Automonitorização, qualidade de vida e adesão ao tratamento em Diabetes Tipo 2: relato de caso

Luciane Ramos, E. A. P. Ferreira, D. L. Gomes
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Abstract

Summary Purpose: The present study analyzed effect of self-monitoring with feedback on emotional indicators, quality of life and adherence to treatment in a patient with diabetes. Methods: A 57 year-old adult participated in this study with Type 2 diabetes. The instruments used were: Medical records, interview scripts, Lipp Stress Symptoms Inventory (LSSI), Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI); and Questionnaire SF-36 were used as data collection. Results: Initially, the participant demonstrated stress in the resistance phase, 9,2% of glycated hemoglobin (HbA1c), with low adherence to diet but with perception of good quality of life. After the intervention, the participant demonstrated 6,7% of HbA1c and improvement in the emotional indicators’ levels. Neither adherence to diet nor physical activity degrees changed during the study. Conclusions: The results suggest improvement in emotional indicators and in HbA1c levels, even though it has not caused improvement in adherence to diet and in physical activity practice.
2型糖尿病患者的自我监测、生活质量和治疗依从性:病例报告
目的:分析自我监测反馈对糖尿病患者情绪指标、生活质量和治疗依从性的影响。方法:一名57岁的2型糖尿病患者参与了这项研究。使用的工具有:病历、访谈脚本、利普应激症状量表(LSSI)、贝克抑郁量表(BDI)和贝克焦虑量表(BAI);和SF-36问卷作为数据收集。结果:最初,参与者在抵抗期表现出压力,糖化血红蛋白(HbA1c)为9.2%,饮食依从性低,但生活质量良好。干预后,参与者的HbA1c降至6,7%,情绪指标水平有所改善。在研究期间,坚持饮食和体育锻炼的程度都没有改变。结论:结果表明情绪指标和HbA1c水平有所改善,尽管它没有引起饮食依从性和体育锻炼的改善。
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