Endocrine disease. Diabetes Mellitus Type 2.
Conditions
Interventions
Intervention group: 77 users with Type 2 Diabetes Mellitus received intervention group education for empowerment, associated with traditional care offered by a basic health unit of reference. Control
Other
I02.233.332
Sponsors
Escola de Enfermagem da Universidade Federal de Minas Gerais
Universidade Federal de Minas Gerais
Eligibility
Age
30 Years to 80 Years
Inclusion criteria
Inclusion criteria: Patients of Health Basic Units diagnosed with type 2 diabetes confirmed by medical records, who participated in at least three education group meetings, as a minimum age of 30 and maximum of 80 years, of both sexes and who signed the Terms of Consent.
Exclusion criteria
Exclusion criteria: Patients from Basic Health Units with Type I Diabetes diagnosis; not attend at least three group education meetings; users with psychiatric disorders or complications of the disease that affect the ability to respond to self-care tools and empowerment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| It is expected that after the intervention patients have good level of empowerment and satisfactory practice of self-care actions. In addition, it is expected to know which sociodemographic characteristics can influence the level of empowerment, and the glycohemoglobin rate also plays a role. The level of empowerment was assessed by the Diabetes Empowerment Scale instrument with 28 questions divided into 3 subscales and maximum score of 5 points. The practice of self-care associated with diet and physical activity was assessed using the Self-management tool for Diabetes Care in eight closed questions, has a total score of eight points and, to a satisfactory result, you must obtain a minimum score of 5, 0 points, glycohemoglobin examination was performed before the start of the intervention.;Patients in the intervention group (IG) showed better overall empowerment scores compared to the control group (CG) (3.92 ± 0.41 and 3.76 ± GI 0.43 in GC) and likewise the subscales I (4.00 ± 0.43 and 3.79 ± GI 0.57 in GC) and III (3.94 ± 0.48 and 3.80 ± GI 0.54 in GC), with p <0, 05. Within the Group Intervention patients of female sex, inactive and the literate are more empowered, with p <0.05. Patients in both groups had similar characteristics during the study period, considering the sociodemographic variables, except for school, for which GI presented a higher percentage of illiterate (20.8% in GI and 2.7% in GC). Regarding glycohemoglobin clinical variable, there was a higher percentage of patients with a level below 8% (73.7% in GI and 54.8% in the GC). Another difference between the groups is given in the self-care questionnaire score, which occurs in the GI a significantly higher percentage of patients with 5 or more points (77.5% in GI and 44.2% in the GC). | — |
Secondary
| Measure | Time frame |
|---|---|
| There have been four education sessions-based group in the empowerment approach, which is an innovative approach to health education in diabetes. It was hoped that this intervention, patient-centered, was satisfactory to them and had good adhesion.;It was observed that patients were interested in the experiences shared in the group and to know more stories of difficulties in dealing with diabetes and achieve self-care goals. Facilitators techniques employed in the groups proved to be effective in promoting the explanation of subjects and their discussions in a more interactive and relaxed and therefore motivating patients to actively participate in groups. 63 patients participated in the first meeting, 54 the second, 51 in the third and 56 in the room, showing low number of losses. | — |
Countries
Brazil
Contacts
Public ContactHeloisa Torres
Escola de Enfermagem da Universidade Federal de Minas Gerais
Outcome results
None listed