Impacto do uso de um sensor de monitorização instantânea de glicose na qualidade de vida de portadores de diabetes tipo1

Detalhes bibliográficos
Autor(a) principal: Santos, Clara Simony de Sousa
Data de Publicação: 2019
Tipo de documento: Trabalho de conclusão de curso
Idioma: por
Título da fonte: Repositório Institucional da UFS
Texto Completo: https://ri.ufs.br/jspui/handle/riufs/14739
Resumo: The diagnosis of type 1 diabetes mellitus (DM1) requires the patient, in addition to lifestyle changes, to apply insulin by multiple doses or pump and self-monitoring, which is conventionally performed by multiple digital punctures. These conditions, especially the latter, may impair health-related quality of life (HRQOL) in patients with DM1. This study aims to evaluate the impact of using a continuous glucose monitoring sensor (SMCG) on the quality of life of DM1 patients accustomed to conventional self-monitoring. This is a prospective cohort of 35 patients with DM1 who used FreeStyle® Libre, a SMCG for three months. They answered a HRQoL questionnaire, the DQOL- Brazil before and after using the sensor. This questionnaire consists of 44 items, divided into four domains: satisfaction, impact, social/vocational concerns (PSV) and diabetes-related concerns (PRDM). We calculated: mean domain scores and overall mean score (EMG). Statistical analysis was performed in IBPM SPSS software version 2.0 by paired t-test and considered significant p<0.05. Among the patients who participated in the study, 62.8% were female, age 31.7±10.3 years, BMI 23.4± 5.0kg/m² and DM1 diagnosis 13.6±7.9 years ago. Of the questionnaire items analyzed after using the sensor, they improved satisfaction with the time spent to check glucose levels, with current treatment, frequency of pain associated with treatment and restriction by their diet, and worsened satisfaction with their sex life; frequency of a bad night's sleep; and concern about whether they will faint. However, there was no change in satisfaction scores in scores for satisfaction (2.37±0.63 and 2.30±0.67; p=0.57), impact (2.58±0.6 and 2.48±0.70; p=0.391), PSV (2.36±0.92 and 2.59±1.10; p=0.185) and PRDM (2.82±1.11 and 2.91±0.90; p=0.635), nor in EMG (2.49±0.5 and 2.50±0.63; p=0.944) before and after sensor use. Replacing the blood glucose monitoring method by multiple digital punctures with the blood glucose monitoring flash sensor did not lead to an improvement in the overall quality of life of patients with DM1. However, there was an improvement in the points that are directly related to the use of this device, such as satisfaction with the time for checking blood glucose and with their treatment, and episodes of pain related to the treatment of diabetes and feeling restricted by their diet became less frequent
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spelling Santos, Clara Simony de SousaSimões, Carla Raquel Oliveira2021-11-12T17:03:29Z2021-11-12T17:03:29Z2019-09-26SANTOS, Clara Simony de Sousa. Impacto do uso de um sensor de monitorização instantânea de glicose na qualidade de vida de portadores de diabetes tipo1. 2019. 57 f. Trabalho de Conclusão de Curso (Graduação em Medicina) - Centro de Ciências Biológicas e da Saúde, Departamento de Medicina, Universidade Federal de Sergipe, Aracaju, 2019.https://ri.ufs.br/jspui/handle/riufs/14739The diagnosis of type 1 diabetes mellitus (DM1) requires the patient, in addition to lifestyle changes, to apply insulin by multiple doses or pump and self-monitoring, which is conventionally performed by multiple digital punctures. These conditions, especially the latter, may impair health-related quality of life (HRQOL) in patients with DM1. This study aims to evaluate the impact of using a continuous glucose monitoring sensor (SMCG) on the quality of life of DM1 patients accustomed to conventional self-monitoring. This is a prospective cohort of 35 patients with DM1 who used FreeStyle® Libre, a SMCG for three months. They answered a HRQoL questionnaire, the DQOL- Brazil before and after using the sensor. This questionnaire consists of 44 items, divided into four domains: satisfaction, impact, social/vocational concerns (PSV) and diabetes-related concerns (PRDM). We calculated: mean domain scores and overall mean score (EMG). Statistical analysis was performed in IBPM SPSS software version 2.0 by paired t-test and considered significant p<0.05. Among the patients who participated in the study, 62.8% were female, age 31.7±10.3 years, BMI 23.4± 5.0kg/m² and DM1 diagnosis 13.6±7.9 years ago. Of the questionnaire items analyzed after using the sensor, they improved satisfaction with the time spent to check glucose levels, with current treatment, frequency of pain associated with treatment and restriction by their diet, and worsened satisfaction with their sex life; frequency of a bad night's sleep; and concern about whether they will faint. However, there was no change in satisfaction scores in scores for satisfaction (2.37±0.63 and 2.30±0.67; p=0.57), impact (2.58±0.6 and 2.48±0.70; p=0.391), PSV (2.36±0.92 and 2.59±1.10; p=0.185) and PRDM (2.82±1.11 and 2.91±0.90; p=0.635), nor in EMG (2.49±0.5 and 2.50±0.63; p=0.944) before and after sensor use. Replacing the blood glucose monitoring method by multiple digital punctures with the blood glucose monitoring flash sensor did not lead to an improvement in the overall quality of life of patients with DM1. However, there was an improvement in the points that are directly related to the use of this device, such as satisfaction with the time for checking blood glucose and with their treatment, and episodes of pain related to the treatment of diabetes and feeling restricted by their diet became less frequentO diagnóstico do diabetes mellitus tipo 1 (DM1) exige do paciente, além das mudanças no estilo de vida, aplicação de insulina por múltiplas doses ou bomba e automonitorização, que convencionalmente é realizada por múltiplas punções digitais. Estas condições, principalmente a última, podem prejudicar a qualidade de vida relacionada à saúde (QVRS) em portadores de DM1. Este estudo tem como objetivo avaliar o impacto do uso de um sensor de monitorização contínua de glicose (SMCG) na qualidade de vida de pacientes com DM1 habituados a automonitorização convencional. Trata-se de uma coorte prospectiva de 35 pacientes com DM1 que utilizaram o FreeStyle® Libre, um SMCG por três meses. Eles responderam um questionário de QVRS, o DQOL- Brasil antes e após o uso do sensor. Este questionário consiste de 44 itens, divididos em quatro domínios: satisfação, impacto, preocupações sociais/vocacionais (PSV) e preocupações relacionadas à diabetes (PRDM). Calculamos: escores médios dos domínios e escore médio geral (EMG). A análise estatística foi realizada no software IBPM SPSS versão 2.0 por meio do teste T pareado e considerados significativos p<0,05. Dentre os pacientes que participaram do estudo, 62,8% gênero feminino, idade 31,7±10,3anos, IMC 23,4± 5,0kg/m² e diagnóstico de DM1 há 13,6±7,9anos. Dos itens do questionário analisados após o uso do sensor, melhoraram a satisfação com o tempo gasto para verificação dos níveis de glicose, com tratamento atual, frequência de dor associada ao tratamento e restrição por sua dieta e pioraram a satisfação com sua vida sexual; frequência de noite de sono ruim; e preocupação se virá a desmaiar. Entretanto, não houve alteração nos escores de satisfação (2,37±0,63 e 2,30±0,67; p=0,57), impacto (2,58±0,6 e 2,48±0,70; p=0,391), PSV (2,36±0,92 e 2,59±1,10; p=0,185) e PRDM (2,82±1,11 e 2,91±0,90; p=0,635), nem no EMG (2,49±0,5 e 2,50±0,63; p=0,944) antes e após o uso do sensor. A substituição do método de monitorização glicêmica por múltiplas punções digitais pelo sensor flash de monitorização da glicemia não acarretou melhora da qualidade de vida global dos pacientes portadores de DM1. Contudo, houve melhora dos pontos que são diretamente relacionados ao uso deste dispositivo, como satisfação com o tempo para verificação glicêmica e com seu tratamento, e episódios de dor relacionadas ao tratamento do diabetes e sensação de restrição por sua dieta tornaram-se menos frequentesAracajuporDiabetesQualidade de vidaInsulinaautomonitoramento da glicemia capilarDiabetesQuality of LifeInsulinself-monitoring of capillary blood glucoseImpacto do uso de um sensor de monitorização instantânea de glicose na qualidade de vida de portadores de diabetes tipo1info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/bachelorThesisUniversidade Federal de SergipeDME - Departamento de Medicina – Aracaju - Presencialreponame:Repositório Institucional da UFSinstname:Universidade Federal de Sergipe (UFS)instacron:UFSinfo:eu-repo/semantics/openAccessLICENSElicense.txtlicense.txttext/plain; charset=utf-81475https://ri.ufs.br/jspui/bitstream/riufs/14739/1/license.txt098cbbf65c2c15e1fb2e49c5d306a44cMD51ORIGINALClara_Simony_Sousa_Santos.pdfClara_Simony_Sousa_Santos.pdfapplication/pdf1157599https://ri.ufs.br/jspui/bitstream/riufs/14739/2/Clara_Simony_Sousa_Santos.pdf3e3a4e08ef4714419bb81c84c2531cadMD52TEXTClara_Simony_Sousa_Santos.pdf.txtClara_Simony_Sousa_Santos.pdf.txtExtracted texttext/plain103133https://ri.ufs.br/jspui/bitstream/riufs/14739/3/Clara_Simony_Sousa_Santos.pdf.txt9cd481e4b8e2fcb5d09d3cb7ade66428MD53THUMBNAILClara_Simony_Sousa_Santos.pdf.jpgClara_Simony_Sousa_Santos.pdf.jpgGenerated Thumbnailimage/jpeg1241https://ri.ufs.br/jspui/bitstream/riufs/14739/4/Clara_Simony_Sousa_Santos.pdf.jpgdb11d4eb048a903fa759bc06ecd7a62aMD54riufs/147392021-11-12 14:03:29.492oai:ufs.br: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Repositório InstitucionalPUBhttps://ri.ufs.br/oai/requestrepositorio@academico.ufs.bropendoar:2021-11-12T17:03:29Repositório Institucional da UFS - Universidade Federal de Sergipe (UFS)false
dc.title.pt_BR.fl_str_mv Impacto do uso de um sensor de monitorização instantânea de glicose na qualidade de vida de portadores de diabetes tipo1
title Impacto do uso de um sensor de monitorização instantânea de glicose na qualidade de vida de portadores de diabetes tipo1
spellingShingle Impacto do uso de um sensor de monitorização instantânea de glicose na qualidade de vida de portadores de diabetes tipo1
Santos, Clara Simony de Sousa
Diabetes
Qualidade de vida
Insulina
automonitoramento da glicemia capilar
Diabetes
Quality of Life
Insulin
self-monitoring of capillary blood glucose
title_short Impacto do uso de um sensor de monitorização instantânea de glicose na qualidade de vida de portadores de diabetes tipo1
title_full Impacto do uso de um sensor de monitorização instantânea de glicose na qualidade de vida de portadores de diabetes tipo1
title_fullStr Impacto do uso de um sensor de monitorização instantânea de glicose na qualidade de vida de portadores de diabetes tipo1
title_full_unstemmed Impacto do uso de um sensor de monitorização instantânea de glicose na qualidade de vida de portadores de diabetes tipo1
title_sort Impacto do uso de um sensor de monitorização instantânea de glicose na qualidade de vida de portadores de diabetes tipo1
author Santos, Clara Simony de Sousa
author_facet Santos, Clara Simony de Sousa
author_role author
dc.contributor.author.fl_str_mv Santos, Clara Simony de Sousa
dc.contributor.advisor1.fl_str_mv Simões, Carla Raquel Oliveira
contributor_str_mv Simões, Carla Raquel Oliveira
dc.subject.por.fl_str_mv Diabetes
Qualidade de vida
Insulina
automonitoramento da glicemia capilar
topic Diabetes
Qualidade de vida
Insulina
automonitoramento da glicemia capilar
Diabetes
Quality of Life
Insulin
self-monitoring of capillary blood glucose
dc.subject.eng.fl_str_mv Diabetes
Quality of Life
Insulin
self-monitoring of capillary blood glucose
description The diagnosis of type 1 diabetes mellitus (DM1) requires the patient, in addition to lifestyle changes, to apply insulin by multiple doses or pump and self-monitoring, which is conventionally performed by multiple digital punctures. These conditions, especially the latter, may impair health-related quality of life (HRQOL) in patients with DM1. This study aims to evaluate the impact of using a continuous glucose monitoring sensor (SMCG) on the quality of life of DM1 patients accustomed to conventional self-monitoring. This is a prospective cohort of 35 patients with DM1 who used FreeStyle® Libre, a SMCG for three months. They answered a HRQoL questionnaire, the DQOL- Brazil before and after using the sensor. This questionnaire consists of 44 items, divided into four domains: satisfaction, impact, social/vocational concerns (PSV) and diabetes-related concerns (PRDM). We calculated: mean domain scores and overall mean score (EMG). Statistical analysis was performed in IBPM SPSS software version 2.0 by paired t-test and considered significant p<0.05. Among the patients who participated in the study, 62.8% were female, age 31.7±10.3 years, BMI 23.4± 5.0kg/m² and DM1 diagnosis 13.6±7.9 years ago. Of the questionnaire items analyzed after using the sensor, they improved satisfaction with the time spent to check glucose levels, with current treatment, frequency of pain associated with treatment and restriction by their diet, and worsened satisfaction with their sex life; frequency of a bad night's sleep; and concern about whether they will faint. However, there was no change in satisfaction scores in scores for satisfaction (2.37±0.63 and 2.30±0.67; p=0.57), impact (2.58±0.6 and 2.48±0.70; p=0.391), PSV (2.36±0.92 and 2.59±1.10; p=0.185) and PRDM (2.82±1.11 and 2.91±0.90; p=0.635), nor in EMG (2.49±0.5 and 2.50±0.63; p=0.944) before and after sensor use. Replacing the blood glucose monitoring method by multiple digital punctures with the blood glucose monitoring flash sensor did not lead to an improvement in the overall quality of life of patients with DM1. However, there was an improvement in the points that are directly related to the use of this device, such as satisfaction with the time for checking blood glucose and with their treatment, and episodes of pain related to the treatment of diabetes and feeling restricted by their diet became less frequent
publishDate 2019
dc.date.issued.fl_str_mv 2019-09-26
dc.date.accessioned.fl_str_mv 2021-11-12T17:03:29Z
dc.date.available.fl_str_mv 2021-11-12T17:03:29Z
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dc.identifier.citation.fl_str_mv SANTOS, Clara Simony de Sousa. Impacto do uso de um sensor de monitorização instantânea de glicose na qualidade de vida de portadores de diabetes tipo1. 2019. 57 f. Trabalho de Conclusão de Curso (Graduação em Medicina) - Centro de Ciências Biológicas e da Saúde, Departamento de Medicina, Universidade Federal de Sergipe, Aracaju, 2019.
dc.identifier.uri.fl_str_mv https://ri.ufs.br/jspui/handle/riufs/14739
identifier_str_mv SANTOS, Clara Simony de Sousa. Impacto do uso de um sensor de monitorização instantânea de glicose na qualidade de vida de portadores de diabetes tipo1. 2019. 57 f. Trabalho de Conclusão de Curso (Graduação em Medicina) - Centro de Ciências Biológicas e da Saúde, Departamento de Medicina, Universidade Federal de Sergipe, Aracaju, 2019.
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