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Abstract(s)
O aumento da longevidade e as problemáticas de saúde associadas ao aumento da incidência da doença crónica, concretamente a diabetes que apresenta implicações documentadas ao nível económico, social e familiar, justificam a necessidade de uma resposta dos serviços de saúde consertada e de qualidade. Esta revisão sistemática tem como objetivo analisar os programas de educação dirigidos ao utente diabético, metodologias de avaliação assim como os respetivos resultados. Os cinco estudos incluídos resultaram duma pesquisa realizada na EBSCOhost e na ISI Web of Knowledge. Os programas de intervenção apresentam metodologias e estruturas distintas, embora todos tenham tido por base teórica a educação para a autogestão. As metodologias de avaliação da eficácia dos programas incidiram essencialmente em parâmetros fisiológicos, embora em alguns estudos tenham sido avaliados parâmetros psicológicos. Os resultados mostram melhorias nos valores da Hemoglobina glicada; da pressão arterial, colesterol, na vigilância oftálmica, autovigilância dos pés e vigilância nefropática, autoeficácia, qualidade de vida, dieta, peso corporal, perímetro abdominal, indicadores de atitude e indicadores de comportamento. Parece haver uma resposta positiva aos programas de intervenção, traduzida em resultados relacionados com parâmetros fisiológicos e parâmetros psicológicos.
Increased longevity and health problems associated with the increased incidence of chronic disease, particularly diabetes, which has documented implications at the economic, social and family levels, support the necessity for a response from health services and quality. The aim of this systematic review was to analyze education programs aimed at the diabetic patient, assessment methodologies of programs, and the respective results. The five studies included resulted from a survey conducted in EBSCOhost and ISI Web of Knowledge. Intervention programs have identified different methodologies and different structures, although all have been based on diabetes self-management education. Methodologies for evaluating the effectiveness of programs have focused mainly on physiological parameters, although some studies have been evaluated using psychological parameters. The results show improvements in glycated hemoglobin, blood pressure, cholesterol, ophthalmic surveillance, self-monitoring of renal conditions and the feet, self-efficacy, quality of life, diet, body weight, waist circumference, attitude indicators and performance indicators. There seems to be a positive response to intervention programs, expressed in outcomes related to physiological and psychological parameters.
Increased longevity and health problems associated with the increased incidence of chronic disease, particularly diabetes, which has documented implications at the economic, social and family levels, support the necessity for a response from health services and quality. The aim of this systematic review was to analyze education programs aimed at the diabetic patient, assessment methodologies of programs, and the respective results. The five studies included resulted from a survey conducted in EBSCOhost and ISI Web of Knowledge. Intervention programs have identified different methodologies and different structures, although all have been based on diabetes self-management education. Methodologies for evaluating the effectiveness of programs have focused mainly on physiological parameters, although some studies have been evaluated using psychological parameters. The results show improvements in glycated hemoglobin, blood pressure, cholesterol, ophthalmic surveillance, self-monitoring of renal conditions and the feet, self-efficacy, quality of life, diet, body weight, waist circumference, attitude indicators and performance indicators. There seems to be a positive response to intervention programs, expressed in outcomes related to physiological and psychological parameters.
Description
Keywords
Educação em saúde Avaliação de resultados (cuidados de saúde) Diabetes mellitus Health education Outcome assessment (health care)