Cuido muito os meus pés: saberes e práticas de pessoas com diabetes mellitus tipo 2

Detalhes bibliográficos
Ano de defesa: 2017
Autor(a) principal: Leal, Tifany Colomé lattes
Orientador(a): Budó, Maria de Lourdes Denardin lattes
Banca de defesa: Beuter, Margrid lattes, Schwartz, Eda lattes
Tipo de documento: Dissertação
Tipo de acesso: Acesso aberto
Idioma: por
Instituição de defesa: Universidade Federal de Santa Maria
Centro de Ciências da Saúde
Programa de Pós-Graduação: Programa de Pós-Graduação em Enfermagem
Departamento: Enfermagem
País: Brasil
Palavras-chave em Português:
Palavras-chave em Inglês:
Área do conhecimento CNPq:
Link de acesso: http://repositorio.ufsm.br/handle/1/11933
Resumo: Currently, diabetes mellitus is one of the largest health emergencies in the world. Type 2 diabetes mellitus is present in 90 to 95% of cases. It is characterized by defects in insulin action and secretion. The increased incidence of the disease in developing countries occurred concurrently with its complications. One of the problems of diabetes, are the ulcerations in the lower limbs, also called diabetic foot. Foot ulcers present an annual incidence of 2% and affect 25% of individuals with diabetes in the course of their disease. Those that affect mainly the feet, are considered the most serious, not only by the fact of the amputations, but also, by the high morbidity, mortality and the generated expenses in the public health. Thus, Nursing as a profession assumes an important and essential role in the perspective of the prevention of diabetic foot in people with type 2 DM. To this end, it is necessary for nurses and other health professionals to be aware of the knowledge and practices that People in their process of becoming ill. In this way, the specific objectives of this research were: to know the knowledge and practices of people with type 2 diabetes mellitus about diabetic foot; And, identify the care practices of people with type 2 diabetes mellitus in outpatient follow-up. This is a qualitative, exploratory and descriptive field research, conducted through a narrative interview and simple observation at the home of eight people with diabetes, who were accessed and invited to participate in the survey in the outpatient service of a public hospital in the Rio Grande do Sul. The data were worked by Minayo's operational proposal. The research followed the ethical principles of Resolution number 466/12 and obtained approval from the Committee of Ethics in Research with Opinion of number 1,499,174, number of CAAE 53936516.3.0000.5346. The results are presented in scientific paper format - Article 1: "Diabetic Foot: Knowledge and Practices of People with Type 2 Diabetes Mellitus" and Article 2: "Learning to Deal with the Enemy: Diabetes Mellitus Type 2 Care Practices". It was possible to identify that people have inconsistent information regarding the knowledge about diabetic foot. However, it was noticed that even though they did not know what the diabetic foot was, the participants performed care consistent with that recommended by specialists in the area. It is clear in the narrative of the interviewees the concern to preserve the lower limbs of injuries, to make use of comfortable shoes, to hydrate the foot in order to avoid cracks, to carry out hygiene in the interdigital spaces, among other care. About diabetes mellitus, people with diabetes have discovered in different ways their diagnosis, know the complications of the disease and perform care practices related mainly to food. It is important to emphasize the need to approach popular and scientific knowledge in order to establish effective care.
id UFSM-20_799586f45ea8d2d31a44073436ca5cb6
oai_identifier_str oai:repositorio.ufsm.br:1/11933
network_acronym_str UFSM-20
network_name_str Manancial - Repositório Digital da UFSM
repository_id_str
spelling 2017-10-31T12:26:41Z2017-10-31T12:26:41Z2017-03-07http://repositorio.ufsm.br/handle/1/11933Currently, diabetes mellitus is one of the largest health emergencies in the world. Type 2 diabetes mellitus is present in 90 to 95% of cases. It is characterized by defects in insulin action and secretion. The increased incidence of the disease in developing countries occurred concurrently with its complications. One of the problems of diabetes, are the ulcerations in the lower limbs, also called diabetic foot. Foot ulcers present an annual incidence of 2% and affect 25% of individuals with diabetes in the course of their disease. Those that affect mainly the feet, are considered the most serious, not only by the fact of the amputations, but also, by the high morbidity, mortality and the generated expenses in the public health. Thus, Nursing as a profession assumes an important and essential role in the perspective of the prevention of diabetic foot in people with type 2 DM. To this end, it is necessary for nurses and other health professionals to be aware of the knowledge and practices that People in their process of becoming ill. In this way, the specific objectives of this research were: to know the knowledge and practices of people with type 2 diabetes mellitus about diabetic foot; And, identify the care practices of people with type 2 diabetes mellitus in outpatient follow-up. This is a qualitative, exploratory and descriptive field research, conducted through a narrative interview and simple observation at the home of eight people with diabetes, who were accessed and invited to participate in the survey in the outpatient service of a public hospital in the Rio Grande do Sul. The data were worked by Minayo's operational proposal. The research followed the ethical principles of Resolution number 466/12 and obtained approval from the Committee of Ethics in Research with Opinion of number 1,499,174, number of CAAE 53936516.3.0000.5346. The results are presented in scientific paper format - Article 1: "Diabetic Foot: Knowledge and Practices of People with Type 2 Diabetes Mellitus" and Article 2: "Learning to Deal with the Enemy: Diabetes Mellitus Type 2 Care Practices". It was possible to identify that people have inconsistent information regarding the knowledge about diabetic foot. However, it was noticed that even though they did not know what the diabetic foot was, the participants performed care consistent with that recommended by specialists in the area. It is clear in the narrative of the interviewees the concern to preserve the lower limbs of injuries, to make use of comfortable shoes, to hydrate the foot in order to avoid cracks, to carry out hygiene in the interdigital spaces, among other care. About diabetes mellitus, people with diabetes have discovered in different ways their diagnosis, know the complications of the disease and perform care practices related mainly to food. It is important to emphasize the need to approach popular and scientific knowledge in order to establish effective care.Atualmente, o diabetes mellitus é uma das maiores emergências de saúde no mundo. O diabetes mellitus tipo 2, é a forma presente em 90 a 95% dos casos. É caracterizada por defeitos na ação e secreção de insulina. O aumento da incidência da doença em países em desenvolvimento ocorreu concomitante ao de suas complicações. Um dos agravos do diabetes, são as ulcerações nos membros inferiores, também chamadas de pé diabético. As úlceras nos pés apresentam uma incidência anual de 2% e acometem 25% dos indivíduos com diabetes no transcorrer de sua doença. Aquelas que afetam principalmente os pés, são consideradas as mais graves, não somente pelo fato das amputações, mas também, pela alta morbidade, mortalidade e pelos gastos gerados na saúde pública. Assim, a Enfermagem como profissão assume um papel importante e essencial na perspectiva da prevenção do pé diabético em pessoas com DM tipo 2. E para isso é necessário que os enfermeiros e os demais profissionais da saúde estejam a par dos saberes e das práticas que as pessoas realizam em seu processo de adoecimento. Desta maneira, os objetivos específicos desta pesquisa foram: conhecer os saberes e práticas de pessoas com diabetes mellitus tipo 2 acerca do pé diabético; e, identificar as práticas de cuidado das pessoas com diabetes mellitus tipo 2 em acompanhamento ambulatorial. Trata-se de uma pesquisa de campo, qualitativa, exploratória e descritiva, realizada por meio de entrevista narrativa e observação simples no domicílio de oito pessoas com diabetes, as quais foram acessadas e convidadas a participarem da pesquisa no serviço ambulatorial de um hospital público no Rio Grande do Sul. Os dados foram trabalhados pela proposta operativa de Minayo. A pesquisa seguiu os princípios éticos da Resolução número 466/12 e obteve aprovação do Comitê de Ética em Pesquisa com Parecer de número 1.499.174, número do CAAE 53936516.3.0000.5346. Os resultados são apresentados no formato de artigo científico - Artigo 1: “Pé diabético: saberes e práticas de pessoas com Diabetes Mellitus tipo 2” e Artigo 2: “Aprender a lidar com o inimigo: práticas de cuidado de pessoas Diabetes Mellitus tipo 2”. Foi possível identificar que as pessoas têm informações inconsistentes no que diz respeito ao conhecimento acerca do pé diabético. Entretanto, percebeu-se que mesmo não sabendo o que é o pé diabético, os participantes realizavam cuidados coerentes com o preconizado pelos especialistas na área. Fica claro na narrativa dos entrevistados a preocupação em preservar os membros inferiores de lesões, fazer uso de calçados confortáveis, hidratar o pé a fim de evitar rachaduras, realizar higiene nos espaços interdigitais, entre outros cuidados. Sobre o diabetes mellitus, as pessoas com diabetes descobriram de diferentes formas seu diagnóstico, conhecem as complicações da doença e realizam práticas de cuidado principalmente relacionadas à alimentação. Ressalta-se a necessidade da aproximação dos saberes populares e científicos para que se estabeleça um cuidado efetivo.porUniversidade Federal de Santa MariaCentro de Ciências da SaúdePrograma de Pós-Graduação em EnfermagemUFSMBrasilEnfermagemAttribution-NonCommercial-NoDerivatives 4.0 Internationalhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessEnfermagemDiabetes mellitus tipo 2Pé diabéticoPráticas de cuidadoCulturaNursingDiabetes mellitus type 2Diabetic footCare practicesCultureCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMCuido muito os meus pés: saberes e práticas de pessoas com diabetes mellitus tipo 2Very care of my feet: knowledge and practice of people with diabetes mellitus type 2 on diabetic footinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisBudó, Maria de Lourdes Denardinhttp://lattes.cnpq.br/0112177426558874Beuter, Margridhttp://lattes.cnpq.br/5998003502233212Schwartz, Edahttp://lattes.cnpq.br/3684543700138279http://lattes.cnpq.br/2265717743618285Leal, Tifany Colomé400400000000600ec72dab9-181d-4283-8972-3d70594bd72054391f94-5bfa-49c0-a2a3-dfccbed9090c8416d7ad-c880-4e28-a64a-e7eb85a6b1cf3b0bb857-f5c9-444e-91ca-6700fa5ea38breponame:Manancial - Repositório Digital da UFSMinstname:Universidade Federal de Santa Maria (UFSM)instacron:UFSMORIGINALDIS_PPGENFERMAGEM_2017_LEAL_TIFANY.pdfDIS_PPGENFERMAGEM_2017_LEAL_TIFANY.pdfDissertação de Mestradoapplication/pdf1359287http://repositorio.ufsm.br/bitstream/1/11933/1/DIS_PPGENFERMAGEM_2017_LEAL_TIFANY.pdf26bcfaf6ba8e4730b14dcd307551d409MD51CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8804http://repositorio.ufsm.br/bitstream/1/11933/2/license_rdfc1efe8e24d7281448e873be30ea326ffMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-81956http://repositorio.ufsm.br/bitstream/1/11933/3/license.txt2f0571ecee68693bd5cd3f17c1e075dfMD53TEXTDIS_PPGENFERMAGEM_2017_LEAL_TIFANY.pdf.txtDIS_PPGENFERMAGEM_2017_LEAL_TIFANY.pdf.txtExtracted texttext/plain146724http://repositorio.ufsm.br/bitstream/1/11933/4/DIS_PPGENFERMAGEM_2017_LEAL_TIFANY.pdf.txtbec4f462239e995a6974a31d699bb398MD54THUMBNAILDIS_PPGENFERMAGEM_2017_LEAL_TIFANY.pdf.jpgDIS_PPGENFERMAGEM_2017_LEAL_TIFANY.pdf.jpgIM Thumbnailimage/jpeg4347http://repositorio.ufsm.br/bitstream/1/11933/5/DIS_PPGENFERMAGEM_2017_LEAL_TIFANY.pdf.jpg5feb387830b1dc77f23fe048e966cc9dMD551/119332022-06-27 12:02:27.39oai:repositorio.ufsm.br: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ório Institucionalhttp://repositorio.ufsm.br/PUBhttp://repositorio.ufsm.br/oai/requestopendoar:39132022-06-27T15:02:27Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)false
dc.title.por.fl_str_mv Cuido muito os meus pés: saberes e práticas de pessoas com diabetes mellitus tipo 2
dc.title.alternative.eng.fl_str_mv Very care of my feet: knowledge and practice of people with diabetes mellitus type 2 on diabetic foot
title Cuido muito os meus pés: saberes e práticas de pessoas com diabetes mellitus tipo 2
spellingShingle Cuido muito os meus pés: saberes e práticas de pessoas com diabetes mellitus tipo 2
Leal, Tifany Colomé
Enfermagem
Diabetes mellitus tipo 2
Pé diabético
Práticas de cuidado
Cultura
Nursing
Diabetes mellitus type 2
Diabetic foot
Care practices
Culture
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
title_short Cuido muito os meus pés: saberes e práticas de pessoas com diabetes mellitus tipo 2
title_full Cuido muito os meus pés: saberes e práticas de pessoas com diabetes mellitus tipo 2
title_fullStr Cuido muito os meus pés: saberes e práticas de pessoas com diabetes mellitus tipo 2
title_full_unstemmed Cuido muito os meus pés: saberes e práticas de pessoas com diabetes mellitus tipo 2
title_sort Cuido muito os meus pés: saberes e práticas de pessoas com diabetes mellitus tipo 2
author Leal, Tifany Colomé
author_facet Leal, Tifany Colomé
author_role author
dc.contributor.advisor1.fl_str_mv Budó, Maria de Lourdes Denardin
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/0112177426558874
dc.contributor.referee1.fl_str_mv Beuter, Margrid
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/5998003502233212
dc.contributor.referee2.fl_str_mv Schwartz, Eda
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/3684543700138279
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/2265717743618285
dc.contributor.author.fl_str_mv Leal, Tifany Colomé
contributor_str_mv Budó, Maria de Lourdes Denardin
Beuter, Margrid
Schwartz, Eda
dc.subject.por.fl_str_mv Enfermagem
Diabetes mellitus tipo 2
Pé diabético
Práticas de cuidado
Cultura
topic Enfermagem
Diabetes mellitus tipo 2
Pé diabético
Práticas de cuidado
Cultura
Nursing
Diabetes mellitus type 2
Diabetic foot
Care practices
Culture
CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
dc.subject.eng.fl_str_mv Nursing
Diabetes mellitus type 2
Diabetic foot
Care practices
Culture
dc.subject.cnpq.fl_str_mv CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
description Currently, diabetes mellitus is one of the largest health emergencies in the world. Type 2 diabetes mellitus is present in 90 to 95% of cases. It is characterized by defects in insulin action and secretion. The increased incidence of the disease in developing countries occurred concurrently with its complications. One of the problems of diabetes, are the ulcerations in the lower limbs, also called diabetic foot. Foot ulcers present an annual incidence of 2% and affect 25% of individuals with diabetes in the course of their disease. Those that affect mainly the feet, are considered the most serious, not only by the fact of the amputations, but also, by the high morbidity, mortality and the generated expenses in the public health. Thus, Nursing as a profession assumes an important and essential role in the perspective of the prevention of diabetic foot in people with type 2 DM. To this end, it is necessary for nurses and other health professionals to be aware of the knowledge and practices that People in their process of becoming ill. In this way, the specific objectives of this research were: to know the knowledge and practices of people with type 2 diabetes mellitus about diabetic foot; And, identify the care practices of people with type 2 diabetes mellitus in outpatient follow-up. This is a qualitative, exploratory and descriptive field research, conducted through a narrative interview and simple observation at the home of eight people with diabetes, who were accessed and invited to participate in the survey in the outpatient service of a public hospital in the Rio Grande do Sul. The data were worked by Minayo's operational proposal. The research followed the ethical principles of Resolution number 466/12 and obtained approval from the Committee of Ethics in Research with Opinion of number 1,499,174, number of CAAE 53936516.3.0000.5346. The results are presented in scientific paper format - Article 1: "Diabetic Foot: Knowledge and Practices of People with Type 2 Diabetes Mellitus" and Article 2: "Learning to Deal with the Enemy: Diabetes Mellitus Type 2 Care Practices". It was possible to identify that people have inconsistent information regarding the knowledge about diabetic foot. However, it was noticed that even though they did not know what the diabetic foot was, the participants performed care consistent with that recommended by specialists in the area. It is clear in the narrative of the interviewees the concern to preserve the lower limbs of injuries, to make use of comfortable shoes, to hydrate the foot in order to avoid cracks, to carry out hygiene in the interdigital spaces, among other care. About diabetes mellitus, people with diabetes have discovered in different ways their diagnosis, know the complications of the disease and perform care practices related mainly to food. It is important to emphasize the need to approach popular and scientific knowledge in order to establish effective care.
publishDate 2017
dc.date.accessioned.fl_str_mv 2017-10-31T12:26:41Z
dc.date.available.fl_str_mv 2017-10-31T12:26:41Z
dc.date.issued.fl_str_mv 2017-03-07
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://repositorio.ufsm.br/handle/1/11933
url http://repositorio.ufsm.br/handle/1/11933
dc.language.iso.fl_str_mv por
language por
dc.relation.cnpq.fl_str_mv 400400000000
dc.relation.confidence.fl_str_mv 600
dc.relation.authority.fl_str_mv ec72dab9-181d-4283-8972-3d70594bd720
54391f94-5bfa-49c0-a2a3-dfccbed9090c
8416d7ad-c880-4e28-a64a-e7eb85a6b1cf
3b0bb857-f5c9-444e-91ca-6700fa5ea38b
dc.rights.driver.fl_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivatives 4.0 International
http://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Universidade Federal de Santa Maria
Centro de Ciências da Saúde
dc.publisher.program.fl_str_mv Programa de Pós-Graduação em Enfermagem
dc.publisher.initials.fl_str_mv UFSM
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv Enfermagem
publisher.none.fl_str_mv Universidade Federal de Santa Maria
Centro de Ciências da Saúde
dc.source.none.fl_str_mv reponame:Manancial - Repositório Digital da UFSM
instname:Universidade Federal de Santa Maria (UFSM)
instacron:UFSM
instname_str Universidade Federal de Santa Maria (UFSM)
instacron_str UFSM
institution UFSM
reponame_str Manancial - Repositório Digital da UFSM
collection Manancial - Repositório Digital da UFSM
bitstream.url.fl_str_mv http://repositorio.ufsm.br/bitstream/1/11933/1/DIS_PPGENFERMAGEM_2017_LEAL_TIFANY.pdf
http://repositorio.ufsm.br/bitstream/1/11933/2/license_rdf
http://repositorio.ufsm.br/bitstream/1/11933/3/license.txt
http://repositorio.ufsm.br/bitstream/1/11933/4/DIS_PPGENFERMAGEM_2017_LEAL_TIFANY.pdf.txt
http://repositorio.ufsm.br/bitstream/1/11933/5/DIS_PPGENFERMAGEM_2017_LEAL_TIFANY.pdf.jpg
bitstream.checksum.fl_str_mv 26bcfaf6ba8e4730b14dcd307551d409
c1efe8e24d7281448e873be30ea326ff
2f0571ecee68693bd5cd3f17c1e075df
bec4f462239e995a6974a31d699bb398
5feb387830b1dc77f23fe048e966cc9d
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
MD5
repository.name.fl_str_mv Manancial - Repositório Digital da UFSM - Universidade Federal de Santa Maria (UFSM)
repository.mail.fl_str_mv
_version_ 1794524465416110080