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
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Copyright (c) 2023 Thânia Valéria Carlos Santos; Roberta de Oliveira Costa; Gabriela Meira Nóbrega dos Santos Gomes; Irineu Rasera Jr
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