Educação para a saúde como estratégia de intervenção de enfermagem junto às pessoas portadoras de diabetes

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Universidade Federal de Goiás


As a nurse of the Family Health Program we observe that diabetes bearers of the town of Nova Aurora State of Goias did not manage to reduce their glycemic levels even when receiving educational orientation Facing this issue this research was developed with the means of: analyzing an educational process for health along with diabetes bearers applying an approach between the theoretical assumptions of Paulo Freire and the methodological references from the Arch of Maguerez which was adapted by Bordenave e Pereira and analyze the results of the glycated hemoglobin before and after the implementation of the educational plan It is an action research with a quanti qualitative approach This study was approved by the Ethics Research Committee from the Federal University of Goias Nineteen people participated in the educative action and seventeen in the glycated hemoglobin test all diabetes bearers who signed a term of free and clarified assent and were informed concerning the intervention proposal An educative action was accomplished in six meetings The dosage of glycated hemoglobine occurred at the beginning of the educative action and five months after the end of it The results of this examination were analyzed by means of Student s t-Test The speeches of the group during the educative process were recorded and analyzed in accordance with Laurence Bardin In the light of reality the emergent categories related themselves to: feeding confrontation and feelings of success and frustration towards the illness The themes diet hypoglicemia / hyperglicemia and the physiopathology of the Diabetes mellitus were chosen as key points to be theorized In the stage of theorization of the diet categories emerged such as dependency on the health professional and autonomy / independence on the choice of one s food For the themes hypo / hyperglicemia the categories focused on the educational and liberating approach and the cognitive control that they had over these themes From the theorization of the physiopathology of the Diabetes mellitus the exposed categories were: absence of knowledge and knowledge at the common sense Changes of the subjects at the stage of solution hypothesis were observed when they elaborated educational posters which evidenced two categories: preventive measures of specific health promotion for the group and early diagnosis directed towards the community The application to the reality was accomplished through the accounts of the DM bearers as to changes in their abilities and attitudes and the attainment of autonomy and independence conquered through the control of cognitions the resultant actions of the educational practice were: the construction of teaching material which made it possible to share their knowledge with the group and the community; the capacity to establish an association between their previous knowledge to the acquired scientific knowledge during the educational intervention; changes of abilities and in the capacities of confrontation of the illness besides the changes in the alimentary habits As to the referent results of the glycated hemoglobine the t-Test shows an statistically significant difference with the reduction of the plasmatic levels of the dosed element The present research evidenced that educative action was capable to contribute to the construction of significant knowledge and for the attainment of autonomy and independence of the DM bearers facing their health problem and reduction in the index of glycated hemoglobine



RÊGO, Maria Aparecida Barbosa. Education for health as an strategy of intervention of nursing along with diabetes bearers. 2004. 139 f. Dissertação (Mestrado em Cuidado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2004.