EFEITOS DO TREINO DISCRIMINATIVO DE EVENTOS PRIVADOS E PÚBLICOS NO CONTROLE DO DIABETES: UMA INTERVENÇÃO EDUCATIVA

Abstract

Diabetes Mellitus is a disorder caused by the absolute or relative deficiency of insulin in the body. It can cause serious complications, however all of them can be prevented with proper treatment, specially the monitoring of glycemia. Diabetic patients must observe the floating of their glycemic levels and try to normalize them. Considering the importance of learning to recognize (discriminate) such physiological events, this work is intended to evaluate discriminating trainings of these private events of patients with type-1 diabetes. This work developed a comparative assessment of the discriminating training of independent groups of patients with type- 1 diabetes in order to check if it can improve the estimation of glycemic status, the measurement of glucose levels and the discrimination and accuracy previously attained, by means of the analysis of the effects of internal, external and internal + external clues simultaneously . First, each patient was interviewed for verifying the level of knowledge acquired by him or her. All patients informed that they fairly knew the symptoms of hyper and hypoglycemia. Three conditions of training were handled in the study, two isolated and one simultaneous, for fifteen subjects divided into 3 groups, each of them with five patients. Patients of all groups made three estimations measurements per day and recorded their results. In group I - internal clues , subjects were instructed to observe and record a variety of symptoms, estimate the glycemic level and evaluate its accuracy by comparing it with a reference value. In possession of this information patients should continue with the same procedure. In group II, external clues , patients were instructed to observe and record aspects of the external environment and estimate the glycemic level based on them. Then, patients should evaluate the accuracy of the glycemic level comparing it with a reference value. In possession of this information patients should continue to record. Finally, subjects of group III were submitted to a condition that overlapped the two types of clues, internal and external. The results showed that the condition internal clues , slightly increased the accuracy of the glycemia estimations in comparison with the two other conditions. These results were discussed within an operative approach, analyzing the verbal behavior involved in this discrimination, observing that the procedure allows controlling the behavior by means of internal and external events.