EVALUATION OF THE COST, EFFECTIVENESS AND SATISFACTION OF ACTORS IN A HOME BLOOD GLUCOSE MONITORING: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2023 |
| Outros Autores: | , , , , |
| Tipo de documento: | Artigo |
| Idioma: | por |
| Título da fonte: | Revista Enfermagem Atual In Derme |
| Texto Completo: | https://revistaenfermagematual.com/index.php/revista/article/view/1932 |
Resumo: | Introduction: Glycemic monitoring is a strategy that promotes education for supported self-care and the effective participation of individuals who are susceptible or have diabetes mellitus. Objective: To evaluate the cost, effectiveness and satisfaction of actors in a home glycemic monitoring program. Method: Sequential mixed method study, from 2019 to 2021. In phases 1 and 2, quantitative data, a micro-funding study was carried out. The results of the program were analyzed through document analysis, identifying the absolute and relative frequency of dependent and independent variables, with mean and standard deviation being calculated. In phase 3, qualitative data, the strengths and weaknesses of the program were evaluated. In the analysis, the data quantitative and qualitative were connected. Results: The monthly cost of the patient who received 50 and 100 units of supplies was R$89.89 (U$17.29) and R$147.99 (U$28.46), respectively. A total of 659 patients were evaluated, with a reduction of 0.84% in glycated hemoglobin and a reduction of 23.29 mg/dl in fasting glucose. As potentialities, stands out the free availability of inputs stands out; aid in therapeutic management; development of skills for self-care. As weakness, stands out bureaucracy and rigor in the control and distribution of inputs; difficulty understanding and correctly adhering to blood glucose monitoring; lack of expanded multidisciplinary team in care; and the need for technological improvements for analysis and monitoring of results. Conclusion: The costs related to the program can be a positive investment, demonstrated by the satisfaction of the actors, which presented a balance between strengths and weaknesses. |
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EVALUATION OF THE COST, EFFECTIVENESS AND SATISFACTION OF ACTORS IN A HOME BLOOD GLUCOSE MONITORING: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR PROGRAM EVALUACIÓN DEL COSTO, EFICACIA Y SATISFACCIÓN DE LOS ACTORES DE UN PROGRAMA DE MONITORIZACIÓN DOMICILIAR DE LA GLUCOSA SANGUÍNEA: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIARAVALIAÇÃO DO CUSTO, EFICÁCIA E SATISFAÇÃO DOS ATORES DE PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIARDiabetes MellitusAutomonitorização da GlicemiaAvaliação de ProgramasDiabetes MellitusBlood Glucose Self-Monitoring Program EvaluationDiabetes MellitusAutomonitorización de la Glucosa SanguíneaEvaluación de Programas y Proyectos de SaludIntroduction: Glycemic monitoring is a strategy that promotes education for supported self-care and the effective participation of individuals who are susceptible or have diabetes mellitus. Objective: To evaluate the cost, effectiveness and satisfaction of actors in a home glycemic monitoring program. Method: Sequential mixed method study, from 2019 to 2021. In phases 1 and 2, quantitative data, a micro-funding study was carried out. The results of the program were analyzed through document analysis, identifying the absolute and relative frequency of dependent and independent variables, with mean and standard deviation being calculated. In phase 3, qualitative data, the strengths and weaknesses of the program were evaluated. In the analysis, the data quantitative and qualitative were connected. Results: The monthly cost of the patient who received 50 and 100 units of supplies was R$89.89 (U$17.29) and R$147.99 (U$28.46), respectively. A total of 659 patients were evaluated, with a reduction of 0.84% in glycated hemoglobin and a reduction of 23.29 mg/dl in fasting glucose. As potentialities, stands out the free availability of inputs stands out; aid in therapeutic management; development of skills for self-care. As weakness, stands out bureaucracy and rigor in the control and distribution of inputs; difficulty understanding and correctly adhering to blood glucose monitoring; lack of expanded multidisciplinary team in care; and the need for technological improvements for analysis and monitoring of results. Conclusion: The costs related to the program can be a positive investment, demonstrated by the satisfaction of the actors, which presented a balance between strengths and weaknesses.Introducción: El monitoreo glucémico es una estrategia que promueve la educación para el autocuidado apoyado y la participación efectiva de las personas susceptibles o pessoas con diabetes mellitus. Objetivo: Evaluar el costo, la efectividad y la satisfacción de los actores de un programa de monitoreo glucémico domiciliario. Método: Estudio de método mixto secuencial, de 2019 a 2021. En las etapas 1 y 2, datos cuantitativos, se realizó un estudio de microfinanciamiento y se analizaron los resultados del programa a través del análisis de documentos, identificando la frecuencia absoluta y relativa de variables dependientes e independientes, calculándose la media y la desviación estándar. En el paso 3, datos cualitativos, se evaluaron las fortalezas y debilidades del programa. En el análisis, se conectaron los datos cuantitativos e cualitativos. Resultados: El costo mensual del paciente que recibió 50 y 100 unidades de insumos fue de R$ 89,89 (U$ 17,29) y R$ 147,99 (U$ 28,46), respectivamente. Se evaluaron un total de 659 pacientes, con una reducción de 0,84% en la hemoglobina glicosilada y una reducción de 23,29 mg/dl en la glucosa en ayunas. Como potencialidades se destaca la libre disponibilidad de insumos; ayuda en el manejo terapéutico; desarrollo de habilidades para el autocuidado. Como debilidades: la burocracia y el rigor en el control y distribución de insumos; dificultad para comprender y seguir correctamente el control de la glucosa en sangre. Conclusión: Los costos identificados pueden ser una inversión positiva, demostrada por la satisfacción de los actores, que presentaron un balance entre fortalezas y debilidades.Introdução: A monitorização glicêmica é uma estratégia que promove a educação para o autocuidado apoiado e a participação efetiva do indivíduo suscetível ou portador de diabetes mellitus. Objetivo: Avaliar o custo, a eficácia e a satisfação dos atores de programa de monitorização glicêmica domiciliar. Método: Estudo de método misto sequencial, no período de 2019 a 2021. Nas etapas 1 e 2 (“QUAN”), realizou-se estudo de microcusteio e foram analisados os resultados do programa por análise documental, identificando a frequência absoluta e relativa das variáveis dependentes e independentes, sendo calculados a média e o desvio padrão. Na etapa 3 (“qual”), foram avaliadas as potencialidades e fragilidades do programa. Na análise foram conectados os dados “QUAN” e “qual”. Resultados: O custo mensal do paciente que recebeu 50 e 100 unidades de insumos foi de R$89,89 (U$17,29) e de R$147,99 (U$28,46), respectivamente. Foram avaliados 659 pacientes, com redução de 0,84% na hemoglobina glicada e redução de 23,29 mg/dl na glicemia de jejum. Como potencialidades destaca-se a disponibilização gratuita de insumos; auxílio no manejo terapêutico; desenvolvimento da habilidade para o autocuidado; e estabelecimento de diretriz/protocolo para distribuição dos insumos. E, como fragilidades: burocracia e rigor no controle e distribuição dos insumos; dificuldade de compreensão e adesão correta ao monitoramento da glicemia; falta de equipe multiprofissional ampliada no atendimento; e necessidade de melhorias tecnológicas para análise e monitoramento dos resultados. Conclusão: Os custos referentes ao programa podem ser um investimento positivo, demonstrado pela satisfação dos atores, que apresentou equilíbrio entre potencialidades e fragilidades.SOBENFeE2023-09-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdftext/htmlhttps://revistaenfermagematual.com/index.php/revista/article/view/193210.31011/reaid-2023-v.97-n.3-art.1932Journal Enfermagem Atual In Derme; Vol. 97 No. 3 (2023): jul. ago. set.; e023147Revista Enfermagem Atual In Derme; v. 97 n. 3 (2023): jul. ago. set.; e0231472447-2034reponame:Revista Enfermagem Atual In Dermeinstname:Sociedade Brasileira de Enfermagem em Feridas e Estética (SOBENFeE)instacron:SOBENFeEporhttps://revistaenfermagematual.com/index.php/revista/article/view/1932/1974https://revistaenfermagematual.com/index.php/revista/article/view/1932/1975Copyright (c) 2023 Revista Enfermagem Atual In Dermehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessRavagnani Rodrigues Bueno, Camila Fernandez Lourenço Haddad, Maria do Carmo Costa, KeciaNegrão Guassú Nogueira, Danielly Cristina Kowal Olm Cunha, Isabel Barreto, Maynara Fernanda Carvalho2023-09-30T13:55:00Zoai:revistae_ojs.revistaenfermagematual.a2hosted.com:article/1932Revistahttps://revistaenfermagematual.com/index.php/revista/indexONGhttps://revistaenfermagematual.com/index.php/revista/oaikatia.simoes@gmail.com || contato@revistaenfermagematual.com.br2447-20342447-2034opendoar:2023-09-30T13:55Revista Enfermagem Atual In Derme - Sociedade Brasileira de Enfermagem em Feridas e Estética (SOBENFeE)false |
| dc.title.none.fl_str_mv |
EVALUATION OF THE COST, EFFECTIVENESS AND SATISFACTION OF ACTORS IN A HOME BLOOD GLUCOSE MONITORING: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR PROGRAM EVALUACIÓN DEL COSTO, EFICACIA Y SATISFACCIÓN DE LOS ACTORES DE UN PROGRAMA DE MONITORIZACIÓN DOMICILIAR DE LA GLUCOSA SANGUÍNEA: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR AVALIAÇÃO DO CUSTO, EFICÁCIA E SATISFAÇÃO DOS ATORES DE PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR |
| title |
EVALUATION OF THE COST, EFFECTIVENESS AND SATISFACTION OF ACTORS IN A HOME BLOOD GLUCOSE MONITORING: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR |
| spellingShingle |
EVALUATION OF THE COST, EFFECTIVENESS AND SATISFACTION OF ACTORS IN A HOME BLOOD GLUCOSE MONITORING: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR Ravagnani Rodrigues Bueno, Camila Diabetes Mellitus Automonitorização da Glicemia Avaliação de Programas Diabetes Mellitus Blood Glucose Self-Monitoring Program Evaluation Diabetes Mellitus Automonitorización de la Glucosa Sanguínea Evaluación de Programas y Proyectos de Salud |
| title_short |
EVALUATION OF THE COST, EFFECTIVENESS AND SATISFACTION OF ACTORS IN A HOME BLOOD GLUCOSE MONITORING: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR |
| title_full |
EVALUATION OF THE COST, EFFECTIVENESS AND SATISFACTION OF ACTORS IN A HOME BLOOD GLUCOSE MONITORING: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR |
| title_fullStr |
EVALUATION OF THE COST, EFFECTIVENESS AND SATISFACTION OF ACTORS IN A HOME BLOOD GLUCOSE MONITORING: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR |
| title_full_unstemmed |
EVALUATION OF THE COST, EFFECTIVENESS AND SATISFACTION OF ACTORS IN A HOME BLOOD GLUCOSE MONITORING: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR |
| title_sort |
EVALUATION OF THE COST, EFFECTIVENESS AND SATISFACTION OF ACTORS IN A HOME BLOOD GLUCOSE MONITORING: PROGRAMA DE MONITORIZAÇÃO GLICÊMICA DOMICILIAR |
| author |
Ravagnani Rodrigues Bueno, Camila |
| author_facet |
Ravagnani Rodrigues Bueno, Camila Fernandez Lourenço Haddad, Maria do Carmo Costa, Kecia Negrão Guassú Nogueira, Danielly Cristina Kowal Olm Cunha, Isabel Barreto, Maynara Fernanda Carvalho |
| author_role |
author |
| author2 |
Fernandez Lourenço Haddad, Maria do Carmo Costa, Kecia Negrão Guassú Nogueira, Danielly Cristina Kowal Olm Cunha, Isabel Barreto, Maynara Fernanda Carvalho |
| author2_role |
author author author author author |
| dc.contributor.author.fl_str_mv |
Ravagnani Rodrigues Bueno, Camila Fernandez Lourenço Haddad, Maria do Carmo Costa, Kecia Negrão Guassú Nogueira, Danielly Cristina Kowal Olm Cunha, Isabel Barreto, Maynara Fernanda Carvalho |
| dc.subject.por.fl_str_mv |
Diabetes Mellitus Automonitorização da Glicemia Avaliação de Programas Diabetes Mellitus Blood Glucose Self-Monitoring Program Evaluation Diabetes Mellitus Automonitorización de la Glucosa Sanguínea Evaluación de Programas y Proyectos de Salud |
| topic |
Diabetes Mellitus Automonitorização da Glicemia Avaliação de Programas Diabetes Mellitus Blood Glucose Self-Monitoring Program Evaluation Diabetes Mellitus Automonitorización de la Glucosa Sanguínea Evaluación de Programas y Proyectos de Salud |
| description |
Introduction: Glycemic monitoring is a strategy that promotes education for supported self-care and the effective participation of individuals who are susceptible or have diabetes mellitus. Objective: To evaluate the cost, effectiveness and satisfaction of actors in a home glycemic monitoring program. Method: Sequential mixed method study, from 2019 to 2021. In phases 1 and 2, quantitative data, a micro-funding study was carried out. The results of the program were analyzed through document analysis, identifying the absolute and relative frequency of dependent and independent variables, with mean and standard deviation being calculated. In phase 3, qualitative data, the strengths and weaknesses of the program were evaluated. In the analysis, the data quantitative and qualitative were connected. Results: The monthly cost of the patient who received 50 and 100 units of supplies was R$89.89 (U$17.29) and R$147.99 (U$28.46), respectively. A total of 659 patients were evaluated, with a reduction of 0.84% in glycated hemoglobin and a reduction of 23.29 mg/dl in fasting glucose. As potentialities, stands out the free availability of inputs stands out; aid in therapeutic management; development of skills for self-care. As weakness, stands out bureaucracy and rigor in the control and distribution of inputs; difficulty understanding and correctly adhering to blood glucose monitoring; lack of expanded multidisciplinary team in care; and the need for technological improvements for analysis and monitoring of results. Conclusion: The costs related to the program can be a positive investment, demonstrated by the satisfaction of the actors, which presented a balance between strengths and weaknesses. |
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2023 |
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2023-09-29 |
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Journal Enfermagem Atual In Derme; Vol. 97 No. 3 (2023): jul. ago. set.; e023147 Revista Enfermagem Atual In Derme; v. 97 n. 3 (2023): jul. ago. set.; e023147 2447-2034 reponame:Revista Enfermagem Atual In Derme instname:Sociedade Brasileira de Enfermagem em Feridas e Estética (SOBENFeE) instacron:SOBENFeE |
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