Abstract
To analyze the experience of the child with diabetes type 1 in the care related to the techniques of glycemic monitoring and insulin application by use of instructional therapeutic toy, in accordance with the culture care. Qualitative study with premise of the ethnonursing carried out in secondary public service of reference in the treatment of diabetes, in the city Fortaleza, Ceará State, between January and November of 2014, among 26 school-age children. Based on the Observation, Participation, Reflection Enabler, were developed educational activities using instructional therapeutic toy. The children expressed doubts regarding the insulin therapy and the glycaemia checking. They also were interested in the orientations mediated by means of the therapeutic toy in the culture care. They asked about the rotation, location and administration of the insulin. Some children asked for the syringes to play and learn how to inject it in the dolls. To bring in this activity promoted approximation and effective communication with the child in the educational approach, increasing its ability in the self care.
Highlights
According to the International Diabetes Federation (IDF), the diabetes mellitus type 1 (DM1) increase about 3% per year among children in preschool age
Child experience in the glycemic monitoring and insulin therapy This category addressed the experience of the child with DM1 in the glycemic checking and insulin therapy, making it possible to elucidate feelings, habits and beliefs in the daily care for glycemic control
The children reported the main doubts and complications related to therapy. They understood the care is required for the glycemic control, they considered the daily insulin injections and the capillary blood glucose monitoring to be unusual procedures in childhood and sometimes painful, stated in the following reports: times, due to scarce distribution of material recommend for insulin application and glycemic monitoring at the health center: I only use the syringe with needle, I don’t have that pen
Summary
According to the International Diabetes Federation (IDF), the diabetes mellitus type 1 (DM1) increase about 3% per year among children in preschool age. The IDF pointed out as a focus of the campaign the diabetic children and teenagers, aiming to raise awareness of the parents, caretakers, teachers, health care professionals, government, politicians and society in general of a concerning global phenomenon, since diabetes is considered the most prevalent chronic disease during the childhood[1,2]. The child with diabetes mellitus type 1 faces adversities because of the disease and the treatment that threaten the acceptance of and the adaptation to daily care. Among these unfavorable conditions is insulin therapy, which is considered the cause of suffering, fear and pain. Studies demonstrate that educational strategies using therapeutic toy (TT) help to face the painful life, with participation of the children in the daily care[3,4]
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