Efetividade dos cuidados de enfermagem à pessoa com diabetes tipo 2

: a educação terapêutica e resultados em cuidados de saúde primários

Abstract

Introduction: The quality of care is a central issue. Health systems and nurses also are compelled to demonstrate that the care they provide is effective and achieve the results which are proposed. Diabetes is a chronic disease whose numbers reach epidemic proportions, being important to demonstrate the value of care provided by nurses and their effectiveness in this area. General objective: to evaluate the effectiveness of nursing care to people with type 2 diabetes in what concerns to therapeutic education. Methodology: In order to meet the overall objective we develop 3 studies taking into account the ethical principles contained in the Helsinki Declaration. -The first study of quantitative analysis allowed validate/revalidate measuring instruments in two non-probabilistic samples, one of 104 nurses and another of 292 users with diabetes. -- The second study, of descriptive nature, had the objective of describing the conditions for the exercise of nursing practice (structure), the process of nursing care and the results of the person with diabetes, using a non-probabilistic sample of 49 nurses care providers to users with diabetes in primary care and a non-probabilistic sample of 292 users with type 2 diabetes, care by those nurses. - The third study, of correlational nature, allowed testing NREM model analysis of the effectiveness of nursing care adapted to the area of diabetes, in the sample characterized in the previous study. Considering the revision of the literature made, the hypotheses of relationship between structure, process and outcome were tested. Results: The results of the first study indicate adequacy of instruments to assess the proposed constructs. All instruments feature good psychometric characteristics not only in fidelity as in construct validity. The results of the second study allowed feature the practice environment of care and the demographic and professional data of nurses and feature the therapeutic education process to the patient with diabetes and their education regarding self-care behaviours. In relation to the user, this allowed feature the clinical and socio demographic situation, satisfaction with the care, self-care with diabetes and knowledge about diabetes. The structural model resulting from the third study revealed quality predictive abilities and statistically significant relationships. It was found to be statistically significant relationships between variables of the structure and the process and between these and the results obtained. Conclusion and implications: The results obtained may revert to the area of research, teaching and practice, once identified the contribution of nursing care (therapeutic education) for the results, allowing stressing the value and effectiveness of nursing care in the area of therapeutic education to the person with diabetes.

Date of Award	30 Sept 2015
Original language	Portuguese
Awarding Institution	Universidade Católica Portuguesa
Supervisor	Maria dos Anjos Coelho Rodrigues Dixe (Supervisor) & Maria Clarisse Carvalho Martins Louro (Supervisor)