Nursing Case Management and Glycemic Control Among Brazilians With Type 2 Diabetes

Moreira, Ricardo Castanho; Mantovani, Maria de Fátima; Soriano, José Verdú

doi:10.1097/nnr.0000000000000104

Cited by 20 publications

(36 citation statements)

References 2 publications

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“…8 A diferença mínima detectável foi de 1%, o nível de significância (α) de 0,05 e poder estatístico do teste de 0,80 acrescido de 10% para possíveis perdas, o que resultou na amostra de 134 indivíduos, os quais foram sorteados aleatoriamente e depois randomizados nos grupos intervenção (GI) e controle (GC) por meio do software R.…”

Section: Métodounclassified

Effect of the Consultation of Nursing on Knowledge, Quality of Life, Attitude Towards Disease and Self-Care Among Persons With Diabetes

Teston¹,

Peternella²,

Sales³

et al. 2018

Reme Revista Mineira De Enfermagem

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RESUMOVerificar o efeito da consulta de enfermagem fundamentada no autocuidado apoiado sobre o conhecimento e a atitude frente à doença, na qualidade de vida e adesão às atividades de autocuidado em pessoas com diabetes mellitus (DM) tipo 2. Ensaio clínico randomizado e controlado desenvolvido em município no Sul do Brasil no período de março de 2014 a janeiro de 2015. Participaram do estudo 134 indivíduos alocados aleatoriamente em dois grupos: intervenção (GI) e controle (GC). Para a coleta de dados foram aplicados quatro questionários nos dois grupos e em dois momentos (inicial e final). O GI recebeu atendimento constituído por três consultas de enfermagem bimensais intercaladas por duas ligações telefônicas para monitoramento das metas pactuadas e a assistência de rotina constituída por consulta médica por demanda espontânea e fornecimento gratuito de medicação prescrita. O GC só recebeu os cuidados de rotina. Os integrantes do GI apresentaram mudança significativa em relação ao conhecimento sobre o diabetes (p<0,001), impacto da doença na qualidade de vida (p=0,002), na atitude frente à doença (p=0,024) e na adesão às atividades de autocuidado (p<0,001). A consulta de enfermagem centrada no autocuidado apoiado tem efeitos positivos sobre conhecimento e a atitude frente à doença e sobre a adesão às atividades de autocuidado, porém aumenta o impacto da doença na qualidade de vida. Registro Brasileiro de Ensaios Clínicos: RBR -3xgjf3. Palavras-chave: Enfermagem no Consultório; Diabetes Mellitus Tipo 2; Autocuidado; Ensaio Clínico. ABSTR ACT To verify the effect of nursing consultation based on self-care supported on knowledge and attitude towards disease, quality of life and adherence to self-care activities in people with type 2 diabetes mellitus (DM). This is a randomized and controlled clinical trial developed in a city in southern Brazil from March 2014 to January 2015. A total of 134 individuals participated in the study and were randomly assigned to two groups: intervention group (IG) and control group (CG). For the data collection, four questionnaires were applied in both groups and in two moments (initial and final

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Section: Métodounclassified

Effect of the Consultation of Nursing on Knowledge, Quality of Life, Attitude Towards Disease and Self-Care Among Persons With Diabetes

Teston¹,

Peternella²,

Sales³

et al. 2018

Reme Revista Mineira De Enfermagem

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“…Sample size was calculated considering 170 eligible individuals, 1.9% standard deviation for HbA1c, as presented in another study (8) , 1% minimum detectable difference, 0.05 significance level (α), 0.80 test statistical power, and 10% sample loss possibility, which resulted in a sample with 134 individuals.…”

Section: Population and Samplementioning

confidence: 99%

“…However, individual interventions with an emphasis on behavior change can generate best clinical results and quality of life, according to a study conducted in Denmark with 143 people with DM2 (11) . According to what has been stated, nursing appointment is considered an opportunity for nurses to act effectively on empowerment for self-care and for the healthcare improvement of DM patients, since it is significantly associated with glycemic control (8,12,13) . However, this activity is not implemented routinely in health services, as only actions related to history and evolution of nursing predominate (14) .…”

Section: Introductionmentioning

confidence: 99%

“…Thus, over time, people with a chronic disease tend to abandon behavioral changes that are important to control the disease, which constitutes a challenge for health care planning (7) . To overcome such challenges, intervention studies have been conducted with people with DM, which involves telephone monitoring (8) , use of text messages (9) , and home visit (10) , and their results showed, in addition to a significant reduction in HbA1c levels, a possible positive influence on identifying barriers to self-care, on increasing knowledge about the disease, and on acquisition of healthy habits (9)(10) , also favoring glycemic (8)(9)(10) , lipid (8)(9) and blood pressure (9) controls. Most interventions were applied in a collective way, covering groups of people with DM.…”

Section: Introductionmentioning

confidence: 99%

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Nursing appointment and cardiometabolic control of diabetics: a randomized clinical trial

et al. 2017

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Objective: to verify the effect of nursing appointment on cardiometabolic profi le of people with Diabetes Mellitus type 2. Method: randomized controlled trial, developed with 134 individuals chosen for two groups: intervention and control. The intervention consisted of three nursing appointments alternated bimonthly, with two phone calls, over fi ve months. The control group received usual care offered by the Health Unit. Data were collected through semi-structured interviews before and after the intervention, in addition to conducting laboratory tests. Results: after the intervention, a signifi cant difference was shown in the amount of glycated hemoglobin (p = 0.006) and in the systolic blood pressure (p = 0.031), which were higher in the control group. Conclusion: besides being low-cost and easy to develop on the monitoring routine of people with diabetes, the intervention performed infl uenced positively the biochemical profi le. Descriptors: Diabetes Mellitus; Nursing; Self-Care. Chronic Disease; Clinical Trial. RESUMO Objetivo: verifi car o efeito da consulta de enfermagem sobre o perfi l cardiometabólico de pessoas com Diabetes Mellitus tipo 2. Método: ensaio clínico controlado e randomizado, desenvolvido com 134 indivíduos sorteados para dois grupos: intervenção e controle. A intervenção consistiu em três consultas de enfermagem bimensais alternadas, com duas ligações telefônicas, ao longo de cinco meses. O grupo-controle recebeu os cuidados habituais oferecidos pela Unidade de Saúde. Os dados foram coletados mediante entrevistas semiestruturadas antes e após a intervenção, além da realização de exames laboratoriais. Resultados: após a intervenção, foi evidenciada diferença signifi cativa no valor da hemoglobina glicada (p=0,006) e da pressão arterial sistólica (p=0,031), que se mostraram mais elevadas no grupo-controle. Conclusão: a intervenção realizada, além de ser de baixo custo e de fácil desenvolvimento na rotina de acompanhamento da pessoa com diabetes, infl uenciou positivamente a melhora do perfi l bioquímico. Descritores: Diabetes Mellitus; Enfermagem; Autocuidado. Doença Crônica; Ensaio Clínico. RESUMEN Objetivo: comprobar el resultado de la consulta de enfermería sobre el perfi l cardiometabólico en personas con Diabetes mellitus tipo 2. Método: ensayo clínico controlado y aleatorizado, en el cual participaron 134 sujetos. Se los dividieron de forma aleatoria en dos grupos: intervención y control. La intervención consistió en tres consultas de enfermería cada dos meses alternados, con dos llamadas, a lo largo de cinco meses. El grupo control recibió los cuidados usuales de la Unidad de Salud. Se recolectaron los datos a través de entrevistas semiestructuradas, antes y después de la intervención, y de análisis de laboratorio. Resultados: después de la intervención, se observaron diferencias signifi cativas en el valor de la hemoglobina glicosilada (p=0,006) y de la presión arterial sistólica (p=0,031), que fueron más elevados en el grupo control. Conclusión: la intervención realizada...

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“…Nursing often identifies the limitations of health services, but found in this dilemma an opportunity to expand its practice, such as in case management (11) . The role of nurse case manager is identified in international studies (36)(37)(38) and still timidly in national surveys (22,37) .…”

Section: Discussionmentioning

confidence: 99%

Case management as a high-risk prenatal care strategy

Soares

Higarashi

2019

Rev. Bras. Enferm.

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Objective: to discuss the benefits of using high-risk prenatal case management. Method: a qualitative, convergent care study with six high-risk pregnant women, performed in a municipality in the south of Brazil. Data were produced by case management from April to August of 2017 through observation-participant. Analysis followed the processes of Convergent Care Research: apprehension, synthesis, theorization and transfer. Results: case management identified important elements in the care of pregnant women, which denoted a greater complexity to the cases; was shown as a relevant space for nurses to act, because it is an intervention that requires knowledge and specific skills. Final considerations: case management provides differentiated management in complex cases, facilitates the flow between health services, concretizing the comprehensiveness and equity of the care. It was found, in the convergence between research and care, that participants were benefited by case management.

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Nursing Case Management and Glycemic Control Among Brazilians With Type 2 Diabetes

Abstract: Both groups showed a statistically significant reduction of HbA1c at 6 and 12 months following baseline. The difference in proportional reduction of HbA1c between groups was not statistically significant.

Cited by 20 publications

References 2 publications

Effect of the Consultation of Nursing on Knowledge, Quality of Life, Attitude Towards Disease and Self-Care Among Persons With Diabetes

Effect of the Consultation of Nursing on Knowledge, Quality of Life, Attitude Towards Disease and Self-Care Among Persons With Diabetes

Nursing appointment and cardiometabolic control of diabetics: a randomized clinical trial

Case management as a high-risk prenatal care strategy

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