Desafios enfrentados por crianças, adolescentes e seuscuidadores no controle do Diabetes Mellitus tipo I

Abstract

Diabetes mellitus type I affects a large proportion of people worldwide and requires several modifications in lifestyle. In children and adolescents is a high incidence and why behind major impact in their daily lives, given that their treatment goes through dietary restrictions,multiple insulin injections, the need for regular physical activity, and also by the fear of possible complications and discomfort caused by the symptoms of hyper and hypoglycemia. This is a descriptive study to par¬tir secondary sources, through biblio¬gráfico survey in which the strategy was the integrative review. The research was based on electronic search on the site Virtual Library in Health (BVS) and made part of this work children and adolescents between the ages of 6 months will carry 19 years Diabetes Mellitus Type I or Insulin dependent. To refine the search by the works used was followed criteria of use descriptors, namely: "Diabetes mellitus type I" in the LILACS database (Literature on the Health Sciences) were found (50), with descriptors "Children anddiabetes mellitus type I "in LILACS database obtained (7), with the descriptor" self care and diabetes mellitus "were found (7) articles and descriptor" health education and diabetes mellitus "in LILACS database obtained (48) . They found in total 112 articles, and their titles were read and those who have been in line with the theme of this study were chosen. Following is the first step, the abstracts of all articles and selected works were read. Although the database presents an expressive quality articles they were repeated for responding to various descriptors. Finally, Articles, which really contemplated the problem at hand, this sector was read in its entirety as part of this integrative review a total of 25works. After choosing the topic was conducted a preliminary literature to facilitate theidentification of the research problem, in order to conceive a real problem significance andimportance to the academic community, describe challenges faced by children, adolescentsand their caregivers in the control of DM type I. The treatment requires adaptation tochange, not only the patient but also his family. The changes go beyond the physical aspects, including psychosocial aspects involved in the field of interactions and personal development. Because of the major complications that diabetes causes in the life of the child and his family, it is for health professionals identify people at risk for this disease andintensify actions to promote and control the disease among those already diagnosed. Therefore, it is important to caregivers recognize the moment of each and the context in which is located the sick person, and understand feelings and experiences on the lived reality in order to contribute to the child and the teenager may have a life quiet withoutdisease disrupt their development. It is believed that not only reflect positively on adherence child \ teen and family to control the disease, but also the well being of all involved.