Educational intervention on description of the insulin delivery technique: randomized clinical trial
DOI:
https://doi.org/10.15253/2175-6783.20202144230Keywords:
Diabetes Mellitus; Insulin; Telephone; Motivational Interviewing; Clinical Trial.Abstract
Objective: to analyze the effect of educational intervention on insulin delivery technique. Methods: randomized clinical trial, carried out with 79 patients with Diabetes Mellitus, in two groups, 42 from the control group and 37 from the intervention. Four telephone calls were made in two months to the intervention group. The control group received only conventional follow-up. Results: when comparing the application of insulin in the pre and post-test, there was no significant difference (p>0.05) in the control group, but an improvement of 80.0% in the correct answers on the appropriate technique, with p<0.021 . In the intergroup comparison, the description of self-administration of insulin, after the telephone intervention, was better in 70.0% of the items, with p<0.030. Conclusion: the educational intervention via telephone improved the description of the technique of insulin application in patients with Diabetes Mellitus and their caregivers. Brazilian Registry of Clinical Trials number U1111-1228-3200.
References
International Diabetes Federation. Diabetes Atlas [Internet]. 2020 [cited July 19, 2020]. Available from: https://www.idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html
Lovre D, Fonseca V. Benefits of timely basal insulin control in patients with type 2 diabetes. J Diabetes Complications. 2015; 29(2):295-301. doi: https://doi.org/10.1016/j.jdiacomp.2014.11.018
Lima ICV, Galvão MTG, Pedrosa SC, Silva CAC, Pereira MLD. Validation of phone messages to promote health in people with HIV. Acta Paul Enferm. 2017; 30(3):227-32. doi: https://doi.org/10.1590/1982-0194201700035
Lima ICV, Galvão MTG, Alexandre HO, Lima FET, Araújo TL. Information and communication technologies for adherence to antiretroviral treatment in adults with HIV/AIDS. Int J Med Inform. 2016; 92:54-61. doi: https://doi.org/10.1016/j.ijmedinf.2016.04.013
Fernandes BSM, Reis IA, Pagano AS, Cecilio SG, Torres HC. Construction, validation and cultural adequacy of the COMPASSO protocol: adherence to self-care in diabetes. Acta Paul Enferm. 2016; 29(4):421-9. doi: https://dx.doi.org/10.1590/1982-0194201600058
Sousa Z, Neves MC, Carvalho D. Técnica de administração de insulina: uma prática sustentada em evidência científica. Rev Port Diabetes [Internet]. 2019 [cited Aug 8, 2020]; 14(3):120-8. Available from: http://www.revportdiabetes.com/wp-content/uploads/2019/11/RPD-Set-2019-Artigo-de-Revis%C3%A3o-p%C3%A1gs-120-128.pdf
Hunt CW. Technology and diabetes self-management: An integrative review. World J Diabetes. 2015; 15(2):225-33. doi: https://dx.doi.org/10.4239/wjd.v6.i2.225
Becker TTC, Teixeira CRS, Zanetti ML, Pace AE, Almeida FA, Torquato MTCG. Effects of supportive telephone counseling in the metabolic control of elderly people with diabetes mellitus. Rev Bras Enferm. 2017; 70(4):704-10. doi: https://doi.org/10.1590/0034-7167-2017-0089
Schechter CB, Walker EA, Ortega FM, Chamany S, Silver LD. Costs and effects of a telephonic diabetes self-management support intervention using health educators. J Diabetes Complications. 2016; 30(2):300-5. doi: https://doi.org/10.1016/j.jdiacomp.2015.11.017
Barbosa IM, Lima FET, Magalhães FJ, Almeida PC. Influence of nursing care by telephone in the practice of self-care of the user with diabetes mellitus. Rev Enferm UFPE on line. 2014; 8(11):3874-80. doi: 10.5205/1981-8963-v8i11a10135p3874-3880-2014
Pereira FGF, Diógenes MAR, Ataíde MBC, Mendonça Junior JO, Leal DE, Xavier ATF. Fatores relacionados à utilização de insulina em diabéticos acompanhados pela estratégia saúde da família. Rev APS [Internet]. 2016 [cited Aug 24, 2020];19(1):58-66. Available from: https://periodicos.ufjf.br/index.php/aps/article/view/15532
Zwarenstein M, Treweek S, Gagnier JJ, Altman DG, Tunis S, Haynes B, et al. Improving the reporting of pragmatic trials: an extension of the CONSORT statement. BMJ [Internet]. 2008 [cited June 8, 2020]; 337:e2390. Available from: http://www.consort-statement.org/extensions/overview/pragmatic-trials
Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB. Delineando a pesquisa clínica. Porto Alegre: ArtMed; 2015.
Sociedade Brasileira de Diabetes (SBD). Diretrizes da Sociedade Brasileira de Diabetes 2019-2020 [Internet]. 2017 [cited June 3, 2020]. Available from: https://www.diabetes.org.br/profissionais/images/DIRETRIZES-COMPLETA-2019-2020.pdf
Olivatto GM, Teixeira CRS, Pereira MCA, Becker TAC, Hodniki PP, Istilli PT. Atemdimel - Apoio telefônico para o monitoramento em diabetes mellitus tipo 2: expectativas e satisfação dos pacientes. Rev Eletr G&S [Internet]. 2015 [cited June 3, 2020]; 6(2):1588-00. Available from: https://periodicos.unb.br/index.php/rgs/article/view/2967
Franco RC, Becker TAC, Hodniki PP, Zanetti ML, Sigoli, PBO, Teixeira CRS. Telephone support for adherence to healthy eating practices among people with type 2 diabetes mellitus. Enferm Glob. 2018; 50:176-84. doi: http://dx.doi.org/10.6018/eglobal.17.2.277821
Moreira ACA, Silva MJ, Darder JJT, Coutinho JFV, Vasconcelos MIO, Marques MB. Effectiveness of an educational intervention on knowledge-attitude-practice of older adults’ caregivers. Rev Bras Enferm. 2018; 71(3):1055-62. doi: http://dx.doi.org/10.1590/0034-7167-2017-0100
Batista JMF, Teixeira CRS, Becker TAC, Zanetti ML, Istilli PT, Pace AE. Self-care knowledge and activities of people with diabetes mellitus submitted to telephone support. Rev Eletr Enf. 2017; 19:a36. doi: http://dx.doi.org/10.5216/ree.v19.42199
Torres HC, Pace AE, Chaves FF, Velasquez-Melendez G, Reis IA. Evaluation of the effects of a diabetes educational program: a randomized clinical trial. Rev Saúde Pública. 2018; 52:8. doi: https://doi.org/10.11606/S1518-8787.2018052007132
Barboza VV, Klijn TP, Molina AS, Carrilo KLS. Effectiveness of a personalized nursing counseling intervention, in person and by telephone, for cardiovascular risk factors: controlled clinical trial. Rev Latino-Am Enfermagem. 2016; 24:e2747. doi: https://doi.org/10.1590/1518-8345.0626.2747
