PROBLEM-BASED WORKSHOPS FOR THE CARE OF INSULIN DEPENDENT DIABETICS IN BASIC HEALTH CARE
DOI:
https://doi.org/10.13037/ras.vol15n54.4830Keywords:
Health education, diabetes mellitus, primary health care, self-care, feedingAbstract
Introduction: Primary health care is the locus of strategy for the care of insulin-dependent diabetics, including health education groups, aiming to strengthen self-care. Objectives: To describe and to analyze problem-based workshops conducted with insulin-dependent diabetics from a primary health care unit, located in a vulnerable neighborhood. Materials and methods: An intervention-research was conducted with 14 diabetics, with average age of 62.5 years. Four meetings were organized in the form of workshops, which unfolded from the generative themes listed in the first meeting, about the difficulties of self-care. All the meetings transcriptions were analyzed according to the content analysis technique. Results: According to the participants, the main difficulties of care were: restrictive diet, relationship with health care professionals, insulin therapy, and socioeconomic matters. The strategies used were round-table conversation and food tasting. The workshops provided an opportunity for experimentation of flavors, such as sweeteners, and for various types of knowledge, so that forms of management for the difficulties have arisen from the participants’ repertoire, popular knowledge and sharing of care strategies related to the territory. Conclusions: The use of workshops for the care of diabetic individuals may make the educational process more horizontal, starting from the exchange of knowledge and care management from the contexts of the group and from the problems faced in the daily life of individuals, family, community and territory. It is believed that the intervention which uses knowledge sharing becomes a potentiator of self-care.Downloads
References
GBD 2015 Disease and Injury Incidence and Prevalece Collaborators. Global, regional and national incidence, prevalence, and years lived with disability for 310 diseases and injures, 1990-2015: a systemic analisys for the Global Burden and Disease study 2015. The Lancet. 2016;388:1545-602.
GBD 2015 Mortality and Causes of Death Collaborators. Global, regional, and national life expectancy, all-cause mortality, and cause-specific mortality for 249 causes of death, 1980-2015: a systemic analysis for the Global Burden of Disease Study 2015. The Lancet. 2016;388:1459-544.
Malta DC, Oliveira TP, Santos MAS, Andrade SSCA, Silva MMA. Avanços do Plano de Ações Estratégicas para o Enfrentamento das Doenças Crônicas Não Transmissíveis no Brasil, 2011-2015. Epidemiol Serv Saude. 2016;25(2):373-90.
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Diabetes mellitus. Brasília, DF: Ministério da Saúde; 2006 [citado em 2017 jul 24]. 56 p. Disponível em: https://goo.gl/aSgiWM
Sociedade Brasileira de Diabetes. Diretrizes da Sociedade Brasileira de Diabetes 2013-2014 [Internet]. São Paulo: AC Farmacêutica; 2014 [citado em 2015 ago 20]. 382 p. Disponível em: https://goo.gl/jfjgo5
Freire P. Pedagogia da autonomia: saberes necessários à prática educativa. 39ª ed. São Paulo: Paz e Terra; 2009. 146 p.
Freire P. Pedagogia do oprimido. 58ª ed. São Paulo: Paz e Terra; 2014. 253 p.
Gomes LB, Merhy EE. Compreendendo a educação popular em saúde : um estudo na literatura brasileira. Cad Saúde Pública. 2011;27(1):7-18.
Rocha ML; Aguiar KF. Pesquisa-intervenção e a produção de novas análises. Psicol Ciênc Prof. 2003;23(4):64-73.
Passos E, Barros RB. A construção do plano da clínica e o conceito de transdisciplinaridade. Psic Teor e Pesq [Internet]. 2000;16(1):71-9.
Novartis. Conhecendo o diabetes mellitus com o “Dr. Legalvus” [Internet]. São Paulo: Novartis; 2014 [citado em 2014 jul 29]. Vídeo: 9 min, 28 seg. Disponível em: https://youtu.be/IW4R9I6AG4Q
Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 12ª ed. São Paulo: Hucitec; 2010.
Silva TR, Feldmam C, Lima MHA, Nobre MRC, Domingues RZL. Controle de diabetes mellitus e hipertensão arterial com grupos de intervenção educacional e terapêutica em seguimento ambulatorial de uma Unidade Básica de Saúde. Saúde e Soc. 2006;15(3): 180-9.
Ribeiro AG, Cotta RMM, Ribeiro SMR, Dias CMGC, Araújo RMA. Representações sociais de mulheres portadoras de hipertensão arterial sobre sua enfermidade: desatando os nós da lacuna da adesão ao tratamento na agenda da saúde da família. Physis. 2011;21(1):87-112.
Souza AC. Cartografias do cuidado de indivíduos com diabetes mellitus em situação de pobreza [Tese]. Porto Alegre: Universidade Federal do Rio Grande do Sul; 2011.
Carbone ET, Rosal MC, Torres MI, Goins KV, Bermudez OI. Diabetes self-management: perspectives of Latino patients and their health care providers. Patient Educ Couns. 2007;66(2):202-10.
Zamzam S, Anoosheh M, Ahmadi F. Barriers to diabetes control from Syrian women’s perspectives. Jpn J Nurs Sci. 2013;10(1):121-9.
Souza CR, Zanetti ML. Administração de insulina: uma abordagem fundamental na educação em diabetes. Rev Esc Enferm USP. 2000;34(3):264-70.
Hayes RP, Bowman L, Monahan PO, Marrero DG, McHorney CA. Understanding diabetes medications from the perspective of patients with type 2 diabetes: prerequisite to medication concordance. Diabetes Educ. 2006;32(3):404-14.
Khan H, Lasker SS, Chowdhury TA. Prevalence and reasons for insulin refusal in Bangladeshi patients with poorly controlled type 2 diabetes in East London. Diabet Med. 2008;25(9):1108-11.
Sociedade Brasileira de Diabetes [Internet]. São Paulo: SBD; c2017 [atualizado em 2014 abr 29; citado em 2015 ago 20]. O teste de hemoglobina glicada (A1C): O que é e para que serve. Disponível em: https://goo.gl/nF8ugT
Ribas CRP, Santos MA, Zanetti ACG, Zanetti ML. Representações sociais de pacientes com diabetes mellitus sobre o atendimento por profissionais de saúde. Psico PUCRS. 2013;44(1):139-49.
Moreno DMFC, Visani I, Ruiz MRAR, Muller L, Bittencourt JC, Pelicioni AF. Avaliação das ações de promoção de saúde em hipertensão e diabetes em três unidades básicas de saúde no município de São Paulo. In: Caderno técnico CAEPS-DANT: capacitação em avaliação da efetividade das ações de promoção da saúde em doenças e agravos não transmissíveis. São Paulo: Prefeitura do Município de São Paulo; 2009. p. 23-5.
Adolfsson ET, Starrin B, Smide B, Wikblad K. Type 2 diabetic patients’ experiences of two different educational approaches – a qualitative study. Int J Nurs Stud. 2008;45(7):986-94.
Dias VP, Silveira DT, Witt RR. Educação em saúde: o trabalho de grupos em atenção primária. Rev APS. 2009;12(2):221-7.
Pimentel VRM, Sousa MF, Hamann EM, Mendonça AVM. Food and nutrition in the Family Health Strategy in five Brazilian cities. Cien Saude Colet. 2014;19(1):49-57.
Faria HX, Araujo MD. Uma perspectiva de análise sobre o processo de trabalho em saúde: produção do cuidado e produção de sujeitos. Saúde Soc. 2010;19(2):429-39.
Downloads
Published
Issue
Section
License
Policy Proposal for Journals offering Free Delayed Access
Authors who publish in this magazine agree to the following terms:
- Authors maintain the copyright and grant the journal the right to the first publication, with the work simultaneously licensed under a Creative Commons Attribution License after publication, allowing the sharing of the work with recognition of the authorship of the work and initial publication in this journal.
- Authors are authorized to assume additional contracts separately, for non-exclusive distribution of the version of the work published in this magazine (eg, publishing in institutional repository or as a book chapter), with the acknowledgment of the authorship and initial publication in this journal.
- Authors are allowed and encouraged to publish and distribute their work online (eg in institutional repositories or on their personal page) at any point before or during the editorial process, as this can generate productive changes, as well as increase impact and citation of the published work (See The Effect of Open Access).
