary care service were interviewed. A form was used for data collection that included their knowledge of the notion, physiopathology, and treatment of the disease; exercise; nutrition; foot care; self-monitoring of capillary blood glucose at home; hypoglycemia; chronic complications; special situations; and family support. The results showed that the volunteers incorporated the information about the notion, physiopathology, and treatment of the disease; exercise; foot care; self-monitoring; care associated with hypoglycemia; chronic complications; and special situations. In contrast, nutrition and family support require further reinforcement. It is concluded that five years after the end of the educational program, the participants kept most of the information provided.
Revista da Escola de Enfermagem da U S P 10/2013; 47(5):1137-1142. · 0.50 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: The purpose of this study is to investigate the specific quality of life of patients with diabetes mellitus. It is a cross-sectional study, which was conducted from August 2-28, 2012 in two basic health units, in the interior of São Paulo. A convenience sample, made up of 75 patients, 18 years old or older, both sexes, in a group of self-monitoring of blood glucose, was used. The Diabetes 39 (D-39) Instrument Evaluation, containing five dimensions: energy and mobility (15 items), diabetes control (12), anxiety and worry (4) social overload (5) and sexual behavior (3), was used. Quality of life proved to be highly affected in the items related to the social overload dimension, embarrassment for having diabetes, being called diabetic and diabetes interfering with family life. The elucidation of the assessed factors contributes to the planning of educational programs, insofar as they may hinder the achievement of metabolic control in patients with diabetes.
Revista gaúcha de enfermagem / EENFUFRGS 09/2013; 34(3):138-46.
[Show abstract][Hide abstract] ABSTRACT: The aim of this paper is to identify the prevalence of the most frequent drug interactions in patients using oral antidiabéticos and their association with capillary glucose and medication adherence. In total, 579 type 2 diabetes mellitus patients from 12 health institutions in Fortaleza, Brazil were interviewed in 2009. A form was applied, including questions on medication use, comorbidities, lifestyle, body mass index and random capillary glucose. Results revealed that 26.7% used five or more different drugs simultaneously and daily. Statistically significant drug interactions occurred between antidiabéticos and diuretics, angiotensin-converting enzyme inhibitors, anti-lipidaemics and corticoids. No significant association was found between polypharmacy, medication adherence and glucose. It is important for nurses, in consensus with other health professionals, to consider the possibility of other drugs that mean less risk for diabetes patients' glucose control or of increased antidiabetics doses.
International Journal of Nursing Practice 08/2013; 19(4):423-30. · 0.54 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: The current study investigated the correlation between anthropometric indicators and sleep quality among Brazilian university students using the Pittsburgh Sleep Quality Index. A cross-sectional assessment with 702 university students was conducted between March 2010 and June 2011. Results showed that cases of obesity were more frequent among students who were good sleepers. On the other hand, overweight and high cervical and abdominal circumference was most prominent among poor sleepers. Thus, apart from the damage caused by sleep disorders alone, additional risks due to the association between poor sleep quality and being overweight, central obesity, and increased cervical perimeter are highlighted.
Revista da Escola de Enfermagem da U S P 08/2013; 47(4):852-859. · 0.50 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: To identify the prevalence of the metabolic syndrome and its individual components in a population of college students at a public higher education institution in Fortaleza, Brazil.
Scientific evidence has demonstrated the ascent of the metabolic syndrome in the young population.
Cross-sectional study of 702 Brazilian college students between January-July 2011.
Socio-demographic indicators, life habits and the components of the metabolic syndrome were assessed. anova statistical tests were used to associate gender with the metabolic syndrome components, and the chi-square test to associate the number of metabolic syndrome components with gender and body mass index.
High fasting venous glucose, triglyceride, total cholesterol and LDL-C levels were found in 12·3, 23·0, 9·7 and 5·9% of the sample, respectively. The prevalence of the metabolic syndrome amounted to 1·7%. Nevertheless, 30·4% of students manifested at least one and 12·4% at least two individual components. The prevalence of the metabolic syndrome was higher in men (58·3%) and in people who were overweight (33·3%) and obese (41·7%). It is important to implement public health policies to reduce college students' vulnerability to the metabolic syndrome.
Most college students who displayed ≥3 metabolic syndrome components were men and already indicated being overweight and/or obesity.
It is important that nurses assess the frequency of metabolic syndrome in college students as a predictor of cardiovascular health.
Journal of Clinical Nursing 05/2013; 22(9-10):1291-8. · 1.23 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This quasi-experimental study aimed to evaluate the health-related quality of life in individuals with diabetes mellitus before and after their participation in a five-month educational program in a primary care service in Brazil in 2008. The sample consisted of 51 individuals, 56.9% female and 43.1% male, who had a mean age of 57.65 ± 11.44 years. Data were collected using the Portuguese version of the SF-36 questionnaire. The instrument had adequate reliability estimates for the study sample. Cronbach's alpha for the two components of the instrument, physical and mental, were 0.83 and 0.89, respectively. The findings suggested improvements in all the domain components; however, only the general health domain, before (63.96 ± 19.03) and after (70.59 ± 17.82) the educational program, presented statistically significant mean differences, t(50) = 2.16, p<0.05. Participation in the educational program also contributed to improvements in the perceptions of the individuals regarding their general health status.
Revista da Escola de Enfermagem da U S P 04/2013; 47(2):348-354. · 0.50 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This phenomenological qualitative study aimed to understand the meaning of the experiences lived by women with gestational diabetes mellitus. The sample consisted of 12 patients hospitalized at a maternity hospital in the city of Fortaleza, state of Ceará, Brazil, which expressed their feelings and perceptions through open interviews and drawings. The empirical material was fully transcribed and then organized and analyzed by the phenomenological method. The results revealed two themes: (1) Living experiences that bring happiness and well-being, and (2) Living experiences that cause suffering. This phenomenological study showed the experience of women with gestational diabetes mellitus, thus enabling to plan and to implement intervention programs based on a participatory model of health in order to prioritize the subjective aspects involved in high-risk pregnancy.
Revista brasileira de enfermagem 04/2013; 66(2):222-7. · 0.25 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This study aimed to investigate how
type 1 diabetes mellitus patients perceive hematopoietic stem cell
transplantation (HSCT). Twelve patients participated, ranging in age from 16 to
24 years. Semi-structured interviews were held before and one year after the
HSCT. Three categories emerged from the thematic content analysis:impact
of the disease, experience of HSCT and reassuming daily life. The results
evidenced that, although it is a highly invasive and threatening procedure, the
participants were able to identify gains and to reflect on the losses deriving from
this borderline situation. They realized there were possibilities to benefit
from HSCT and saw it as an opportunity beyond the inevitable difficulties and
limitations the treatment imposed.
Psicologia Teoria e Pesquisa 12/2012; 28(4):425-433.
[Show abstract][Hide abstract] ABSTRACT: OBJETIVO: Investigar associação entre adesão ao tratamento do diabetes mellitus tipo 2 e variáveis sociodemográficas, clínicas e controle metabólico. MÉTODOS: Desenho cross seccional com 423 portadores de diabetes mellitus. Para verificar a associação entre adesão ao tratamento e as variáveis estudadas, utilizou-se teste exato de Fisher e modelos de regressão logística. RESULTADOS: Não houve associação entre adesão ao tratamento do DM2 e variáveis sociodemográficas e clínicas. Verificou-se que o colesterol total e a HbA1c apresentaram associação estatisticamente significativa com a adesão ao plano alimentar (p = 0,036) e de exercício físico (p = 0,006). CONCLUSÃO: A chance do paciente com colesterol dentro do valor recomendado apresentar adesão ao plano alimentar é quase cinco vezes a chance do paciente em mau controle lipídico. A chance dos pacientes com mau controle glicêmico apresentarem adesão ao exercício físico é quase duas vezes a chance daquele sem controle adequado da glicemia.
Acta Paulista de Enfermagem 12/2012; 26(3):231-237. · 0.27 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: OBJETIVOS: Traducir, adaptar culturalmente para el Brasil el ATDM Satisfaction Scales y evaluar la confiabilidad de la versión adaptada en adultos brasileros con DM.
MÉTODOS: Estudio metodológico, cuyo proceso de adaptación cultural incluyó: traducción, comité de jueces, retrotraducción, análisis semántica y pre-test.Este estudio incluyó una muestra de 39 adultos brasileros con DM registrados en un programa educativo del interior paulista.
RESULTADOS: La versión adaptada del instrumento mostró buena aceptación con fácil comprensión de los items por los participantes, con confiabilidad variando entre 0,30 y 0,43.
CONCLUSIÓN: Después del análisis de las propiedades psicométricas y finalización del proceso de validación en el País, el instrumento podrá ser utilizado por investigadores brasileros, posibilitando su comparación con otras culturas.
Descriptores: Telemedicina; Satisfacción del paciente; Diabetes mellitus; Teléfono
Acta Paulista de Enfermagem 10/2012; 25(5):795-801. · 0.27 Impact Factor
[Show abstract][Hide abstract] 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. · 0.54 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Sectional descriptive study that aimed to understand the behavior of people with diabetes mellitus in relation to the practice of use of lancets and / or needles in self-monitoring of blood glucose at home The study was conducted at the Centro de Saúde Escola Joel Domingos Machado, da Faculdade de Medicina de Ribeirão Preto-SP, from August 2008 to July 2009. Data were collected through direct interviews, involving 57 subjects. The results showed that 41 (71.9%) people reuse lancets and / or needles, in a frequency of 1-5 times (52.6%). All subjects reported they did not share the same lancet and / or needles with others. It is necessary to enhance future studies to investigate the risks and benefits of this practice, as well as training courses on diabetes education for healthcare professionals, aiming to meet the complexity of care for users.
Revista brasileira de enfermagem 08/2012; 65(4):601-6. · 0.25 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: To compare self-care competencies in the physical, cognitive and emotional and motivational dimensions of patients with diabetes mellitus before and after participation in an educational programme.
Diabetes mellitus is mainly characterised by a dysfunction of glucose metabolism. The growth of diabetes mellitus as a chronic condition requires continuous management and requires health services to implement care strategies. Diabetes education and self-care competence have been recognised over the last few decades as essential for patients with diabetes mellitus to achieve positive treatment results.
A prospective, comparative study was used.
A total of patients with 43 diabetes mellitus participated in this study, before and after a four-month educational programme on diabetes held in Ribeirão Preto, SP, Brazil in 2009. Data were collected through the Scale to Identify diabetes mellitus Patients' Self-Care Competence [Escala para Identificação da Competência do Portador de diabetes mellitus para o Autocuidado] at two points in time: at the beginning (T1) and at the end (T2) of the programme. Linear mixed effects models were used (p<0·05) in the analysis.
Statistically significant differences were not found in relation to physical competence in the comparison between T1 and T2. Statistically significant differences were found in the comparison of cognitive and emotional and motivational competencies, respectively, between T1 and T2.
The scores related to cognitive and emotional and motivational competencies for self-care presented statistically significant differences between T1 and T2.
The educational activities implemented in the educational programme favoured improved cognitive, emotional and motivational competence for the incorporation of positive self-care actions.
Journal of Clinical Nursing 12/2011; 20(23-24):3394-403. · 1.23 Impact Factor