How can the association between PRM and nutritional therapy protocol improve health outcomes and what is the impact on reducing expenditure in a public hospital?

Detalhes bibliográficos
Autor(a) principal: Faria, Inês Filipa Inácio de Morais
Data de Publicação: 2020
Tipo de documento: Dissertação
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/95301
Resumo: Dissertation presented as the partial requirement for obtaining a Master's degree in Information Management, specialization in Marketing Intelligence
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spelling How can the association between PRM and nutritional therapy protocol improve health outcomes and what is the impact on reducing expenditure in a public hospital?Patient Relationship ManagementType 2 Diabetes MellitusHealth gainNutritional therapyDissertation presented as the partial requirement for obtaining a Master's degree in Information Management, specialization in Marketing IntelligenceIntroduction: For most type 2 diabetic patients, the most challenging issue of treatment is knowing what to eat. A healthy and adequate diet, associated with regular physical activity and, in most cases, pharmacotherapy, are the pillars of disease control. To minimise patient noncompliance, the goal is to use Patient Relationship Management (PRM), which allows planning in a systematic and skilled manner, enhancing decision making, as well as delegation and control of tasks. Many hospitals have already recognised the use of the best practice in PRM practices, which has enabled them to deal more effectively and efficiently with the entire healthcare process by responding directly to patients' needs and experiences throughout the assistance process. Objectives: The main objective of this project is to find strategies that support the Win-Win model (patient, institution) to understand the importance of PRM associated with a specific nutritional protocol in adherence to therapy, and whether it is associated with effective health gains. Methodology and Sample: Epidemiological and interventional research study in a convenience sample of all type 2 diabetes outpatients followed in the external diabetes consultation within the time frame established for the study and who agreed to participate and use the proposed tools. The study took place at the Garcia de Orta Hospital, E.P.E., during the period between April and June 2019, in the Diabetes medical appointment. It was used the Statistical Package for Social Sciences (IBM SPSS Statistics), version 21 IBM. The results are considered significant at a 5% significance level. Descriptive statistics were used to evaluate the changes in the different parameters mentioned in the questionnaires, as well as the variation of glycated hemoglobin (HbA1c), weight and BMI. To compare the groups CG and IG we used the Mann-Whitney U test. To compare weight and BMI between the two groups, the independent samples test was used, since the assumption of normality of data in BMI categories is not verified. To compare the parameters between two moments, we used the Wilcoxon test. Results: This study included 62 type 2 diabetes outpatients who were admitted for nutritional therapy through the Endocrinology service in Garcia de Orta Hospital, E.P.E.: 39 men and 23 women, with ages ranging between 32-82 years (51 patients ≥ 50 years old) and a mean age of 59 years (SD=11.18). Patients were randomly divided into two groups using the envelope method: intervention group (IG) and control group (CG). Of the total sample (n = 62), BMI ranged between 21.17 and 48.56 kg/m2, with a mean value of 32 kg/m2. Weight was assessed in 62 patients, ranging from 52-143 kg. It was found a mean HbA1c of 9 ± 0.4g / L, with values ranging from 5.6 to 13.9 g/L. Regarding groups evolution, after six weeks, the CG between T0 and T2 had a variation between 3-6% of their BMI, variation between a 9% loss in body weight and a 6% increase of their weight and a variation between a 3.2g/L decrease and a 2g/L increase in HbA1c. For the IG, the BMI between T0 and T2 had a variation between 1-9%, all patients lost a total of weight ranging from 1-9% and none of the patients had an increase in HbA1c value. The decrease in this value ranged from 0-7 g/L. Conclusions: The use of a nutritional protocol that combines a regular and adapted nutritional therapy, accompanied by a digital tool, boosted health gains in the group of diabetics who had this follow-up.Henriques, Roberto André PereiraSantos, Carla AdrianaRUNFaria, Inês Filipa Inácio de Morais2020-03-30T17:36:00Z2020-02-042020-02-04T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfhttp://hdl.handle.net/10362/95301TID:202483800enginfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:43:16Zoai:run.unl.pt:10362/95301Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:38:16.634836Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv How can the association between PRM and nutritional therapy protocol improve health outcomes and what is the impact on reducing expenditure in a public hospital?
title How can the association between PRM and nutritional therapy protocol improve health outcomes and what is the impact on reducing expenditure in a public hospital?
spellingShingle How can the association between PRM and nutritional therapy protocol improve health outcomes and what is the impact on reducing expenditure in a public hospital?
Faria, Inês Filipa Inácio de Morais
Patient Relationship Management
Type 2 Diabetes Mellitus
Health gain
Nutritional therapy
title_short How can the association between PRM and nutritional therapy protocol improve health outcomes and what is the impact on reducing expenditure in a public hospital?
title_full How can the association between PRM and nutritional therapy protocol improve health outcomes and what is the impact on reducing expenditure in a public hospital?
title_fullStr How can the association between PRM and nutritional therapy protocol improve health outcomes and what is the impact on reducing expenditure in a public hospital?
title_full_unstemmed How can the association between PRM and nutritional therapy protocol improve health outcomes and what is the impact on reducing expenditure in a public hospital?
title_sort How can the association between PRM and nutritional therapy protocol improve health outcomes and what is the impact on reducing expenditure in a public hospital?
author Faria, Inês Filipa Inácio de Morais
author_facet Faria, Inês Filipa Inácio de Morais
author_role author
dc.contributor.none.fl_str_mv Henriques, Roberto André Pereira
Santos, Carla Adriana
RUN
dc.contributor.author.fl_str_mv Faria, Inês Filipa Inácio de Morais
dc.subject.por.fl_str_mv Patient Relationship Management
Type 2 Diabetes Mellitus
Health gain
Nutritional therapy
topic Patient Relationship Management
Type 2 Diabetes Mellitus
Health gain
Nutritional therapy
description Dissertation presented as the partial requirement for obtaining a Master's degree in Information Management, specialization in Marketing Intelligence
publishDate 2020
dc.date.none.fl_str_mv 2020-03-30T17:36:00Z
2020-02-04
2020-02-04T00:00:00Z
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://hdl.handle.net/10362/95301
TID:202483800
url http://hdl.handle.net/10362/95301
identifier_str_mv TID:202483800
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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