Conhecimento e autocuidado em mulheres com diabetes mellitus gestacional

• Autor(a) principal: Nascimento, Soneide Pereira do
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal do Espírito Santo (riUfes)
• Texto Completo: http://repositorio.ufes.br/handle/10/5264
• topic: Cuidado e administração em saúde; Diabetes na gravidez - Espírito Santo (Estado); Gravidez - Complicações; Enfermagem - Educação; Cuidados pessoais com a saúde; Enfermagem; 61

Introduction: Early diagnosis and gestational diabetes treatment aim to reduce maternal and fetal morbidity and mortality. Knowledge of the therapeutic measures enables achieving normoglycemia, reducing the incidence of complications. Objectives: To evaluate the knowledge of the health condition and self-care actions in women with gestational diabetes followed at Hospital Universitario Cassiano Antonio de Moraes in Vitória - ES. Methodology: Exploratory and descriptive study, conducted with women who met the inclusion criteria: 18 years and recording of gestational diabetes in the medical record health. We used forms containing demographic and clinical data and script with two open questions. The interviews were recorded and deleted after transcription. The analysis is based on the Collective Subject Discourse technique. Results: Participants were 36 women of mixed race mixed predominance and age between 29-39 years old, married, housewife, education level between complete and incomplete secondary education and family income one to less than three minimum wages. From the discourses related to knowledge about gestational diabetes were obtained eight categories: inadequate diet, GDM background, the newborn´s complication, mother´s gestational effects, altered glucose, medication need, DMG lack and remain with DM. Five categories emerged on the question of self-care: changing diet, monitoring glucose´s blood, medication and coping with diabetes and myths related to glucose´s blood control. The interviewees showed that they have gaps in relation to knowledge about gestational diabetes, but recognize the complications for mother and child, reported difficulty following the diet plan proposed, but it still tried to adopt it, despite resistance to change lifestyle habits. Final Thoughts: It is necessary to implement educational strategies and tools to support self-care in this specific population. The results of this study provided the elaboration of an educational booklet targeted to customers accompanied on the research scenario.