The importance of multidisciplinary and family support in children with Type 1 Diabetes Mellitus: an integrative review
DOI:
https://doi.org/10.33448/rsd-v12i5.41332Keywords:
Diabetes Mellitus Type 1; Children; Multiprofessional team.Abstract
Introduction: Multiprofessional support for families that have a child with DM1 seems to be essential, since this chronic condition directly interferes with the family's daily life and requires treatment that requires constant monitoring throughout life. Objectives: To analyze the importance of multidisciplinary and, above all, family support in children with DM1. Methodology: This is an integrative literature review, prepared and conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) flowchart. The chosen databases were SciELO, LILACS and PubMed and the following descriptors were defined: “diabetes mellitus tipo 1”, “crianças” and “equipe multiprofissional” and their variations and combinations in English. Results and discussion: After the search, 9 articles were selected. According to the results, the multidisciplinary team acts in 3 ways in the care of children and adolescents with DM1: building long-term relationships, integrating knowledge through multidisciplinary teamwork and ensuring adequate documentation. Different professional groups must work as a team in order to provide optimal conditions for high-quality care for these patients. As for family support, it is essential for greater patient autonomy during treatment. Conclusions: The good relationship between the patient's family and the strong performance of a multidisciplinary team present are factors that directly and positively impact the results of the child's exams and their well-being.
References
Brasil. (2006). Cadernos de Atenção Básica - Diabetes Mellitus. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. https://bvsms.saude.gov.br/bvs/publicacoes/diabetes_mellitus.PDF
Brasil. (2013). Estratégias para o cuidado da pessoa com doença crônica: diabetes mellitus. Ministério Da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. https://bvsms.saude.gov.br/bvs/publicacoes/estrategias_cuidado_pessoa_diabetes_
Calabria, A. (2020, July 13). Diabetes mellitus em crianças e adolescentes. Manuais MSD Edição Para Profissionais; Manuais MSD. https://www.msdmanuals.com/pt-br/profissional/pediatria/dist%C3%BArbios-end%C3%B3crinos-em-crian%C3%A7as/diabetes-mellitus-em-crian%C3%A7as-e-adolescentes
Calliari, L. E. P., & Monte, O. (2008). Abordagem do diabetes melito na primeira infância. Arquivos Brasileiros de Endocrinologia & Metabologia, 52(2), 243–249. https://doi.org/10.1590/s0004-27302008000200011
Cruz, D. S. M. da, Collet, N., Andrade, E. M. C. de, Nóbrega, V. M. da, & Nóbrega, M. M. L. da. (2017). Vivências de mães de crianças diabéticasa. Escola Anna Nery, 21(1). https://doi.org/10.5935/1414-8145.20170002
Dai, H., Chen, Q., Huang, H., Wu, K., & Yang, X. (2022). The Role of Nurses in Taking Care of Children With Type 1 Diabetes. Alternative Therapies in Health and Medicine, 28(1), 107–113. https://pubmed.ncbi.nlm.nih.gov/34559683/
Döğer, E., Bozbulut, R., Soysal Acar, A. Ş., Ercan, Ş., Kılınç Uğurlu, A., Akbaş, E. D., Bideci, A., Çamurdan, O., & Cinaz, P. (2019). Effect of Telehealth System on Glycemic Control in Children and Adolescents with Type 1 Diabetes. Journal of Clinical Research in Pediatric Endocrinology, 11(1), 70–75. https://doi.org/10.4274/jcrpe.galenos.2018.2018.0017
Fiallo‐Scharer, R., Palta, M., Chewning, B. A., Rajamanickam, V., Wysocki, T., Wetterneck, T. B., & Cox, E. D. (2019). Impact of family‐centered tailoring of pediatric diabetes self‐management resources. Pediatric Diabetes, 20(7), 1016–1024. https://doi.org/10.1111/pedi.12899
Freitas, S. M., Silva, L. R. da, Silva, M. M. M. da, Santos, S. O. P. dos, Sousa, F. da S., Feitosa, M. A., & Cavalcante, R. M. S. (2021). Diabetes mellitus tipo 1 infantil e as dificuldades no manejo da doença no seio familiar: Uma revisão integrativa. Research, Society and Development, 10(7), e51010716832–e51010716832. https://doi.org/10.33448/rsd-v10i7.16832
Heikkilä, A., Ilanne‐Parikka, P., Koivisto, V., & Ranta, K. (2020). Teamwork between the clinics and the families improves the care of children and adolescents with diabetes. Acta Paediatrica, 110(3), 993–994. https://doi.org/10.1111/apa.15569
Hermes, T. S. V., Viera, C. S., Rodrigues, R. M., Toso, B. R. G. de O., & Fonseca, L. M. M. (2018). Criança diabética do tipo 1 e o convívio familiar: repercussões no manejo da doença. Saúde Em Debate, 42(119), 927–939. https://doi.org/10.1590/0103-1104201811911
International Diabetes Federation (IDF). (2017). IDF diabetes atlas - Home. Diabetesatlas.org. http://www.diabetesatlas.org/
MacMillan, F., Kirk, A., Mutrie, N., Moola, F., & Robertson, K. (2014). Building physical activity and sedentary behavior support into care for youth with type 1 diabetes: patient, parent and diabetes professional perceptions. Pediatric Diabetes, 17(2), 140–152. https://doi.org/10.1111/pedi.12247
Mauri, A., Schmidt, S., Sosero, V., Sambataro, M., Nollino, L., Fabris, F., Corò, A., Scantamburlo, A., Marcon, M. L., Cazziola-Merlotto, M., Ciani, T., Tessarin, M., & Paccagnella, A. (2021). A structured therapeutic education program for children and adolescents with type 1 diabetes: an analysis of the efficacy of the “Pediatric Education for Diabetes” project - Minerva Pediatrics 2021 April;73(2):159-66. Www.minervamedica.it. https://www.minervamedica.it/it/riviste/minerva-pediatrics/articolo.php?cod=R15Y2021N02A0159
Moher, D. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. Annals of Internal Medicine, 151(4), 264. https://doi.org/10.7326/0003-4819-151-4-200908180-00135
Särnblad, S., Berg, L., Detlofsson, I., Jönsson, Å., & Forsander, G. (2014). Diabetes management in Swedish schools: a national survey of attitudes of parents, children, and diabetes teams. Pediatric Diabetes, 15(8), 550–556. https://doi.org/10.1111/pedi.12133
Shrivastava, S., Shrivastava, P., & Ramasamy, J. (2013). Role of self-care in management of diabetes mellitus. Journal of Diabetes & Metabolic Disorders, 12(1), 14. https://doi.org/10.1186/2251-6581-12-14
Souza, M. T. de, Silva, M. D. da, & Carvalho, R. de. (2010). Integrative review: what is it? How to do it? Einstein (São Paulo), 8(1), 102–106. https://doi.org/10.1590/s1679-45082010rw1134
Tschiedel, B., Cé, G. V., Geremia, C., Mondadori, P., Speggiorin, S., & Puñales, M. K. C. (2008). Organização de um serviço de assistência ao paciente com diabetes melito tipo 1. Arquivos Brasileiros de Endocrinologia & Metabologia, 52(2), 219–232. https://doi.org/10.1590/s0004-27302008000200009
Verma, R., Thomas, C. G., West, M., Prichett, L., Glancey, C., Tracey, J., Arcara, K. M., Magge, S. N., & Wolf, R. M. (2020). Communication frequency between visits is associated with improved glycemic control in pediatric diabetes. Journal of Pediatric Endocrinology and Metabolism, 34(2), 177–182. https://doi.org/10.1515/jpem-2020-0529
Wigert, H., & Wikström, E. (2014). Organizing person-centred care in paediatric diabetes: multidisciplinary teams, long-term relationships and adequate documentation. BMC Research Notes, 7, 72. https://doi.org/10.1186/1756-0500-7-72
World Health Organization (WHO). (2016). GLOBAL REPORT ON DIABETES. https://apps.who.int/iris/bitstream/handle/10665/204871/9789241565257_eng.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Thânia Valéria Carlos Santos; Roberta de Oliveira Costa; Gabriela Meira Nóbrega dos Santos Gomes; Irineu Rasera Jr
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.
