The contribution of the nursing consultation facing the psychosocial factors related to the adherence to insulin therapy treatment
DOI:
https://doi.org/10.33448/rsd-v10i7.16485Keywords:
Self-care; Diabetes; Nursing; Insulin.Abstract
Introduction: Diabetes Mellitus is a group of metabolic disorders that has as a characteristic an imbalance in the level of serum glucose. It is considered a major public health problem, due to its ability to develop into chronic and acute complications, and faces inadequate adherence to self-care, especially insulin therapy. Therefore, this study aimed to understand the contribution of the nursing consultation regarding psychosocial factors in the adherence to insulin therapy. Methodology: The research was guided by the Integrative Review method, carried out in the Virtual Health Library (VHL), in the following databases with on-line access: Nursing Database (BDENF), Latin American and Caribbean Literature on Health Sciences (LILACS) and MEDLINE. As well as, in PubMed Central (PMC) and SciElo Brazil, both through the CAPES Periodical Portal. Results and discussion: According to the literature surveyed, self-care was considered a factor of paramount importance in the success of the treatment of diabetic patients in general. Psychosocial aspects are related to the quality of adherence to insulin therapy and the nursing consultation is relevant in the process of building self-knowledge and a factor of adherence to self-care. Conclusion: The nursing consultation is an effective tool for adequate adherence to insulin therapy. However, planning done in agreement with the patient to meet their needs, should strengthen aspects of self-care protagonism and avoid situations of unnecessary dependence on the health team, which would affect the quality of life of the individual.
References
Arruda, G. O. de, Marcon, S. S., Peruzzo, H. E., Ruiz, A. G. B., Back, I. R., Nass, E. M.A., Batista, V. C., & Lino, I. G. T. (2020). Intervenção educativa em homens com diabetes mellitus: efeitos sobre comportamentos e perfil antropométrico. Acta Paul. Enferm. (Online),33: eAPE20190128. http://www.revenf.bvs.br/scielo.php?script=sci_arttext&pid=S0103-21002020000100423.
Barbosa, J.A.G., & Souza, M.C.M.R. (2018). Perspectivas para a enfermagem face aos avanços tecnológicos no controle do diabetes. Rev. Enferm. UFPE on line, 12(4), 1112-1116. https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/231124/28692.
Brasil, & Ministério da Saúde (2013). Caderno de Atenção Básica 36: Estratégias para o cuidado da pessoa com doença crônica: Diabetes Mellitus. Brasília: Ministério da Saúde. https://bvsms.saude.gov.br/bvs/publicacoes/estrategias_cuidado_pessoa_diabetes_mellitus_cab36.pdf.
Brasil, & Ministério da Saúde (2020). Situação de Hipertensão e Diabetes no Brasil. Brasília: Ministério da Saúde. http://189.28.128.100/dab/docs//portaldab/documentos/atlas_hipertensao_diabetes.pdf.
Fernandes, B. S. M., Reis, I. A., & Torres, H.C. (2016). Evaluation of the telephone intervention in the promotion of diabetes self-care: a randomized clinical trial. Rev. Latino-Am. Enfermagem [Internet], 24: e2719. http://www.revenf.bvs.br/scielo.php?script=sci_arttext&pid=S0104-11692016000100396&lng=pt.
Fragoso, L. V. C., Cunha, M. C. S. O., Fragoso, E. B., & Araújo, M. F.M. (2019). Autocuidado em pessoas com diabetes mellitus tipo 1: vivências de adolescentes. Rev. pesqui. cuid. fundam. (Online), 289-296. http://www.seer.unirio.br/index.php/cuidadofundamental/article/view/6434/pdf_1.
Lim, A., & Song, Y. (2020). The role of psychological insulin resistance in diabetes self-care management. Nurs Open., 7(3): 887–894. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7113521/.
Maia, M. A., Reis, I.A., & Torres, H.C. (2016). Relationship between the users' contact time in educational programs on diabetes mellitus and self-care skills and knowledge. Rev. esc. enferm. USP [Internet], 50(1): 59-64. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342016000100059&lng=en.
Moreira, T. R., Toledo, L. V., Colodette, R. M., Mendonça, É. T. de, Amaro, M. de O. F., Ayres, L. F. A., & Henriques, B. D. (2018). Fatores relacionados à autoaplicação de insulina em indivíduos com diabetes mellitus. Revista Gaúcha de Enfermagem, 39, e2017-0066. http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472018000100423&lng=en&nrm=iso.
Mukona, D., Munjanja, S. P., Zvinavashe, M., & Stray-Pederson, B. (2017). Barriers of Adherence and Possible Solutions to Nonadherence to Antidiabetic Therapy in Women with Diabetes in Pregnancy: Patients’ Perspective. Journal of Diabetes Research, vol. 2017. https://www.hindawi.com/journals/jdr/2017/3578075/.
Reis, P. dos, Arruda, G. O. de, Nass, E. M. A., Ratuchnei, E. S., Haddad, M. do C. F. L., & Marcon, S. S. (2020). Autocuidado e percepção do tratamento para o diabetes por pessoas em uso de insulina. Rev. enferm. UFSM,10: 60. https://periodicos.ufsm.br/reufsm/article/view/39880/html.
Reis, P. dos, Marcon, S. S., Nass, E. M. A., Arruda, G. O. de, Back, I. R., Lino, I. G. T., Francisqueti, V. (2020). Desempenho de pessoas com diabetes mellitus na insulinoterapia. Cogitare enferm,25: e66006. em http://www.revenf.bvs.br/scielo.php?script=sci_arttext&pid=S0103-21002020000100423.
Reis, P. dos, Marcon, S. S., Teston, E. F., Nass, E. M. A., Ruiz, A. G. B., Francisqueti, V., Silva, E. S., Otero, L. M. (2020). Intervenção educativa sobre o conhecimento e manejo de insulina no domicílio. Acta Paul. Enferm. (Online),33: eAPE20190241. http://www.revenf.bvs.br/scielo.php?script=sci_arttext&pid=S0103-21002020000100450.
Rossaneis, M. A., Haddad, M. C. F. L., Mathias, T. A. de F., & Marcon, S. S. (2016). Differences in foot self-care and lifestyle between men and women with diabetes mellitus. Revista Latino-Americana de Enfermagem, 24, e2761. https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692016000100384.
Santos, J. C. (2018). Comparação das estratégias educativas em diabetes mellitus: Educação em grupo e visita domiciliar. Universidade Federal de Minas Gerais. Belo Horizonte, s.n., 135. https://repositorio.ufmg.br/handle/1843/BUOS-B2ZMM3.
Souza, J. D., Baptista, M. H. B., Gomides, D. S., & Pace, A. E. (2017). Adesão aos cuidados com o diabetes mellitus em três níveis de atenção à saúde. Esc. Anna Nery, 21 (4). https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452017000400232&lng=en&nrm=iso&tlng=pt.
Teston, E. F., Peternella, F. M. N., Sales, C. A., Haddad, M. C. L., Cubas, M. R., & Marcon, S. S. (2018). Efeito da consulta de enfermagem no conhecimento, qualidade de vida, atitude frente à doença e autocuidado em pessoas com diabetes. REME rev. min. enferm,22: e-1106. http://www.reme.org.br/artigo/detalhes/1242.
Vianna, M. S. (2016). Competência para o autocuidado na administração de insulina por septuagenários ou mais idosos. Universidade Federal de Minas Gerais. Belo Horizonte. https://repositorio.ufmg.br/bitstream/1843/ANDO-AAJHWT/1/mayara_sousa_vianna.pdf,
Vieira, G. de L. C., Cecílio, S. G., Torres, H. de C. (2017). A percepção dos usuários com diabetes sobre a estratégia de educação em grupos na promoção do autocuidado. Esc. Anna Nery Rev. Enferm,21(1): e20170017. https://www.scielo.br/scielo.php?script=sci_arttext&pid=S1414-81452017000100217
Wu, S., Ell, K., Jin, H., Vidyanti, I., Chou, C.-P., Lee, P.-J., Gross-Schulman, S., Sklaroff, L. M., Belson, D., Nezu, A. M., Hay, J., Wang, C.-J., Scheib, G., Capua, P. D., Hawkins, C., Liu, P., Ramirez, M., Wu, B. W., Richman, M., Myers, C., Agustines, D., Dasher, R., Kopelowicz, A., Allevato, J., Roybal, M., Ipp, E., Haider, U., Graham, S., Mahabadi, V., & and Guterman, J. (2018). Comparative Effectiveness of a Technology-Facilitated Depression Care Management Model in Safety-Net Primary Care Patients With Type 2 Diabetes: 6-Month Outcomes of a Large Clinical Trial. Journal of Medical Internet Research, 20 (4), e147. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5938593/.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Renata Kely Pimentel da Cunha; Mayara Cavalcante Rodrigues; Maria Renata da Silva Galvão; Vera Lúcia Morais da Silva
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.