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1.
Br J Nurs ; 29(5): 274-278, 2020 Mar 12.
Artigo em Inglês | MEDLINE | ID: mdl-32167814

RESUMO

BACKGROUND: Type 2 diabetes mellitus is one of the most common diseases worldwide. The demands on health services are rising as more people are diagnosed with the condition. In order to meet this demand, eHealth systems are increasingly being integrated into nursing care. METHODS: Between November 2018 and February 2019, a literature search was carried out in the databases PubMed and CINAHL. RESULTS: Twenty articles were found on nurses' use of eHealth systems, the majority with patients with diabetes. From this research, it would seem that eHealth systems have had a proven positive influence on patients' state of health and understanding of therapy. Subjectively perceived communication with the nursing staff also improved. Problems can arise in the implementation phase. CONCLUSION: In the future, increasingly, nurses will have to integrate eHealth systems into the treatment of patients with type 2 diabetes. It is important that nurses understand such systems in order to guarantee a sustainable and successful implementation.


Assuntos
Diabetes Mellitus Tipo 2/enfermagem , Diabetes Mellitus Tipo 2/terapia , Telemedicina , Comunicação , Humanos , Recursos Humanos de Enfermagem
3.
BMC Health Serv Res ; 19(1): 814, 2019 Nov 08.
Artigo em Inglês | MEDLINE | ID: mdl-31703680

RESUMO

BACKGROUND: Patients with type 2 diabetes mellitus (T2DM) receiving primary care regularly visit their practice nurses (PNs). By actively participating during medical consultations, patients can better manage their disease, improving clinical outcomes and their quality of life. However, many patients with T2DM do not actively participate during medical consultations. To understand the factors affecting engagement of patients with T2DM, this study aimed to identify factors that help or hinder them from actively participating in consultations with their primary care PNs. METHODS: Two semi-structured focus groups and 12 semi-structured individual interviews were conducted with patients with T2DM (n = 20) who were undergoing treatment by primary care PNs. All interviews were transcribed verbatim and analyzed using a two-step approach derived from the context-mapping framework. RESULTS: Four factors were found to help encourage patients to actively participate in their consultation: developing trusting relationships with their PNs, having enough time in the appointment, deliberately preparing for consultations, and allowing for the presence of a spouse. Conversely, four factors were found to hinder patients from participating during consultations: lacking the need or motivation to participate, readjusting to a new PN, forgetting to ask questions, and ineffectively expressing their thoughts. CONCLUSION: Patients lacked the skills necessary to adequately prepare for a consultation and achieve an active role. In addition, patients' keen involvement appeared to benefit from a trusting relationship with their PNs. When active participation is impeded by barriers such as a lack of patient's skills, facilitators should be introduced at an early stage. TRIAL REGISTRATION: Current Controlled Trials NTR4693 (July 16, 2014).


Assuntos
Diabetes Mellitus Tipo 2/enfermagem , Relações Enfermeiro-Paciente , Participação do Paciente/psicologia , Diabetes Mellitus Tipo 2/psicologia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Motivação , Profissionais de Enfermagem , Enfermagem de Atenção Primária/psicologia , Pesquisa Qualitativa , Qualidade de Vida , Encaminhamento e Consulta
4.
J Christ Nurs ; 36(4): 228-235, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31490877

RESUMO

This participatory action research project explored the perspectives and challenges of homeless persons living with, or at risk for, type 2 diabetes. Because these persons were sheltered in and served by a church, their perspectives provide understanding about how religious faith may influence diabetes self-management.


Assuntos
Diabetes Mellitus Tipo 2/prevenção & controle , Acesso aos Serviços de Saúde , Pessoas em Situação de Rua , Papel do Profissional de Enfermagem , Enfermagem na Comunidade de Fé , Diabetes Mellitus Tipo 2/enfermagem , Humanos , Entrevistas como Assunto
5.
Asian Nurs Res (Korean Soc Nurs Sci) ; 13(3): 209-215, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31255693

RESUMO

PURPOSE: Diabetes mellitus has been either the fourth or fifth leading cause of death among Taiwanese adults during 1995-2015. Older adults with diabetes are at higher risk of developing diabetic macro-vascular and micro-vascular complications. The purpose of this study explored the self-management experiences of middle-aged and older adults with diabetes through a focus group. METHODS: Purposive sampling was used to recruit patients with diabetes from the metabolic outpatient clinics of medical centers and regional hospitals in Taiwan. Two focus groups, comprising a total of 23 participants, were employed to collect data, and group discussions were held a total of four times in an education room that was distant from clinical areas. RESULTS: Three themes were generated from analysis of the collected data: (1) "listening to the voice of the body and observing physical changes," (2) "re-recognizing diabetes and challenges," and (3) "self-management implementation dilemmas." This study provided new insights into the experiences of middle-aged and older adults in Taiwan regarding their self-management of diabetes. CONCLUSION: Healthcare teams should be involved in the self-management education of patients with diabetes as early as possible to reduce patients' anxiety and to develop more patient-centered, culture-sensitive clinical skills. In addition to monitoring patients' self-management, healthcare professor should pay more attention to patients' successful adaptation to and coexistence with the disease.


Assuntos
Diabetes Mellitus Tipo 2/enfermagem , Autocuidado/métodos , Autocuidado/psicologia , Autogestão/métodos , Autogestão/psicologia , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Taiwan
6.
Rech Soins Infirm ; (136): 28-42, 2019 03.
Artigo em Francês | MEDLINE | ID: mdl-31210498

RESUMO

INTRODUCTION: Diabetes mellitus is a major public health problem. ContextBackground: Educational programs have been shown to be effective demonstrated their effectiveness in improving diabetes control. In Lebanon, no action has been taken to date. OBJECTIVE: The objective is to evaluate the effects of a that an educational intervention has on the therapeutic adherence of patients with type 2 diabetes on therapeutic adherence. METHOD: An experimental design was used. The sample was composed of comprised 136 patients with type 2 diabetes. They were randomized and assigned to either an experimental group, who received a nursing intervention including that involved two education sessions followed by five telephone calls within two months of the procedure, or a and in control group. Measurements were taken before the nursing intervention and three months later. RESULTS: Compared to the control group, the experimental group demonstrated a significant improvement in the level of self-efficacy levels, self-care behaviors (general diet, specific diet, physical exercise and glycemic monitoring), the application of implementing the recommendations (diet and foot care), and HbA1c levels. DISCUSSION: The results were consistent with the studies reviewed. CONCLUSION: Nursing education improves health behaviors, enhances self-efficacy, and promotes adherence in patients with type 2 diabetes.


Assuntos
Diabetes Mellitus Tipo 2/enfermagem , Relações Enfermeiro-Paciente , Educação de Pacientes como Assunto , Cooperação e Adesão ao Tratamento/estatística & dados numéricos , Humanos , Líbano , Pesquisa em Avaliação de Enfermagem , Autocuidado/psicologia , Autoeficácia
7.
Medicine (Baltimore) ; 98(23): e15971, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31169727

RESUMO

BACKGROUND: To evaluate the impacts of nurse-led clinic and nurse-led prescription on hemoglobin A1c (HbA1c) control in type 2 diabetes. METHODS: We searched relevant publications in English and Chinese database and conducted meta-analysis by Stata 12.0. We divided the case groups of included studies into 2 categories according to the role of nurse: nurse-led clinic and nurse-led prescription. Nurse-led clinic was implemented on the basis of standard diabetes care provided by doctor, and control group also receive the standard diabetes care but without nurse-led clinic. The doctor mentioned above might work alone or in a health care team. Nurse-led prescription was prescribed by nurse independently and compared with that of doctor. RESULTS: The meta-analysis shown that, compared with the standard diabetes care, nurse-led clinic significantly decreases HbA1c level (standard mean difference [SMD] = -0.767; 95% confidence interval [CI]: -1.062, -0.471; P < .001). In subgroup analysis, nurse-led clinic also had positive impacts on controlling HbA1c level, no matter in developed countries (SMD = -0.353; 95% CI: -0.6, -0.106; P = .005) or developing countries (SMD = -1.114; 95% CI: -1.498, -0.73; P < .001). Additionally, there was no significant difference between nurse-led prescription and doctor prescription in controlling HbA1c levels (SMD = -0.203; 95% CI: -0.434, 0.029; P = .086). CONCLUSION: The nurse-led clinic had positive significance for HbA1c control. Meanwhile, the impact of nurse-led prescription on controlling HbA1c is comparable to that of doctor. It is valuable to provide nurse-led clinic on the basis of standard diabetes care provided by doctor to better control HbA1c, and nurse-led prescription should be provided when doctor-led service is limited.


Assuntos
Diabetes Mellitus Tipo 2/enfermagem , Hemoglobina A Glicada/metabolismo , Hipoglicemiantes/uso terapêutico , Padrões de Prática em Enfermagem/estatística & dados numéricos , Prescrições/enfermagem , Adulto , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/tratamento farmacológico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade
8.
J Adv Nurs ; 75(9): 1943-1952, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31012151

RESUMO

AIMS: To examine the care practices of nurses during the organization of 20 weeks of walking sessions for people with type 2 diabetes and to reflect on implications for nurse-patient relationships and nursing responsibilities in the provision of physical activity (PA) care. DESIGN: Qualitative, ethnographic study. METHODS: Almost 70 hr of field work was completed by participant observations and informal conversations with nurses and participating patients of two different walking groups (April-October 2016). Analysis of field notes followed an inductive holistic-content approach, using both within-case and across-case analysis. RESULTS: The analysis revealed four main themes related to the nurses' care practices: (a) organizational efforts; (b) combining group and individual care; (c) stepping in- and outside the patient mode; and (d) implications back inside the consultation room. Underlying these themes was a process of relational development, both with and among patients. CONCLUSION: Stepping outside the consultation room seems to offer more space for patients' lifeworld narratives and contribute to more continuous and person-centred care. However, it also raises new questions about the provision of PA care and nursing responsibilities in this. IMPACT: Current nursing repertoires for PA counselling in type 2 diabetes care are insufficient and might be extended by organizing walking sessions for patients. Related nursing care practices impacted relationships both with and among participating patients. These have consequences for boundaries of both nursing responsibilities and care provision.


Assuntos
Atitude do Pessoal de Saúde , Diabetes Mellitus Tipo 2/enfermagem , Promoção da Saúde/métodos , Papel do Profissional de Enfermagem , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem no Hospital/psicologia , Caminhada/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
9.
J Clin Nurs ; 28(17-18): 3200-3209, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31002210

RESUMO

AIMS AND OBJECTIVES: To test the hypothesis that fatigue and sleep disturbance account for a significant amount of variation in eating styles among people with type 2 diabetes (T2D). BACKGROUND: Healthy eating is an important component of diabetes self-care but remains a major challenge. In people with T2D, symptoms of fatigue and sleep disturbance are pervasive. However, there is limited understanding of whether fatigue and sleep disturbance are associated with eating style in people with T2D. DESIGN: Correlational design. METHODS: This study was reported following the STROBE checklist. Data were collected between February 2017 and January 2018. A convenience sample of 64 T2D adults completed the Three-Factor Eating Questionnaire-R18V2 to measure eating style (e.g., emotional eating, cognitive restraint and uncontrolled eating). Diabetes distress, fatigue and sleep disturbance were measured using validated questionnaires. Hierarchical regression analyses were performed. RESULTS: Only age was a significant predictor (ß = -0.344) of cognitive restraint. Participant demographics, psychological factor and health-related factors contribute significantly to the model predicting emotional eating, but only diabetes distress was a significant predictor (ß = 0.433). Introducing fatigue and poor sleep quality explained an additional 12.0% of the variation in emotional eating. The final model explained 24.9% of the variation in emotional eating; both diabetes distress (ß = 0.294) and fatigue (ß = 0.360) were significant predictors. CONCLUSION: There is a strong, independent relationship of fatigue and diabetes distress with emotional eating T2D patients. The effect of improving fatigue and diabetes distress on eating style should be explored. RELEVANCE TO CLINICAL PRACTICE: In clinical practice, nurses are recommended to include a detailed assessment of fatigue and distress in patients with diabetes. Additional to the conventional nutrition therapy focusing on diet advice, eating style should also be incorporated in diet education by diabetes nurses.


Assuntos
Diabetes Mellitus Tipo 2/psicologia , Comportamento Alimentar/psicologia , Transtornos do Sono-Vigília/psicologia , Adulto , Diabetes Mellitus Tipo 2/complicações , Diabetes Mellitus Tipo 2/enfermagem , Fadiga/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Autocuidado , Transtornos do Sono-Vigília/etiologia , Inquéritos e Questionários
10.
Nutr Metab Cardiovasc Dis ; 29(5): 496-503, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30952575

RESUMO

BACKGROUND AND AIMS: Fostering patient's self-managing of basal insulin therapy could improve glucose control, by removing patient's and physician's barriers to basal insulin initiation, titration and glucose monitoring. The Italian Titration Approaches Study (ITAS) aims at demonstrating non-inferiority (<0.3% margin) in efficacy of glucose control (change in glycated hemoglobin [HbA1c] after 24 weeks) by the same titration algorithm of insulin glargine 300 U/mL (Gla-300), managed by the (nurse assisted) patient versus the physician, in insulin naïve patients with Type 2 Diabetes Mellitus (T2DM), uncontrolled with previous treatments. METHODS AND RESULTS: ITAS is a phase IV, 24-week, national, multicenter, open label, randomized (1:1) parallel group study. 458 patients were enrolled, 359 randomized, and 339 completed the study, in 46 Italian centers. Baseline characteristics and previous medications of the ITT population (N = 355) are reported. Mean ± SD age, T2DM duration, HbA1c, FPG and BMI were 64.0 ± 9.8 years, 11.6 ± 7.6 years, 8.79 ± 0.65%, 170.9 ± 42.3 mg/dL, and 30.3 ± 5.6 kg/m2, respectively. Vascular and metabolic disorders were most frequent (73.8% and 58.3%, respectively). More than 90% of patients were on metformin. CONCLUSION: ITAS is the first study to compare two different managers (nurse-assisted patient vs physician) of the same titration algorithm of Gla-300 in insulin naïve patients with T2DM in unsatisfactory glucose control. This study might provide novel evidence on the efficacy/effectiveness of patient-managed titration algorithm of Gla-300 in a pragmatic setting and may reduce barriers to basal insulin initiation and its titration.


Assuntos
Glicemia/efeitos dos fármacos , Diabetes Mellitus Tipo 2/tratamento farmacológico , Hipoglicemiantes/administração & dosagem , Insulina Glargina/administração & dosagem , Autocuidado , Idoso , Biomarcadores/sangue , Glicemia/metabolismo , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/enfermagem , Feminino , Hemoglobina A Glicada/metabolismo , Humanos , Hipoglicemiantes/efeitos adversos , Insulina Glargina/efeitos adversos , Itália , Masculino , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Participação do Paciente , Papel do Médico , Fatores de Tempo , Resultado do Tratamento
11.
Br J Community Nurs ; 24(4): 160-164, 2019 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-30969848

RESUMO

With the increasingly ageing population worldwide, more older people are living with diabetes. The conditions that often accompany older age, such as dementia, renal impairment, visual impairment and manual dexterity difficulties, can make diabetes management complex and self-care challenging. However, the status of older people varies considerably, and so choice of glucose-lowering agents and clinical targets should be individualised to maximise safety and ensure that the risks of treatments do not outweigh the benefits. For many patients, there will be an increasing dependence on others to manage their diabetes care, so an appropriate skill mix among healthcare professionals and carers, adequate training and regular competency assessment are crucial to support patients to remain safe and symptom free from diabetes.


Assuntos
Demência , Diabetes Mellitus Tipo 2/prevenção & controle , Autocuidado , Idoso , Enfermagem em Saúde Comunitária , Diabetes Mellitus Tipo 2/enfermagem , Feminino , Serviços de Saúde para Idosos , Humanos , Masculino
12.
Br J Nurs ; 28(7): 434-439, 2019 Apr 11.
Artigo em Inglês | MEDLINE | ID: mdl-30969870

RESUMO

Diabetes mellitus is a condition that results in elevated blood glucose levels. Continued elevation can contribute to progressive micro- and macrovascular complications, leading to renal, nerve and ocular damage, representing a significant contributor to patient morbidity and mortality. The measurement of blood glucose provides information on the effectiveness of blood glucose metabolism and guides interventions to achieve optimal glucose control within the body. All nurses should be familiar with the importance of blood glucose monitoring and the procedure to carry out testing safely and effectively. Appropriate and timely monitoring of blood glucose will allow for the successful management of blood glucose that is out of the target range. This will ensure ongoing patient safety during episodes of acute illness or effective management of diabetes mellitus in the longer term, minimising future diabetic-related health complications.


Assuntos
Automonitorização da Glicemia , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 2/sangue , Glicemia/metabolismo , Diabetes Mellitus Tipo 1/enfermagem , Diabetes Mellitus Tipo 2/enfermagem , Humanos , Hipoglicemiantes/uso terapêutico
13.
Scand J Caring Sci ; 33(3): 741-749, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30866066

RESUMO

BACKGROUND: A constructive patient-nurse relationship is beneficial in self-management support approaches. Research indicates eHealth interventions hold a potential for self-management support for adults with type 2 diabetes. However, eHealth may change the patient-nurse relationship. No studies to date have addressed how eHealth self-management support interventions with written asynchronous communication can influence the relationship between patients and nurses. AIM: The aim of this study was to explore how an eHealth intervention based on the Guided Self-Determination program (eGSD) influences the patient-nurse relationship from the perspective of patients participating and the nurses conducting the intervention. METHODS: A qualitative approach with individual semi-structured interviews was used. Ten patients with type 2 diabetes who completed the eGSD and four nurses who delivered the intervention participated. The data were transcribed verbatim, and qualitative content analysis was used to analyse the text. RESULTS: The findings revealed two themes: 'eGSD facilitates a reciprocal understanding and a flexibility in the relationship' and 'eGSD creates a more fragile relationship', reflecting ambiguous experiences with the eGSD. CONCLUSION AND RELEVANCE TO CLINICAL PRACTICE: The findings indicate that eGSD influences the patient-nurse relationship by facilitating reciprocal understanding and flexibility. Both patients and RNs acknowledged these outcomes as beneficial. Nevertheless, familiar in-person consultations were expressed as integral for the patient-nurse relationship. As written communication in eHealth is a novelty, it demands new knowledge and expertise that RNs must master. Findings from this study may therefore be acknowledged when developing and implementing eHealth interventions. Education programs in written eHealth communication, as well as guidelines and frameworks on how to professionally and effectively conduct eHealth services while maintaining supportive patient-nurse relationships, should be a priority for institutions that educate healthcare personnel, health institutions and other stakeholders.


Assuntos
Diabetes Mellitus Tipo 2/enfermagem , Diabetes Mellitus Tipo 2/psicologia , Relações Enfermeiro-Paciente , Recursos Humanos de Enfermagem/psicologia , Autocuidado/psicologia , Telemedicina/métodos , Telenfermagem/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Comunicação , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa
14.
J Gerontol Nurs ; 45(3): 43-54, 2019 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-30789988

RESUMO

Type 2 diabetes is a prevalent chronic health condition more frequently affecting adults ages 65 and older. Furthermore, these individuals tend to have more type 2 diabetes-associated complications, compared with younger individuals with diabetes, and face unique challenges throughout the self-management process. Despite many studies and reviews about diabetes self-management, few researchers focus specifically on older adults. Of particular importance is the need to understand self-management challenges through the patient's lens. Therefore, the purpose of the current review is to examine and summarize the qualitative literature concerning type 2 diabetes self-management barriers in older adults. Following critical appraisal of literature published from 2007-2018, 10 articles were reviewed and content analysis performed. Four themes emerged: Lack of Knowledge and Understanding, Self-Management Implementation Challenges, Culture and Language Barriers, and Health Care Providers as a Perceived Barrier. The state of the qualitative science, implications for nursing practice, and recommendations for future research are discussed. [Journal of Gerontological Nursing, 45(3), 43-54.].


Assuntos
Doença Crônica/enfermagem , Complicações do Diabetes/enfermagem , Diabetes Mellitus Tipo 2/enfermagem , Autocuidado/métodos , Autogestão/métodos , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pesquisa Qualitativa
15.
Prof Case Manag ; 24(2): 76-82, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30688819

RESUMO

PURPOSE/OBJECTIVES: The purpose of this program was to provide health coaching to patients with a primary or secondary diagnosis of Type 2 diabetes mellitus (T2DM) to increase self-management skills and reduce 30-day readmissions. PRIMARY PRACTICE SETTING: The setting was a 273-bed, acute care not-for-profit hospital in the southern region of the United States. FINDINGS/CONCLUSIONS: Health coaching that emphasized self-management, empowered patients to set healthy goals, and provided support through weekly reminders to improve self-management for patients with T2DM in this pilot program. The majority of patients reported accomplishment of goals with 16 out of 20 patients who did not require inpatient stay 30 days after discharge from the acute care facility. IMPLICATIONS FOR CASE MANAGEMENT PRACTICE: The T2DM piloted program can easily be modified to fit other chronic illness that require routine monitoring and complex regimens to remain healthy. Case managers have the opportunity to coach on the importance of lifestyle modification and self-management support for patients with chronic illness with follow-up interactive phone visits after hospital discharge. Motivation and confidence through coaching may increase self-efficacy and better management of self-care and reduce the burden of unplanned hospital readmissions.


Assuntos
Doença Crônica/enfermagem , Diabetes Mellitus Tipo 2/enfermagem , Tutoria/métodos , Educação de Pacientes como Assunto , Autocuidado/métodos , Adulto , Idoso , Idoso de 80 Anos ou mais , Currículo , Educação Médica Continuada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Readmissão do Paciente/estatística & dados numéricos , Estados Unidos , Adulto Jovem
16.
Nurse Pract ; 44(2): 49-55, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30672867

RESUMO

Lifestyle changes that include adopting a healthy diet, such as the paleo diet, can help prevent prediabetes and T2DM. This article explores the potential benefits of replacing low-calorie diets with the paleo diet. As primary care providers, NPs are positioned to help inform patients, particularly those with prediabetes and T2DM, about healthy lifestyle choices and provide them with resources to achieve weight loss success.


Assuntos
Dieta Paleolítica , Resistência à Insulina , Diabetes Mellitus Tipo 2/enfermagem , Humanos , Profissionais de Enfermagem , Estado Pré-Diabético/enfermagem
18.
Rev. pesqui. cuid. fundam. (Online) ; 11(1): 199-204, jan.-mar. 2019. tab.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-968473

RESUMO

Objetivo: Evaluar la calidad de vida relacionada con la salud de las personas con diabetes mellitus tipo 2 servido por el Primaria de la Salud. Métodos: Estudio descriptivo transversal realizado con 50 pacientes diabéticos. Los datos fueron recolectados a través de la aplicación de un formulario de información socioeconómica y clínica y el estudio de resultados médicos de 36 preguntas Short Form Health Survey (SF-36). Los datos se expresaron como frecuencias absolutas y relativas y tendencia central y medidas de dispersión. Resultados: El promedio más alto de las puntuaciones del SF-36 fueron encontrados en las áreas de "capacidad funcional, vitalidad y aspectos sociales", mientras que las más bajas se concentraron en las zonas "estado general de salud y la apariencia física". Conclusión: La funcionalidad de las actividades diarias y la percepción de la salud fueron los principales factores cometidos por la diabetes mellitus tipo 2


Objetivo: Avaliar a qualidade de vida relacionada à saúde de pessoas com diabetes mellitus tipo 2 atendidas pela Atenção Primária à Saúde. Método: Estudo descritivo, transversal realizado com 50 pacientes diabéticos. Os dados foram coletados por meio da aplicação de um formulário para informações socioeconômicas e clínicas e do Medical Outcomes Study 36-item Short Form Health Survey (SF-36). Os dados foram expressos como frequências absolutas e relativas e medidas de tendência central e dispersão. Resultados: As maiores médias dos escores do SF-36 foram verificadas nos domínios "Capacidade Funcional, Vitalidade e Aspectos Sociais", enquanto as menores concentraram-se nos domínios "Estado Geral da Saúde e Aspecto Físico". Conclusão: A funcionalidade das atividades diárias e a percepção sobre a saúde foram os principais aspectos comprometidos pelo diabetes mellitus tipo 2


Objective: To evaluate the quality of life related to health of people with type 2 diabetes mellitus served by Primary Health. Methods: Descriptive transversal study performed with 50 diabetic patients. Data were collected through the application of a form for socioeconomic and clinical information and the Medical Outcomes Study 36-item Short Form Health Survey (SF-36). Data were expressed as absolute and relative frequencies and central tendency and dispersion steps. Results: The highest average of the SF-36 scores were found in the areas "Functional Capacity, Vitality and Social Aspects", while the lowest were concentrated in areas "General State of Health and Physical Appearance." Conclusion: The functionality of daily activities and perception of health were the main factors committed by the type 2 diabetes mellitus


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Perfil de Impacto da Doença , Diabetes Mellitus Tipo 2/enfermagem , Diabetes Mellitus Tipo 2/prevenção & controle , Atenção Primária à Saúde
19.
J Am Assoc Nurse Pract ; 31(1): 17-23, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30095669

RESUMO

BACKGROUND AND PURPOSE: Serum and physical risk factors for the development of heart disease and diabetes are detectable long before adulthood. The purpose of this two-part study was to assess the prevalence and associations of these risk factors in teens and determine the effectiveness of a customizable two-part electronic education program on minimizing identified risks. METHODS: Data were collected from teens (n = 168) from two high schools (one urban and one rural) in the mid-Atlantic region. After baseline data were collected, the two-part electronic education program was initiated. Serum and physical risk factors were rechecked at 12-week intervals, and results were analyzed. CONCLUSIONS: Significant serum and physical risk factor associations were identified and remained present among teens over the course of the study. High-density lipoproteins showed significant, steady improvement. Low-density lipoproteins were positively associated with body mass index, diastolic blood pressure, and thyroid-stimulating hormone level. IMPLICATIONS FOR PRACTICE: Although serum and physical risk factors are identifiable in teens, routine screening of this age group and younger is not an established standard of care. Health care providers need effective, innovative methods to counteract these risks. Through increased awareness of the presence of risk factors in young patients, advanced nurse practitioners may implement earlier interventions to counteract these risks.


Assuntos
Serviços de Saúde do Adolescente , Diabetes Mellitus Tipo 2/prevenção & controle , Cardiopatias/prevenção & controle , Internet , Educação de Pacientes como Assunto , Adolescente , Criança , Diabetes Mellitus Tipo 2/sangue , Diabetes Mellitus Tipo 2/diagnóstico , Diabetes Mellitus Tipo 2/enfermagem , Feminino , Programas Gente Saudável , Cardiopatias/sangue , Cardiopatias/diagnóstico , Cardiopatias/enfermagem , Humanos , Masculino , Profissionais de Enfermagem , Fatores de Risco , População Rural , Estados Unidos
20.
NASN Sch Nurse ; 34(1): 17-20, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30226793

RESUMO

Transition planning is mandated for students who receive special education services; however, it is not required for students with chronic conditions. Students with chronic conditions nearing graduation would benefit from more intensive attention to their post-high school self-care needs and responsibilities. Students with type 1 diabetes must be able to understand the necessary self-care of one of the most complicated and intensive chronic conditions yet there are no evidence-based strategies for how to help students transition from the support provided at school to independence at graduation. The need for a student with type 1diabetes to independently manage their diabetes is even greater as the student leaves home for college. School nurses, who are also certified diabetes educators, created a support group for seniors with type 1 diabetes. The group focused on life after high school and provided the students with a detailed checklist to help improve knowledge and prepare students for the transition to college. Participants felt better prepared to move on to college armed with their checklist and other resources to help when away from home.


Assuntos
Diabetes Mellitus Tipo 2/psicologia , Acontecimentos que Mudam a Vida , Autocuidado , Estudantes/psicologia , Lista de Checagem , Diabetes Mellitus Tipo 2/enfermagem , Humanos , Universidades
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