Antonia Tayana da Franca Xavier

Crenças no autocuidado em diabetes: implicações para a prática

El objetivo del estudio fue comprender las creencias que impregnan las actitudes de autocuidado de los pacientes diabeticos. Nueve pacientes diabeticos participaron de la investigacion. La entrevista semiestructurada se utilizo como instrumento para la recoleccion de los datos, y la tecnica de analisis de contenido, modalidad tematica, para su tratamiento. A traves del analisis se encontraron tres temas de significacion - La influencia de las creencias en el concepto de diabetes; Las creencias, el autocuidado y las practicas de cuidado; La creencia en el papel de la familia, de los medios y de los profesionales de salud en el autocuidado. Se observo que los pacientes diabeticos utilizan la alimentacion saludable como forma de autocuidado; y los medios, la familia y los profesionales de salud, como factores motivadores del mismo. Por lo tanto, para que se promueva la asistencia a los diabeticos, se deben considerar sus creencias en la practica de autocuidado.

Quality of life in patients with diabetes mellitus before and after their participation in an educational program

This quasi-experimental study aimed to evaluate the health-related quality of life in individuals with diabetes mellitus before and after their participation in a five-month educational program in a primary care service in Brazil in 2008. The sample consisted of 51 individuals, 56.9% female and 43.1% male, who had a mean age of 57.65 ± 11.44 years. Data were collected using the Portuguese version of the SF-36 questionnaire. The instrument had adequate reliability estimates for the study sample. Cronbachs alpha for the two components of the instrument, physical and mental, were 0.83 and 0.89, respectively. The findings suggested improvements in all the domain components; however, only the general health domain, before (63.96 ± 19.03) and after (70.59 ± 17.82) the educational program, presented statistically significant mean differences, t(50) = 2.16, p<0.05. Participation in the educational program also contributed to improvements in the perceptions of the individuals regarding their general health status.This quasi-experimental study aimed to evaluate the health-related quality of life in individuals with diabetes mellitus before and after their participation in a five-month educational program in a primary care service in Brazil in 2008. The sample consisted of 51 individuals, 56.9% female and 43.1% male, who had a mean age of 57.65 ± 11.44 years. Data were collected using the Portuguese version of the SF-36 questionnaire. The instrument had adequate reliability estimates for the study sample. Cronbachs alpha for the two components of the instrument, physical and mental, were 0.83 and 0.89, respectively. The findings suggested improvements in all the domain components; however, only the general health domain, before (63.96 ± 19.03) and after (70.59 ± 17.82) the educational program, presented statistically significant mean differences, t(50) = 2.16, p<0.05. Participation in the educational program also contributed to improvements in the perceptions of the individuals regarding their general health status.

Análise de gênero para o adoecer de câncer

The objective of this study was to understand the process of the sicked of cancer, in men and women, the perspective of the gender. To four women and three men, carriers of cancer of cólon and rectum who were in ambulatorial treatment, in an Institution of Private Health, the city of Fortaleza-CE, in the month of July of 2008 had participated as informing. The information had been collected by half-structuralized interview being organized in categories in agreement analysis of studious content and analyzed consonant of the thematic one of gender. The categories that had emerged had been: The sicked of cancer: spallings and limitations in the life; a life in transformation: of the threats to the overcomings. The depositions all elucidate the process of sicked of cancer and the perception of gender on this event beyond disclosing that the stereotype created by the society concerning sort also are expressed the behavior presented for the people who sicked of cancer.O objetivo deste estudo foi compreender o processo do adoecimento de câncer, em homens e mulheres, na perspectiva do genero. Participaram como informantes quatro mulheres e tres homens, portadores de câncer de colon e reto que estavam em tratamento ambulatorial, numa Instituicao de Saude Privada, no municipio de Fortaleza-CE, no mes de julho de 2008. As informacoes foram coletadas por entrevista semi-estruturada sendo organizadas em categorias conforme analise de conteudo e analisadas consoante estudiosos da tematica de genero. As categorias que emergiram foram: O adoecimento de câncer: fragmentacoes e limitacoes na vida; uma vida em transformacao: das ameacas as superacoes. Os depoimentos elucidam todo o processo de adoecimento de câncer e a percepcao de genero sobre este evento alem de revelar que os estereotipos criados pela sociedade acerca de genero tambem se traduzem no comportamento apresentado pelas pessoas que adoecem de câncer.The objective of this study was to understand the process of the sicked of cancer, in men and women, the perspective of the gender. To four women and three men, carriers of cancer of colon and rectum who were in ambulatorial treatment, in an Institution of Private Health, the city of Fortaleza-CE, in the month of July of 2008 had participated as informing. The information had been collected by halfstructuralized interview being organized in categories in agreement analysis of studious content and analyzed consonant of the thematic one of gender. The categories that had emerged had been: The sicked of cancer: spallings and limitations in the life; a life in transformation: of the threats to the overcomings. The depositions all elucidate the process of sicked of cancer and the perception of gender on this event beyond disclosing that the stereotype created by the society concerning sort also are expressed the behavior presented for the people who sicked of cancer.

Qualidade de vida de pacientes com diabetes mellitus antes e após participação em programa educativo

This quasi-experimental study aimed to evaluate the health-related quality of life in individuals with diabetes mellitus before and after their participation in a five-month educational program in a primary care service in Brazil in 2008. The sample consisted of 51 individuals, 56.9% female and 43.1% male, who had a mean age of 57.65 ± 11.44 years. Data were collected using the Portuguese version of the SF-36 questionnaire. The instrument had adequate reliability estimates for the study sample. Cronbachs alpha for the two components of the instrument, physical and mental, were 0.83 and 0.89, respectively. The findings suggested improvements in all the domain components; however, only the general health domain, before (63.96 ± 19.03) and after (70.59 ± 17.82) the educational program, presented statistically significant mean differences, t(50) = 2.16, p<0.05. Participation in the educational program also contributed to improvements in the perceptions of the individuals regarding their general health status.This quasi-experimental study aimed to evaluate the health-related quality of life in individuals with diabetes mellitus before and after their participation in a five-month educational program in a primary care service in Brazil in 2008. The sample consisted of 51 individuals, 56.9% female and 43.1% male, who had a mean age of 57.65 ± 11.44 years. Data were collected using the Portuguese version of the SF-36 questionnaire. The instrument had adequate reliability estimates for the study sample. Cronbachs alpha for the two components of the instrument, physical and mental, were 0.83 and 0.89, respectively. The findings suggested improvements in all the domain components; however, only the general health domain, before (63.96 ± 19.03) and after (70.59 ± 17.82) the educational program, presented statistically significant mean differences, t(50) = 2.16, p<0.05. Participation in the educational program also contributed to improvements in the perceptions of the individuals regarding their general health status.

Cultural adaptation and validation of the Neuropathy - and Foot Ulcer - Specific Quality of Life instrument (NeuroQol) for Brazilian Portuguese - Phase 1

Trata-se de estudo metodologico que teve como objetivos adaptar o Neuropathy - and Foot Ulcer - Specific Quality of Life - NeuroQol para a lingua portuguesa do Brasil, e analisar suas propriedades psicometricas. Participaram 50 pessoas com neuropatia diabetica periferica e ulceras nos pes. Foram analisados os efeitos floor e ceiling, a validade convergente, a discriminante e a confiabilidade. Foi utilizado o coeficiente alfa de Cronbach para testar a confiabilidade e o de correlacao de Pearson para estimar a validade convergente; o teste t-Student foi empregado para avaliar a validade discriminante, na comparacao dos escores do NeuroQol entre os participantes com e sem ulceras. Constataram-se efeitos floor e ceiling em alguns dominios do NeuroQol. A confiabilidade foi satisfatoria. As correlacoes entre os dominios do NeuroQol e SF-36 foram negativas, significativas, de moderada a forte magnitude. Os achados evidenciam que a versao brasileira do NeuroQol e confiavel e valida, e que ele podera ser utilizado como ferramenta util para melhoria da assistencia de enfermagem para as pessoas com DM.This methodological study aimed to adapt the Neuropathy - and Foot Ulcer - Specific Quality of Life instrument - NeuroQol to Brazilian Portuguese and to analyze its psychometric properties. Participants were 50 people with peripheral diabetic neuropathy and foot ulcers. The floor and ceiling effects, the convergent and discriminant validity and the reliability were analyzed. The Cronbachs alpha coefficient was used to test the reliability and the Pearsons correlation coefficient to estimate the convergent validity, the Students t test was used to evaluate the discriminant validity in the comparison of the NeuroQol scores between participants with and without ulcers. Floor and ceiling effects were found in some domains of the NeuroQol. The reliability was satisfactory. The correlations between the domains of the NeuroQol and the SF-36 were negative, significant and of moderate to strong magnitude. The findings show that the Brazilian version of the NeuroQol is reliable and valid and may be employed as a useful tool for improving nursing care for people with DM.

Adaptação cultural e validação do Neuropathy - and Foot Ulcer - Specific Quality of Life (NeuroQol) para a língua portuguesa do Brasil - Fase 1

Trata-se de estudo metodologico que teve como objetivos adaptar o Neuropathy - and Foot Ulcer - Specific Quality of Life - NeuroQol para a lingua portuguesa do Brasil, e analisar suas propriedades psicometricas. Participaram 50 pessoas com neuropatia diabetica periferica e ulceras nos pes. Foram analisados os efeitos floor e ceiling, a validade convergente, a discriminante e a confiabilidade. Foi utilizado o coeficiente alfa de Cronbach para testar a confiabilidade e o de correlacao de Pearson para estimar a validade convergente; o teste t-Student foi empregado para avaliar a validade discriminante, na comparacao dos escores do NeuroQol entre os participantes com e sem ulceras. Constataram-se efeitos floor e ceiling em alguns dominios do NeuroQol. A confiabilidade foi satisfatoria. As correlacoes entre os dominios do NeuroQol e SF-36 foram negativas, significativas, de moderada a forte magnitude. Os achados evidenciam que a versao brasileira do NeuroQol e confiavel e valida, e que ele podera ser utilizado como ferramenta util para melhoria da assistencia de enfermagem para as pessoas com DM.This methodological study aimed to adapt the Neuropathy - and Foot Ulcer - Specific Quality of Life instrument - NeuroQol to Brazilian Portuguese and to analyze its psychometric properties. Participants were 50 people with peripheral diabetic neuropathy and foot ulcers. The floor and ceiling effects, the convergent and discriminant validity and the reliability were analyzed. The Cronbachs alpha coefficient was used to test the reliability and the Pearsons correlation coefficient to estimate the convergent validity, the Students t test was used to evaluate the discriminant validity in the comparison of the NeuroQol scores between participants with and without ulcers. Floor and ceiling effects were found in some domains of the NeuroQol. The reliability was satisfactory. The correlations between the domains of the NeuroQol and the SF-36 were negative, significant and of moderate to strong magnitude. The findings show that the Brazilian version of the NeuroQol is reliable and valid and may be employed as a useful tool for improving nursing care for people with DM.

Calidad de vida de pacientes de diabetes mellitus antes y después de participar en un programa educativo

This quasi-experimental study aimed to evaluate the health-related quality of life in individuals with diabetes mellitus before and after their participation in a five-month educational program in a primary care service in Brazil in 2008. The sample consisted of 51 individuals, 56.9% female and 43.1% male, who had a mean age of 57.65 ± 11.44 years. Data were collected using the Portuguese version of the SF-36 questionnaire. The instrument had adequate reliability estimates for the study sample. Cronbachs alpha for the two components of the instrument, physical and mental, were 0.83 and 0.89, respectively. The findings suggested improvements in all the domain components; however, only the general health domain, before (63.96 ± 19.03) and after (70.59 ± 17.82) the educational program, presented statistically significant mean differences, t(50) = 2.16, p<0.05. Participation in the educational program also contributed to improvements in the perceptions of the individuals regarding their general health status.This quasi-experimental study aimed to evaluate the health-related quality of life in individuals with diabetes mellitus before and after their participation in a five-month educational program in a primary care service in Brazil in 2008. The sample consisted of 51 individuals, 56.9% female and 43.1% male, who had a mean age of 57.65 ± 11.44 years. Data were collected using the Portuguese version of the SF-36 questionnaire. The instrument had adequate reliability estimates for the study sample. Cronbachs alpha for the two components of the instrument, physical and mental, were 0.83 and 0.89, respectively. The findings suggested improvements in all the domain components; however, only the general health domain, before (63.96 ± 19.03) and after (70.59 ± 17.82) the educational program, presented statistically significant mean differences, t(50) = 2.16, p<0.05. Participation in the educational program also contributed to improvements in the perceptions of the individuals regarding their general health status.

Abordagem clínica de enfermagem na prevenção do pé diabético

Objective: To identify the procedures adopted during nursing consultation to the person with diabetes mellitus, in the prevention of diabetic foot. Methods: Descriptive, observational and quantitative study, carried out in an institution of secondary care on diabetes and hypertension of the Ceara State, between August and September 2011. Data was collected through a form during the nursing consultation, being organized in pictures with descriptive analysis. Results: The clinical management of diabetic foot is performed by nurses with little emphasis, omitting relevant questions about the patient’s habits, such as walking barefoot, nails cutting, attention to calluses and feet moisturizing. Furthermore, some guidance is neglected, as to inform about the best time to buy the shoe, type of socks to be used and the fact they cannot walk barefoot. Conclusion: The procedures adopted during consultation by the nurses in this study were not the ideal ones, as the anamnesis and clinical examination of feet occurred incompletely, missing important steps for the prevention of diabetic foot or the potential complications associated to it. doi:http://dx.doi.org/10.5020/18061230.2013.p498

[World-view, cultural care and environmental concept, the daily care of the elderly with diabetes mellitus].

This study aimed to analyze the daily care of the elderly with DM in the light of the theoretical assumptions of Leininger. This is a study descriptive, qualitative, with the participation of 8 elderly patients with DM in a health unit in Fortaleza. Information was collected through interviews with semi-structured. Data analysis was performed in a second categorical groupings analogue and contemplating pre-analysis, material investigation and treatment and interpretation of data obtained. The categories that emerged from testimony in the light of the concepts of Leininger are: world vision, care and cultural context environmental. We believe that older people with diabetes mellitus feel health through the cultivation of faith in religion, in the use of medicinal plants, and support for health professionals.

Visão do mundo, cuidado cultural e conceito ambiental: o cuidado do idoso com diabetes Mellitus

This study aimed to analyze the daily care of the elderly with DM in the light of the theoretical assumptions of Leininger. This is a study descriptive, qualitative, with the participation of 8 elderly patients with DM in a health unit in Fortaleza. Information was collected through interviews with semi-structured. Data analysis was performed in a second categorical groupings analogue and contemplating pre-analysis, material investigation and treatment and interpretation of data obtained. The categories that emerged from testimony in the light of the concepts of Leininger are: world vision, care and cultural context environmental. We believe that older people with diabetes mellitus feel health through the cultivation of faith in religion, in the use of medicinal plants, and support for health professionals.