• Rev Assoc Med Bras (1992) · May 2016

    Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group.

    • Ana Maria da Silva Sousa, Daine Fiuza, Fernanda Cristina Ferreira Mikami, Karen Cristine Abrão, Rossana Pulcineli Vieira Francisco, and Marcelo Zugaib.
    • Universidade de São Paulo, Universidade de São Paulo, Faculdade de Medicina, Department of Gynecology and Obstetrics, São Paulo SP , Brazil, MSc in Science and Health, Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
    • Rev Assoc Med Bras (1992). 2016 May 1; 62 (3): 212-7.

    ObjectiveTo evaluate the retention of information after participation in multidisciplinary group in patients with gestational diabetes mellitus (GDM) through a phone contact.Method122 pregnant women diagnosed with gestational diabetes were included. After diagnosis of gestational diabetes, the patients were referred to the multidisciplinary group where they received medical, nutrition and nursing guidelines related to the disease. After three days these patients received one telephone call from a nurse, who made the same questions regarding the information received. In the statistical analysis, results were presented as absolute and relative frequencies.ResultsMost patients 119/122 patients (97.5%) were managing to do self glucose monitoring. Twenty-one patients (17.2%) reported having difficulty performing the blood glucose, especially finger pricking. When questioning whether the woman was following the proposed diet, 24/122 (19.7%) patients said they did not; the meal frequency was not reached by 23/122 (18.9%) of the women, and forty-seven (38.5%) of the women reported having ingested sugar in the days following the guidance in multidisciplinary group.ConclusionRegarding the proposed treatment, there was good adherence of patients, especially in relation to blood glucose monitoring. As for nutritional control, we observed greater difficulty in following the guidelines demonstrating the need for long-term monitoring, as well as further clarification to the patients about the importance of nutrition in diabetes management.

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