The Nurse's Role with Pregnant Women with Gestational Diabetes in Primary Health Care
Keywords:
Gestational Diabetes Mellitus, Nursing Care, Primary Health CareAbstract
Gestational diabetes mellitus (GDM) is defined by the World Health Organization as a carbohydrate intolerance of varying severity that begins during the current pregnancy and does not meet the diagnostic criteria for Diabetes Mellitus. This work aims to observe the role of nurses in the care of pregnant women with Gestational Diabetes in Primary Health Care. It is characterized by exploratory-descriptive research, using a quantitative approach. The research took place in the Basic Health Units of the municipality of Tianguá, Ceará, from August to December 2020. Inclusion criteria were nurses working in Basic Health Units, regardless of their length of service. A validated and adapted questionnaire was used as the data collection instrument. It was observed that the majority of nurses had between 01 to 05 years of experience, were female, with an average age of 25 to 45 years old. It was identified that there was disagreement in GDM screening, where a significant portion of nurses did not request OGTT between 24 and 28 weeks, some nurses did not provide guidance on the importance of physical activity, and there was no standardization in the procedures performed during assistance to pregnant women with diabetes. It is noticeable that nurses need constant updates, as according to the findings, some show difficulties regarding the practice and routine of protocols related to the care of pregnant women with GDM. The suggestion for improvement is continuous education, which proves to be a great ally for enhancing care, enabling a change in this scenario.
References
CHEN, Y. et al. Effect of the internet combined with exercise-based individualized nursing intervention in patients with gestational diabetes mellitus. Diabetology & Metabolic Syndrome, [S.l.], v. 13, n. 1, 30 out. 2021. Disponível em: https://doi.org/10.1186/s13098-021-00738-0. Acesso em: 12 fev. 2024.
GOMES, L. C.; TSUDA, L. C.; PACE, A. E. Conhecimento e práticas de pessoas com diabetes mellitus sobre a terapêutica medicamentosa e suas complicações agudas. Enfermagem Brasil, São Paulo, v. 19, n. 4, p. 290, 2020. Disponível em: https://doi.org/10.33233/eb.v19i4.3100. Acesso em: 12 fev. 2024.
HELMERSEN, M. et al. Women’s experience with receiving advice on diet and Self-Monitoring of blood glucose for gestational diabetes mellitus: a qualitative study. Scandinavian Journal of Primary Health Care, EUA, v. 39, n. 1, p. 44-50, 2021. Disponível em: https://doi.org/10.1080/02813432.2021.1882077. Acesso em: 13 fev. 2024.
HUIFEN, Z. et al. Effects of moderate-intensity resistance exercise on blood glucose and pregnancy outcome in patients with gestational diabetes mellitus: A randomized controlled trial. J Diabetes Complications, EUA, v. 36, n. 5, p. 108186, 2022. Disponível em: https://doi.org/10.1016/j.jdiacomp.2022.108186. Acesso em: 7 nov. 2023
LAREDO-AGUILERA, J. A. et al. Physical Activity Programs during Pregnancy Are Effective for the Control of Gestational Diabetes Mellitus. International Journal of Environmental Research and Public Health, Switzerland, v. 17, n. 17, p. 6151, 24 ago. 2020. Disponível em: https://doi.org/10.3390/ijerph17176151. Acesso em: 12 fev. 2024.
MEDINA-PEREZ, E. A. et al. Diabetes gestacional. Diagnóstico y tratamiento en el primer nivel de atención. Medicina Interna de México, Cidade do México, v. 33, n. 1, p. 91-98, 2017. Disponível em: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0186-48662017000100091.
MENSAH, G. P. et al. Guidelines for the nursing management of gestational diabetes mellitus: an integrative literature review. Nursing Open, EUA, v. 7, n. 1, p. 78-90, 2019b. Disponível em: https://doi.org/10.1002/nop2.324. Acesso em: 14 fev. 2024.
MINISTÉRIO DA SAÚDE (Brasil). Conselho Nacional de Saúde. 12 de dezembro de 2012. Resolução Nº 466, de 12 de dezembro de 2012. Plenário do Conselho Nacional de Saúde, p. 1-12, 12 dez. 2012. Disponível em: https://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf. Acesso em: 7 nov. 2023.
OLIVEIRA, E.C.; MELO, S.M.B.; PEREIRA, S.E. Diabetes Mellitus Gestacional: uma revisão da literatura. Revista Científica Fac Mais, v.1, n. 1. 2016. Disponível em: https://editorarealize.com.br/artigo/visualizar/27830. Acesso em: 7 nov. 2023.
OLIVEIRA, J. E. P.; MONTENEGRO JÚNIOR, R. M.; VENCIO, S. (orgs.). Diretrizes da Sociedade Brasileira de Diabetes 2017-2018. São Paulo: Clannad Editora Científica, 2017. p.383.
OPAS. Organização Pan-Americana da Saúde. Ministério da Saúde. NBR 6023: rastreamento e diagnóstico de diabetes mellitus gestacional no Brasil. Brasília: All Type Assessoria Editorial Ltda., 2017. Disponível em: https://www.diabetes.org.br/profissionais/images/pdf/diabetes-gestacional-relatorio.pdf. Acesso em: 7 nov. 2023.
REZENDE, A.A.O. Elaboração e Validação de um questionário para avaliar conhecimentos, atitudes e práticas de Médicos e enfermeiros da atenção básica em relação ao cuidado de mulheres com Diabetes Mellitus Gestacional. Tese (Mestrado junto ao programa de pós-graduação em Gestão Clínica), Universidade Federal de São Carlos, 2018.
SOCIEDADE BRASILEIRA DE DIABETES(SBD). Diretrizes da Sociedade Brasileira de Diabetes, 2019-2020. São Paulo: SBD, 2019.
SILVA, D. E. S. et al. Efeito da consulta de enfermagem na promoção de práticas seguras em insulinoterapia: estudo retrospectivo. Online Brazilian Journal of Nursing, Rio de Janeiro, v. 22, 2023. Disponível em: https://doi.org/10.17665/1676-4285.20236601. Acesso em: 12 fev. 2024.
VIEIRA, I. F. O. et al. Nursing assistance in primary health care for pregnant women with gestational diabetes: integrative review / Assistência de enfermagem na atenção primária à saúde a gestantes com diabetes gestacional: revisão integrativa. Revista de Pesquisa Cuidado é Fundamental Online, Curitiba, v. 15, p. 1-10, 2023. Disponível em: https://doi.org/10.9789/2175-5361.rpcfo.v15.12211. Acesso em: 7 nov. 2023.
WORLD HEALTH ORGANIZATION. Diagnostic criteria a nd classification of hyperglycaemia first detected in pregnancy. Genebra: WHO, 2013. Disponível em: https://iris.who.int/bitstream/handle/10665/85975/WHO_NMH_MND_13.2_eng.pdf. Acesso em: 7 nov. 2023.
ZAJDENVERG, L. et al. Rastreamento e diagnóstico da hiperglicemia na gestação. In: ZAJDENVERG, L. et al. Diretriz Oficial da Sociedade Brasileira de Diabetes. 2022. ed. [S. l.]: Conectando Pessoas, 2022. Disponível em: https://doi.org/10.29327/557753.2022-11. Acesso em: 15 fev. 2024.
ZENG, X. et al. Information-based continuous nursing on pregnant women with gestational diabetes mellitus. European Review For Medical And Pharmacological Sciences, [S.l.], v. 27, n. 18, p. 8762-8772, 2023. Disponível em: https://www.europeanreview.org/article/33798. Acesso em: 12 fev. 2024.
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