Ana Maria da Silva Sousa1, Daine Fiuza2, Fernanda Cristina Ferreira Mikami3, Karen Cristine Abrão4, Rossana Pulcineli Vieira Francisco5, Marcelo Zugaib6. 1. 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. 2. Universidade Anhembi Morumbi, Universidade Anhembi Morumbi, São Paulo SP , Brazil, Medical Student, Universidade Anhembi Morumbi, São Paulo, SP, Brazil. 3. Universidade de São Paulo, FMUSP, Hospital das Clínicas, Fetal Medicine Division, São Paulo SP , Brazil, Assistant Physician at the Fetal Medicine Division of Hospital das Clínicas, FMUSP, São Paulo, SP, Brazil. 4. Universidade Anhembi Morumbi, Universidade Anhembi Morumbi, Escola de Ciências da Saúde, São Paulo SP , Brazil, PhD from FMUSP - Academic Director, Escola de Ciências da Saúde and Escola de Medicina da Universidade Anhembi Morumbi, São Paulo, SP, Brazil. 5. Universidade de São Paulo, FMUSP, Department of Gynecology and Obstetrics, São Paulo SP , Brazil, Habilitation (BR: Livre-docência) from FMUSP - Associate Professor of Obstetrics, Department of Gynecology and Obstetrics, FMUSP, São Paulo, SP, Brazil. 6. Universidade de São Paulo, FMUSP, Department of Gynecology and Obstetrics, São Paulo SP , Brazil, Full Professor of Obstetrics, Department of Gynecology and Obstetrics, FMUSP, São Paulo, SP, Brazil.
Abstract
OBJECTIVE: To evaluate the retention of information after participation in multidisciplinary group in patients with gestational diabetes mellitus (GDM) through a phone contact. METHOD: 122 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. RESULTS: Most 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. CONCLUSION: Regarding 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.
OBJECTIVE: To evaluate the retention of information after participation in multidisciplinary group in patients with gestational diabetes mellitus (GDM) through a phone contact. METHOD: 122 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. RESULTS: Most 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. CONCLUSION: Regarding 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.