ABSTRACT
RESUMO Objetivo: caracterizar adolescentes com diabetes tipo 1, frequentadores de uma colônia de férias, e sua evolução nas dimensões do conhecimento acerca da doença, na autoeficácia, qualidade de vida e hemoglobina glicada. Método: estudo quantitativo comparativo antes e após o campo, com seguimento de seis meses. Foram avaliados o conhecimento (teste de conhecimentos acerca da diabetes), aautoeficácia (self-efficacy diabetes scale), a qualidade de vida (disabkids chronic generic measure) e a hemoglobina glicada, em três momentos, de 2018 a 2019, em 30 adolescentes com diabetes dos 15 aos 18 anos, que participaram numacolônia de férias. Resultados: os adolescentes apresentavam inicialmente conhecimento global elevado (>80%) na área do exercício físico, hipoglicemia e complicações da diabetes, e inferior a 60% sobre conservação de insulina, substituição de lanceta, refeições, monitorização de glicose, vômitos, diarréia e consumo de bebidas alcoólicas. Os níveis de autoeficácia social aumentaram após a colônia, contudo não se mantiveram após seis meses. Não se observaram alterações nos valores da hemoglobina glicadae na qualidade de vida após a colônia. Conclusão: acolônia produziu efeito na autoeficácia social, contudo, não se pode afirmar impacto ao nível dos conhecimentos e qualidade de vida dos participantes. Os resultados sugerem a implementação de programas estruturados, com foco na promoção da autogestão da diabetes.
RESUMEN Objetivo: caracterizar adolescentes con diabetes tipo 1, frecuentadores de una colonia de vacaciones, y su evolución en las dimensiones del conocimiento acerca de la enfermedad, en la autoeficacia, calidad de vida y hemoglobina glicosilada. Método: estudio comparativo cuantitativo antes y después del campo, con un seguimiento de seis meses. Fueron evaluados el conocimiento (test de conocimientos acerca de la diabetes), la autoeficacia (self-efficacy diabetes Scale), la calidad de vida (disabkids Chronic Generic Measure) y la hemoglobina glicosilada, en tres momentos, de 2018 a 2019, en 30 adolescentes con diabetes de 15 a 18 años que participaron en una colonia de vacaciones. Resultados: los adolescentes presentaban inicialmente conocimiento global elevado (>80%) en el área del ejercicio físico, hipoglucemia y complicaciones de la diabetes, e inferior a 60% sobre conservación de insulina, sustitución de lanceta, comidas, monitoreo de glucosa, vómitos, diarrea y consumo de alcohol. Los niveles de autoeficacia social aumentaron después de la colonia, pero no se mantuvieron después de seis meses. No se observaron alteraciones en los valores de la hemoglobina glicosilada y en la calidad de vida después de la colonia. Conclusión: la colonia ha producido efecto en la autoeficacia social, sin embargo, no se puede afirmar impacto al nivel de los conocimientos y calidad de vida de los participantes. Los resultados sugieren la implementación de programas estructurados, con enfoque en la promoción de la autogestión de la diabetes.
ABSTRACT Objective: to characterize adolescents with type 1 diabetes, frequenters of a summer camp, and their evolution in the dimensions of knowledge about the disease, self-efficacy, quality of life and glycated hemoglobin. Method: quantitative comparative study before and after the field, with follow-up of six months. Knowledge (test of knowledge about diabetes), self-efficacy (self-efficacy diabetes scale), quality of life (disabkids chronic generic measure) and glycated hemoglobin were evaluated in three moments, from 2018 to 2019, in 30 adolescents with diabetes aged 15 to 18, who participated in a summer camp. Results: the adolescents initially had high overall knowledge (>80%) in the area of physical exercise, hypoglycemia and complications of diabetes, and less than 60% on insulin conservation, lancet replacement, meals, glucose monitoring, vomiting, diarrhea and alcohol consumption. Levels of social self-efficacy increased after the colony, but did not continue after six months. There were no changes in the values of glycated hemoglobin and quality of life after the colony. Conclusion: the colony produced an effect on social self-efficacy, however, there is no impact on the level of knowledge and quality of life of the participants. The results suggest the implementation of structured programs focused on promoting diabetes self-management.
ABSTRACT
In diabetes camps, medical social workers interact with individuals and groups of participants to help them learn to adapt psychologically and emotionally to the stress from diabetes and to improve their ability to cope with interpersonal relationships. The change stage model (transtheoretical model) is applied to change the behavior of diabetics. Social worker intervention programs in diabetes camps provide opportunities for patients to manage their diabetes healthily by increasing self-esteem, participating in motivational counseling, and developing stress management, fear and conflict resolution. In particular, in the 2030 diabetes camp program, young diabetics can learn the personal importance of medical social workers through the ‘post-camp’ talk.
Subject(s)
Humans , Camping , Counseling , Diabetes Mellitus , Health Behavior , Motivation , Negotiating , Social Work , Social WorkersABSTRACT
BACKGROUND/AIMS: When a patient is diagnosed with diabetes mellitus, it is important to help both the patient and their family members gain knowledge and confidence with regard to self-management. A diabetes camp is an excellent way to recognize the benefits of education. This study was conducted to evaluate the effects of diabetes camp on patients with type 2 diabetes. METHODS: This study comprised 30 patients with diabetes who had participated in a diabetes camp from August 2005 through August 2011. The effectiveness of the diabetes camp was examined retrospectively via clinical parameters, compliance behavior, and a self-esteem questionnaire. RESULTS: Glycated hemoglobin (HbA1c; p = 0.004) was significantly decreased, while measures of self-esteem (p = 0.000) and compliance (p = 0.001) were significantly increased after attending the camp. No significant differences were observed in other clinical parameters, such as weight, body mass index (BMI), and lipid profiles, before and after camp attendance. CONCLUSIONS: Diabetes camp may be an effective way to control diabetes mellitus.
Subject(s)
Humans , Body Weight , Camping , Compliance , Diabetes Mellitus , Hemoglobins , Retrospective Studies , Self CareABSTRACT
Twenty-one obese children who attended a 4-week summer camping in Siriraj Hospital were evaluated for their lung function before and after camping. Twelve out of 21 children (57%) were found to have restrictive lung before camping. Of these 12 children, 6 of them (50%) had improvement of lung function, whereas 4 out of those with abnormal lung function (33%) had normal lung function after campings.