Nursing care practices for people with Diabetes mellitus during hospitalization
DOI:
https://doi.org/10.33448/rsd-v10i15.22779Keywords:
Diabetes mellitus; Noncommunicable diseases; Nursing; Hospitals; Qualitative research.Abstract
The nurse has a key role in the implementation of care practices that enhance the management of diabetes mellitus by the patient in the hospital. It aims to describe the nurses' care practices given to people with diabetes mellitus during hospitalization. This is a qualitative research carried out in a teaching hospital in the southern region of Brazil. Fieldwork was carried out from September to October 2019, among 15 nurses from clinical, medical and urgent and emergency units selected through an intentional sample. The data production technique included semi-structured interviews and the Ethnograph V6 Program was used to organize and manage the data, which were analyzed through content analysis. Three categories were constructed: the first, Nursing Care Systematization, which the importance of its development was consciously recognized, highlighted the nursing prescription as essential to provide care practices; the second, Assistance Activities is about the control and monitoring of capillary glycemia, management of insulin application, monitoring of acute episodes of hypoglycemia or hyperglycemia and, the third, Educational Activities refers to individual and collective guidelines that correspond to food, use of medicines, foot care and (re) knowing the changes that occur in the body itself. The practices developed aim at both the recovery and promotion of health and the prevention of complications in the perspective of promoting the self-care of people with diabetes and their preparation to return to their homes.
References
Acioli S., Kebian L. V. A., Faria M. G. A., Ferraccioli P. & Correa V. A. F. (2014). Práticas de cuidado: o papel do enfermeiro na atenção básica. Revista Enfermagem UERJ, 22(5):637–42. https://doi.org/10.12957/reuerj.2014.12338
Aguayo-Verdugo N. V. & Orellana-Yañez A. E. (2019). Intervenciones de enfermería en pacientes con diabetes mellitus tipo 2 que aumentan sus conductas de autocuidado: revisión integrativa. Enfermería Actual de Costa Rica, (36):116–29. http://dx.doi.org/10.15517/revenf.v0i36.34238
Arruda C. & Silva D. M. G. V. (2020). A hospitalização como espaço para educação em saúde às pessoas com diabetes mellitus. Rev Fun Care Online, 12:37-45. http://dx.doi.org/10.9789/2175-5361.rpcfo. v12.6909
Bardin L. (2016). Análise de Conteúdo. Edições 70.
Barz D. B., Barcellos C. R. B., Genezi C., Peters C., Schwanck D. C. & Zillmer J. G. V. (2019). Vivências de acadêmicos de enfermagem na avaliação e aplicação do exame do pé à pessoa com diabetes: relato de experiência. V Congresso de Iniciação Científica. Semana Integrada da Universidade Federal de Pelotas. https://cti.ufpel.edu.br/siepe/arquivos/2019/CS_01158.pdf
Bourdieu P. (1994). Esboço de uma teoria da prática. In: Ortiz R, organizador. Pierre Bourdieu: sociologia. Ática. p. 46-81.
Brasil (2016). Ministério da Saúde.. Manual do Pé Diabético, Estratégias para o Cuidado da Pessoa com Doença Crônica. http://189.28.128.100/dab/docs/portaldab/publicacoes/manual_do_pe_diabetico.pdf
Carvalho S. L., Ferreira M. A., Medeiros J. M. P., Queiroga A. C. F., Moreira T. R. & Negreiros F. D. S. (2018). Conversation map: an educational strategy in the care of elderly people with diabetes mellitus. Rev Bras Enferm. Rev. Bras. Enferm. 71(Suppl2):925-929. https://doi.org/10.1590/0034-7167-2017-0064
Castro-Meza A. N., Pérez-Zumano S. E., Salcedo-Álvarez R. A., Castro-Meza A. N., Pérez-Zumano S. E. & Salcedo-Álvarez R. A. (2017). La enseñanza a pacientes con diabetes: significado para profesionales de enfermería. Enfermería universitária, 14(1):39-46. https://doi.org/10.1016/j.reu.2016.12.003
Cofen (2009). Conselho Federal de Enfermagem. Resolução COFEN nº 358/2009. http://www.cofen.gov.br/resoluo-cofen-3582009_4384.html
Damas-Casani V. A., Yovera-Aldana M. & Seclén Santisteban S. (2017). Clasificación de pie en riesgo de ulceración según el Sistema IWGDF y factores asociados en pacientes con diabetes mellitus tipo 2 de un hospital peruano. Rev Med Hered. 28(1):5–12. http://dx.doi.org/10.20453/rmh.v28i1.3067
Dávila C. M. G., Acelas A. L. R. & Montañez W. C. (2019). Soporte social enfocado a personas con diabetes: una necesidad desde enfermería. Rev Cuid.10(1). https://doi.org/10.15649/cuidarte.v10i1.697
Flor L. S. & Campos M. R. (2017). Prevalência de diabetes mellitus e fatores associados na população adulta brasileira: evidências de um inquérito de base populacional. Rev. bras. epidemiol. [Internet]. 20(1):16–29. https://doi.org/10.1590/1980-5497201700010002
Minayo M. C. S. (2017). Amostragem e saturação em pesquisa qualitativa: consensos e controvérsias. Revista Pesquisa Qualitativa, 5(7):01-12. https://editora.sepq.org.br/index.php/rpq/article/view/82/59
Mwila K. F., Bwembya P. A. & Jacobs C. (2019). Experiences and challenges of adults living with type 2 diabetes mellitus presenting at the University Teaching Hospital in Lusaka, Zambia. BMJ Open Diab Res Care, 7(1):e000497. http://dx.doi.org/10.1136/bmjdrc-2017-000497
Nogueira L. G. F., Medeiros A. C. T., Bittencourt G. K. G. D & Nóbrega M. M. L. (2016). Diagnósticos, resultados e intervenções de enfermagem ao idoso diabético: estudo de caso. Online braz j nurs. 15 (2):302-312. http://www.objnursing.uff.br/index.php/nursing/article/view/4964
Oliveira R. F., Barbosa J. A. G., Guimarães G. L., Silva S. M., Andrade M. I. & Calsolari M. R. (2018). Automonitorização glicêmica: Dificuldades na realização do procedimento por pacientes com diabetes mellitus. Rev Min Enferm. 22:e-1117. http://www.dx.doi.org/10.5935/1415-2762.20180052
Pesantes M. A., Valle A. D., Diez-Canseco F., Bernabé-Ortiz A., Portocarrero J., Trujillo A., . . . Miranda J. J. (2018). Family support and diabetes: patient’s experiences from a public hospital in Peru. Qual Health Res. 28(12):1871-1882. https://doi.org/10.1177/1049732318784906
Salci M. A., Meirelles B. H. S. & Silva D. M. G. V. (2018). Health education to prevent chronic diabetes mellitus complications in primary care. Esc. Anna Nery. 22(1):e20170262. https://doi.org/10.1590/2177-9465-ean-2017-0262
Silva L. W. S., Silva J. S., Squarcini C. F. R., Souza F. G., Ribeiro V. S. & Gonçalves D. F. (2016). Promoção da saúde de pessoas com diabetes mellitus no cuidado educativo preventivo do pé-diabético. Cienc. enferm. 22(2):103-116. http://dx.doi.org/10.4067/S0717-95532016000200008.
Soares M. I., Resck Z. M. R., Terra F. S. & Camelo S. H. H. (2015). Sistematização da assistência de enfermagem: facilidades e desafios do enfermeiro na gerência da assistência. Esc. Anna Nery. 19(1):47–53. https://doi.org/10.5935/1414-8145.20150007.
Sociedade Brasileira de Diabetes (2017). Diretrizes Sociedade Brasileira de Diabetes 2017-2018. https://www.diabetes.org.br/profissionais/images/2017/diretrizes/diretrizes-sbd-2017-2018.pdf
Teston E. F., Spigolon D. N., Maran E., Santos A. L., Matsuda L. M. & Marcon S. S. (2018). Perspectiva de enfermeiros sobre educação para a saúde no cuidado com o diabetes mellitus. Rev. Bras. Enferm. 71:2735- 2742. https://doi.org/10.1590/0034-7167-2018-0396
Zillmer J. G. V., Schwartz E. & Muniz R. M. (2012). O olhar da enfermagem sobre as práticas de cuidado de famílias rurais à pessoa com câncer. Rev. esc. enferm. USP. 46(6):1371–8. https://doi.org/10.1590/S0080-62342012000600013
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Caroline Rocha Batista Barcellos; Juliana Graciela Vestena Zillmer; Barbara Resende Ramos; Caroline de Leon Linck; Samanta Frey Borges; Fernanda Salmentão
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.