scholarly journals Cuidado à criança e ao adolescente com diabetes mellitus tipo 1

2019 ◽  
Vol 13 (1) ◽  
pp. 111
Author(s):  
Camila Magroski Goulart Nobre ◽  
Aline Rodrigues Costa ◽  
Alex Sandra Minasi ◽  
Silvana Medeiros Possani ◽  
Marina Soares Mota ◽  
...  

ABSTRACTObjective: to learn about the strategies used by the family for the care of children and adolescents with Type 1 Diabetes Mellitus. Method: this is a qualitative, exploratory and descriptive study developed with 12 family caregivers. The data was collected through semi-structured interviews, subjecting them to the Content Analysis technique. Results: it is related to the main strategy used by the family to care for food adaptation of the child and the adolescent; children and adolescents are encouraged to coexist with others who have diabetes; other families with children with the same condition are sought for the exchange of experience about care. Other strategies are also considered the possibility of family adaptation to care for the child and adolescent and the fact that the adolescents themselves perform their self-care. Conclusion: the educational role of nurses in families is important in helping them to develop effective strategies for the care of children and adolescents with diabetes. Descriptors: Diabetes Mellitus; Child; Adolescent; Family; Quality of life; Nursing.RESUMO Objetivo: conhecer as estratégias utilizadas pela família para o cuidado à criança e ao adolescente com Diabetes Mellitus tipo 1. Método: trata-se de um estudo qualitativo, exploratório e descritivo desenvolvido com 12 familiares cuidadores. Coletaram-se os dados por meio de entrevistas semiestruturadas submetendo-os à técnica de Análise de Conteúdo. Resultados: relaciona-se a principal estratégia utilizada pela família para o cuidado à adaptação alimentar da criança e do adolescente; propicia-se a convivência da criança e do adolescente com outros que tenham diabetes; procuram-se outras famílias com filhos com a mesma condição para se realizar a troca de experiência acerca do cuidado. Consideram-se, também, outras estratégias a possibilidade da adaptação da família ao cuidado à criança e ao adolescente e o fato dos próprios adolescentes realizarem seu autocuidado. Conclusão: conclui-se como importante o papel educativo do enfermeiro junto às famílias no sentido de auxiliá-las no desenvolvimento de estratégias efetivas de cuidado à criança e ao adolescente com diabetes. Descritores: Diabetes Mellitus; Criança; Adolescente; Família; Qualidade de Vida; Enfermagem.RESUMEN Objetivo: conocer las estrategias utilizadas por la familia para el cuidado al niño y al adolescente con Diabetes Mellitus tipo 1. Método: se trata de un estudio cualitativo, exploratorio y descriptivo desarrollado con 12 familiares cuidadores. Se recogen los datos por medio de entrevistas semiestructuradas sometiéndolos a la técnica de Análisis de Contenido. Resultados: se relaciona la principal estrategia utilizada por la familia para el cuidado a la adaptación alimentaria del niño y del adolescente; se propicia la convivencia del niño y del adolescente con otros que tengan diabetes; se buscan otras familias con hijos con la misma condición para realizar el intercambio de experiencia acerca del cuidado. Se considera, también, otras estrategias la posibilidad de la adaptación de la familia al cuidado al niño y al adolescente y el hecho de los propios adolescentes realizar su autocuidado. Conclusión: se concluye como importante el papel educativo del enfermero junto a las familias en el sentido de auxiliarlas en el desarrollo de estrategias efectivas de cuidado al niño y al adolescente con diabetes. Descriptores: Diabetes Mellitus; Niño; Adolescente; Familia; Calidad de Vida; Enfermería.

2016 ◽  
Vol 50 (5) ◽  
pp. 779-784 ◽  
Author(s):  
Gabriele Schek ◽  
Mara Regina Santos da Silva ◽  
Carl Lacharité ◽  
Maria Emilia Nunes Bueno

Abstract OBJECTIVE To identify the conceptions of professionals regarding interfamily violence against children and adolescents. METHOD A qualitative study conducted with 15 professionals who had taken children and adolescents under their care as a result of interfamily violence. Data were collected between November, 2013, and March, 2015, through semi-structured interviews. Data were organized and analyzed using the Textual Discourse Analysis technique. RESULTS The professional discourse highlighted that some legal aspects regarding the handling of interfamily violence against children and adolescents are neglected; an omission supported by the justification of professionals to preserve the family. We highlight the confrontation between the concept of family as a caregiver and the family that commits violence against children, in addition to the positioning of professionals, which does not include the family or the aggressor in the intervention process in facing situations of interfamily violence attended to by the services. CONCLUSION Acting against interfamily violence requires professionals to do away with some pre-established concepts in ordee to put the actual needs of victims and families into evidence.


Author(s):  
E. А. Mуkhailova ◽  
D. A. Mitelov

Currently, there is a global trend towards an increase in the incidence of type 1 diabetes mellitus (DM 1) among children and adolescents. It is characterized by a lifelong progressive course, manifested by endocrine and somatic disorders, as well as neurological and mental complications. The risk of the development of emotional disorders, cognitive dysfunction, adjustment disorder is largely determined by the microsocial environment of a child with DM 1. Objective — to study role of family in the formation of the disorders inmental and psychological health of children and adolescents with severe DM 1. Materials and methods. Examinations involved 285 patients with DM 1(126 children and 159 adolescents). The investigation design included clinical and psychopathological method, pathopsychological method, socio­psychological interviewing of a child and his/her family, test “Family sociogram”, projective picture tests “House­tree­man”, “Me and my disease”, “Kinetic picture of the family”. Results. It has been established that the level of psychological health of family of a child with DM 1 corresponded to the normal indicator in 20 % of cases. The factors have been determined that destabilize psychological health of the family, typology of family relationships with a sick child and their role in the formation of persistent neuropsychiatric complications. The factors of the microsocial environment affecting the formation of socio­psychological maladjustment of a child with DM were determined. The following risk factors of the formation of mental and neurological disorders in DM 1 children have been identified: the age of endocrine disease (DM)onset less than 7 years, the disease duration ≥ 5 years, frequent fluctuations in of glycemialevel, unsatisfactory self-control of the disease, late diagnosis of early and late complications related to the central nervous system, insufficient compliance, pathological types of family sociogram. An alternative method for diagnosing psychological problems in children and adolescents with diabetes ­ the use of projective methods has shown a high information content of target detection for the correction of emotional and behavioral disorders in the conditions of system «Life with diabetes».Conclusions. Socio-psychological patterns of maladaptation of children and adolescents with type 1 diabetes mellitushave been identified, which is important for determining the strategy of therapeutic intervention, socio-psychological support and prevention of social handicap.


2021 ◽  
Vol 22 (3) ◽  
pp. 243-247
Author(s):  
Thalita Araújo dos Santos ◽  
Murilo Silva Alves ◽  
Thais Silva Pereira Campos ◽  
Mônica Pinchemel Nascimento

AbstractControl and the care are continuous challenges in the treatment of chronic diseases, and it is necessary to know the users’ realities in order to seek intervention alternatives. The study aimed to identify the participants’ knowledge in a therapeutic group of the elderly regarding diabetes mellitus and systemic arterial hypertension. Descriptive and exploratory study with a qualitative approach, conducted with 12 elderly in the therapeutic group. Semi-structured interviews were used as data collection technique. Data were transcribed and analyzed using the content analysis technique. In the results the category about the participants’ knowledge on the diseases emerged, namely: etiological factors; main signs, symptoms and complications; drug therapy; use of herbal medicines; food control; lifestyle and regular follow-up at the health unit. It was concluded that the participants have knowledge about the diseases; however, they cultivate habits that can trigger complications. Knowledge from experience should not be neglected, but should be directed towards achieving the goal of the therapeutic group, helping to improve the understanding of the elderly about their disease (s) and stimulating self-care.Keywords: Therapeutics. Health Education. Chronic Disease. Self-Care. ResumoO controle e o cuidado são desafios contínuos na terapêutica das doenças crônicas, sendo necessário conhecer as realidades dos usuários para buscar alternativas de intervenção. O estudo objetivou identificar o conhecimento dos participantes de um grupo terapêutico de idosos em relação ao diabetes mellitus e hipertensão arterial sistêmica. Estudo descritivo e exploratório, com abordagem qualitativa dos dados. A pesquisa foi realizada no munícipio de Itabuna na Bahia, na Unidade de Saúde da Família Simão Fitterman, no ano de 2014. Participaram do estudo 12 idosos do Sistema de Cadastramento e Acompanhamento de Hipertensos e Diabéticos (HIPERDIA), que participaram das reuniões do grupo terapêutico de idosos. A técnica utilizada para coleta de dados foi a entrevista com roteiro semiestruturado, realizadas nas reuniões do grupo terapêutico da unidade referida. O instrumento de coleta foi composto por dados sócio demográficos, conceitos e fatores desencadeantes das doenças estudadas, tratamento não farmacológico, complicações, prevenção e noções de autocuidado. Concluiu-se que os participantes possuem conhecimento sobre as doenças, entretanto cultivam hábitos que podem desencadear complicações. O conhecimento advindo da experiência, não deve ser negligenciado, mas direcionado ao alcance do objetivo do grupo terapêutico, contribuindo na melhoria do entendimento dos idosos sobre sua (s) doença (s), e estimulando o autocuidado.Palavras-chave: Terapêutica. Educação em Saúde. Doença Crônica. Autocuidado.


Author(s):  
Elkletícia Carvalho Arrais ◽  
Bruna Fernanda da Silva Oliveira

Este estudo objetivou descrever como os diabéticos acondicionam a insulina em seu domicílio e identificar o responsável pela orientação sobre o acondicionamento da insulina. Trata-se de um estudo exploratório-descritivo, que percorreu a trajetória metodológica qualitativa. A análise dos dados foi realizada por meio da técnica de análise de conteúdo temática. Os sujeitos da pesquisa foram 14 pacientes diabéticos assistidos pela Estratégia Saúde da Família. Os dados foram coletados através de um roteiro de entrevista semiestruturada e para sua análise utilizou-se a técnica de análise de conteúdo de Minayo. Frente aos resultados considera-se que os usuários de insulina entrevistados têm um conhecimento superficial do local adequado para o acondicionamento da insulina e como transportá-lo e tem a segurança que o enfermeiro é responsável pelas orientações do acondicionamento da insulina e nos remete a uma reflexão sobre a qualidade das informações prestadas em visto que muitos têm um baixo nível de escolaridade.Descritores: Enfermagem; Diabetes Mellitus, Insulina. Insulin of packaging at home diabeticAbstract: This study aimed to describe the pack diabetic insulin in your home and identify the person responsible for guidance on the packaging of insulin. This is an exploratory-descriptive study, which covered the qualitative methodological approach. Data analysis was performed using thematic content analysis technique. The study subjects were 14 diabetic patients assisted by the Family Health Strategy. Data were collected through a semi-structured interviews and their analysis was used to Minayo content analysis technique. Based on the results it is considered that the respondents insulin users have a superficial knowledge of the appropriate place for the packaging of insulin and how to transport it and have the security that the nurse is responsible for insulin packaging guidelines and leads us to a reflection on the quality of information provided in as many have a low level of education.Descriptors: Nursing. Diabetes Mellitus. Insulin. Insulina de envasado en casa diabetesResumen: Este estudio tuvo como objetivo describir la insulina para diabéticos acondicionar en su casa e identificar a la persona responsable de la orientación en el envase de la insulina. Este es un estudio exploratorio-descriptivo, que cubría el enfoque metodológico cualitativo. Se realizó el análisis de datos utilizando la técnica de análisis de contenido temático. Los sujetos del estudio fueron 14 pacientes diabéticos con la asistencia de la Estrategia Salud de la Familia. Los datos fueron recolectados a través de una entrevista semi-estructurada y se utilizó el análisis de Minayo técnica de análisis de contenido. Con base en los resultados se considera que los usuarios encuestados insulina tienen un conocimiento superficial del lugar apropiado para el envasado de la insulina y cómo transportarlo y tener la seguridad de que la enfermera es responsable de las directrices de embalaje de insulina y nos lleva a una reflexión en la calidad de la información proporcionada en hasta tener un bajo nivel de educación.Descriptores: Enfermería; Diabetes Mellitus; La insulina.


2019 ◽  
Vol 13 (1) ◽  
pp. 15
Author(s):  
Bruna Peres Pacheco ◽  
Camila Magroski Goulart Nobre ◽  
Aline Rodrigues Costa ◽  
Pamela Kath de Oliveira Nornberg ◽  
Silvana Possani Medeiros ◽  
...  

ABSTRACT Objective: to know the repercussions of the diagnosis of children with the human immunodeficiency virus for the family. Method: this is a qualitative and descriptive study performed with ten relatives in a Day Hospital. The data was collected through semi-structured interviews, subjecting them to the Content Analysis technique. Results: it was verified that some mothers did not know that they were carriers of the HIV virus and only discovered the contamination during prenatal and prepartum exams. Guilt was generated upon receipt of the child's diagnosis and this disclosure was difficult for the mothers. Living with the fear of death from opportunistic diseases, giving priority to food as a way of maintaining health. The concern of the mothers was reported because only the people of the nuclear family dedicate themselves to the care of the child with the objective that its diagnosis is not revealed. Conclusion: information is provided, given the main difficulties mentioned by the mothers when they receive the diagnosis, so that the health team promotes actions to be implemented as early as possible as a way to instrumentalize the family for care and encourage healthy living child. Descriptors: Acquired Immunodeficiency Syndrome; HIV; Child; Family; Nursing; Pediatric Nursing.RESUMOObjetivo: conhecer as repercussões do diagnóstico de crianças com o vírus da imunodeficiência humana para a família. Método: trata-se de um estudo qualitativo e descritivo realizado com dez familiares, em um Hospital Dia. Coletaram-se os dados por entrevistas semiestruturadas submetendo-os à técnica de Análise de Conteúdo. Resultados: verificou-se que algumas mães não sabiam que eram portadoras do vírus HIV e só descobriram a contaminação durante a realização de exames no pré-natal e pré-parto. Gerou-se culpa diante do recebimento do diagnóstico da criança e essa revelação foi difícil para as mães. Convive-se com o medo da morte por doenças oportunistas priorizando-se a alimentação como forma de manutenção da saúde. Relatou-se preocupação das mães por apenas as pessoas da família nuclear se dedicarem ao cuidado da criança com o objetivo de que seu diagnóstico não seja revelado. Conclusão: fornecem-se informações, diante das principais dificuldades referidas pelas mães ao receberem o diagnóstico, para que a equipe de saúde promova ações a serem implementadas o mais precocemente possível como forma de instrumentalização da família para o cuidado e de incentivo ao viver saudável da criança. Descritores: Síndrome de Imunodeficiência Adquirida; HIV; Criança; Família; Enfermagem; Enfermagem Pediátrica.RESUMEN Objetivo: conocer las repercusiones del diagnóstico de niños con el virus de la inmunodeficiencia humana para la familia. Método: se trata de un estudio cualitativo y descriptivo realizado con diez familiares, en un Hospital Día. Los datos fueron recogidos por entrevistas semiestructuradas sometiéndolos a la técnica de Análisis de Contenido. Resultados: se verificó que algunas madres no sabían que eran portadoras del virus VIH y sólo descubrieron la contaminación durante la realización de exámenes en el prenatal y pre-parto. Se generó culpa ante la recepción del diagnóstico del niño y esa revelación fue difícil para las madres. Se convive con el miedo a la muerte por enfermedades oportunistas priorizando la alimentación como forma de mantenimiento de la salud. Se reportó preocupación de las madres por sólo las personas de la familia nuclear dedicarse al cuidado del niño con el objetivo de que su diagnóstico no sea revelado. Conclusión: se proporcionan informaciones, ante las principales dificultades referidas por las madres al recibir el diagnóstico, para que el equipo de salud promueva acciones a ser implementadas lo más precozmente posible como forma de instrumentalización de la familia para el cuidado y de incentivo a la vida saludable del niño. Descriptores: Síndrome de Inmunodeficiencia Adquirida; HIV; Niño; Familia; Enfermería; Enfermería Pediátrica.


Author(s):  
Diene Monique Carlos ◽  
Maria das Graças Carvalho Ferriani

ABSTRACT Objective: to understand the context of care addressed to the families involved in family violence against children and adolescents (IVCA), as produced in the context of the Primary Health Care (PHC), from the vantage point of the practitioners of a municipality in the State of Sao Paulo. Methods: qualitative research of the social-strategic type, based on the Complexity Paradigm. The participants were 41 health practitioners in five health units of the municipality under study, pertaining to the five districts of the municipality. Data collection was done through 5 focus groups and 10 semi-structured interviews from April 24th 2013 to December 12th 2013. Data analysis was oriented by the comprehension and contextualization mindset and based on the dialogic, recursive and hologramatic principles. Results: two main issues regarding the care provided by the Health of the Family team were identified: the context of this violence (the domestic space) and the power relations that prevail in the territory where this violence surfaces. The community health workers are the targets of specific attention because they experience the live/work dialogic in this same area. Conclusion: paying attention to the territory, and considering the complexity of contexts and dimensions is inherently linked to the design of care to families involved in IVCA in the PHC environment.


Author(s):  
Ann-Christin Sollerhed ◽  
Gerth Hedov

From a public health perspective, it is important that children with Down syndrome (DS) lay the foundations of physical activity (PA) early in life to keep active in school, as teenagers and as adults. The aims were to investigate PA patterns in children and adolescents with DS, as well as their parents’ and siblings’ PA patterns. Methods: A survey was performed among 310 families with children with DS (54% boys and 46% girls) aged 8–18 years (mean 14.04, SD 3.18) in Sweden. Chi-squared tests and multiple logistic regression were carried out. Results: Nineteen percent of children and adolescents with DS and 34% of the parents were active three or more times per week. The child’s PA level was significantly associated with parents’ PA (OR = 5.5), siblings’ PA (OR = 5.1) and the child’s locomotion ability (OR = 3.5). Physically active parents had active children to a greater extent than inactive parents (59% vs. 29%; p < 0.001). Conclusions: Physically active parents have active children. To promote PA among children and adolescents with DS, it is important to promote and pay attention to the parents’ and siblings’ PA behavior, as children with DS are dependent on support from the family.


2017 ◽  
Vol 4 (1) ◽  
pp. 1-6
Author(s):  
Nancy Domínguez Rodríguez ◽  
Elsie Suárez Yagual ◽  
Yanedsy Díaz Amador

 El presente artículo tiene como objetivo principal mejorar la calidad de vida en pacientes que sufren de Diabetes Mellitus e Hipertensión Arterial en el barrio 25 de septiembre del cantón La Libertad en la provincia de Santa Elena. La aplicación del diagnóstico de  salud es una práctica necesaria para el médico y enfermera/o de la familia, cuyo propósito es la identificación y la definición de prioridades en los problemas de salud de una comunidad asignada. Se realizó una investigación descriptiva con búsqueda de la información primaria y secundaria obteniendo la selección metodológica con aportes de los distintos actores de la comunidad realizando el procesamiento, análisis, identificación y difusión a través de  la encuesta elaborada  que permitió realizar un análisis profundo del tema, despertando el interés en sus moradores de conocer su condición de salud y la forma de cómo mejorarla. Por lo que se concluye que el equipo de salud debe identificar oportunamente los problemas y factores de riesgo de cada uno de sus miembros y de la familia en su conjunto ofreciendo una atención integral, promoviendo el autocuidado, brindando apoyo y seguimiento, educando, potenciando prácticas y relaciones saludables. AbstractThe present article has as main objective to improve the quality of life in patients suffering from diabetes mellitus and arterial hypertension in the neighborhood of September 25, canton la liberty in the province of Santa Elena. The application of the diagnosis of health is a necessary practice for the doctor and nurse of the family whose purpose is the identification and definition of priorities in the health problems of an assigned community. A descriptive investigation was carried out with search of the primary and secondary information obtaining the methodological selection with contributions of the different actors of the community carrying out the processing, analysis, identification and diffusion through the elaborated survey that allowed us to carry out a deep analysis of the subject Arousing the interest in their residents to know their health condition and how to improve it. So, it is concluded that the health team must identify in a timely manner the problems and risk factors of each of its members and the family offering comprehensive care, promoting self-care, providing support and follow-up, educating, empowering practices and healthy relationships. 


2019 ◽  
Vol 13 (4) ◽  
pp. 1071
Author(s):  
Caroline Salvador ◽  
Emilli Viana ◽  
Patricia Fernanda Dorow ◽  
Rita De Cássia Flôr ◽  
Laurete Medeiros Borges ◽  
...  

RESUMOObjetivo: identificar os cuidados de Enfermagem Oncológica em Radioterapia. Método: trata-se de um estudo qualitativo, descritivo, realizado em um centro de tratamento oncológico referência com três enfermeiras. Coletaram-se os dados mediante entrevistas semiestruturadas por meio de um roteiro e analisados a partir da técnica de Análise de Conteúdo. Resultados: extraíram-se as expressões-chave e ideias centrais, emergiram três categorias que desenharam a atuação do enfermeiro: a) Equipe multidisciplinar envolvida na radioterapia; b) O processo de trabalho das enfermeiras em radioterapia; e, c) As práticas para amenizar os efeitos colaterais da radioterapia Conclusão: ressaltam-se que os cuidados oncológicos em radioterapia consistem em ações individualizadas que, auxiliam diretamente na prevenção, minimização e/ou tratamento das reações adversas causadas pelo tratamento, articulados promovem melhor qualidade de vida do paciente oncológico. Descritores: Enfermagem Oncológica; Cuidados de Enfermagem; Radioterapia; Enfermagem Radiológica e de Imagem; Cuidados com a Pele; Qualidade de Vida. ABSTRACT Objective: to identify the care of Oncology Nursing in Radiotherapy. Method: this is a qualitative, descriptive study performed at a referral center for cancer treatment with three nurses. The data were collected through semi-structured interviews through a script and analyzed using the Content Analysis technique. Results: key expressions and central ideas were extracted, three categories emerged that designed the nurse's performance: a) Multidisciplinary team involved in radiotherapy; b) The work process of the nurses in radiotherapy; and c) Practices to mitigate the side effects of radiotherapy Conclusion: it is emphasized that oncological care in radiotherapy consists of individualized actions that directly aid in the prevention, minimization and / or treatment of the adverse reactions caused by the treatment, articulations promote better quality of life of cancer patients. Descriptors: Nursing Oncology; Nursing care; Radiotherapy; Radiological and Image Nursing; Skin care; Quality of Life.RESUMEN Objetivo: identificar los cuidados de Enfermería Oncológica en Radioterapia. Método: se trata de un estudio cualitativo, descriptivo, realizado en un centro de tratamiento oncológico referencia con tres enfermeras. Se recolectaron los datos mediante entrevistas semiestructuradas por medio de un guion y analizados a partir de la técnica de Análisis de Contenido. Resultados: se extrajeron las expresiones clave e ideas centrales, surgieron tres categorías que diseñaron la actuación del enfermero: a) Equipo multidisciplinario involucrado en la radioterapia; b) el proceso de trabajo de las enfermeras en radioterapia; y c) las prácticas para amenizar los efectos colaterales de la radioterapia Conclusión: se resalta que los cuidados oncológicos en radioterapia consisten en acciones individualizadas que, auxilian directamente en la prevención, minimización y / o tratamiento de las reacciones adversas causadas por el tratamiento, articulados promueven mejor calidad de vida del paciente oncológico. Descritores: Enfermería Oncológica; Cuidado de Enfermera; Radioterapia; Enfermería Radiológica y de Imágenes; Cuidado de la Piel; Calidad de Vida.


2010 ◽  
Vol 18 (5) ◽  
pp. 864-872 ◽  
Author(s):  
Elizelaine de Chico Cicogna ◽  
Lucila Castanheira Nascimento ◽  
Regina Aparecida Garcia de Lima

This study aimed to comprehend chemotherapy from the perspective of children and adolescents with cancer. Ten children and adolescents between eight and 18 years of age, in different phases of chemotherapy, participated in this exploratory, qualitative study. Data collection was carried out through semi-structured interviews and analysis of the patients’ medical records. Analysis of the empirical material followed the content analysis technique. The study allowed the comprehension that, for the children and adolescents, chemotherapy is mainly remembered for its collateral effects and suffering. After the initial impact, mainly due to physical changes, preoccupations are related to disease recovery, i.e. a cure. Over time, they also mentioned that the disease was seen as something to be overcome and, due to the chemotherapy, likely to be the outcome.


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